Intranodal Lymphangiography with Thoracic Duct Embolization for Treatment of Chyle Leak after Thoracic Outlet Decompression Surgery

Seung Kwon Kim, Russell E. Thompson, Carlos J. Guevara, Alexander Ushinsky, Raja S. Ramaswamy

Research output: Contribution to journalArticlepeer-review

Abstract

From 2015 to 2019, 9 patients underwent ultrasound-guided intranodal lymphangiography for the treatment of a chyle leak following thoracic outlet decompression surgery. Chyle leaks were identified by Lipiodol (Guerbet, Roissy, France) extravasation near the left supraclavicular surgical bed in all patients. The technical success rate of thoracic duct embolization was 67% (6 of 9), including fluoroscopic transabdominal antegrade access (n = 4) and ultrasound-guided retrograde access in the left neck (n = 2). Clinical success was achieved in 89% of patients (8 of 9). The mean interval from lymphangiography to drain removal was 6.6 days (range, 4–18 d). No patients had a chyle leak recurrence during clinical follow-up (mean, 304 d).

Original languageEnglish
Pages (from-to)795-800
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume31
Issue number5
DOIs
StatePublished - May 2020

Fingerprint

Dive into the research topics of 'Intranodal Lymphangiography with Thoracic Duct Embolization for Treatment of Chyle Leak after Thoracic Outlet Decompression Surgery'. Together they form a unique fingerprint.

Cite this