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DOI: 10.1055/s-0031-1280676
© Thieme Medical Publishers
Thoracic Duct Embolization
Publication History
Publication Date:
16 June 2011 (online)
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Percutaneous treatment of chylothorax was developed as a minimally invasive alternative to surgical options. The treatment consists of diagnostic pedal lymphangiography followed by transabdominal catheterization of the cisterna chyli (CC)/thoracic duct (TD) and embolization of the TD proximal to the chyle leak. Initially developed by Cope et al,[1] thoracic duct embolization (TDE) has become a viable primary treatment for chylous leaks. Potential advantages include the minimally invasive nature of the procedure, which results in reduction of mortality and morbidity, as well as the ability to identify chyle leaks and variations in TD duct anatomy.[2]
SUGGESTED READINGS
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- 3 Okuda I, Udagawa H, Takahashi J, Yamase H, Kohno T, Nakajima Y. Magnetic resonance-thoracic ductography: imaging aid for thoracic surgery and thoracic duct depiction based on embryological considerations. Gen Thorac Cardiovasc Surg. 2009; 57 (12) 640-646
- 4 Guermazi A, Brice P, Hennequin C, Sarfati E. Lymphography: an old technique retains its usefulness. Radiographics. 2003; 23 (6) 1541-1558, discussion 1559–1560
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- 6 Matsumoto T, Yamagami T, Kato T et al.. The effectiveness of lymphangiography as a treatment method for various chyle leakages. Br J Radiol. 2009; 82 (976) 286-290
Maxim ItkinM.D.
Division of Interventional Radiology, Hospital of the University of Pennsylvania
3400 Spruce Street, Philadelphia, PA 19004
Email: itkinmax@uphs.upenn.edu