Balloon-Occluded Retrograde Abdominal Lymphangiography and Embolization for Opacification and Treatment of Abdominal Chylous Leakage

Chick, Jeffrey Forris Beecham; VanBelkum, Alixandra; Yu, Victor Y; Majdalany, Bill S.; Khaja, Minhaj S.; Cooper, Kyle; Saad, Wael E.A.; Srinivasa, Ravi N.

doi:10.1016/j.jvir.2016.11.044

Cited by 23 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Different authors have described several percutaneous approaches to treat refractory ascites with different embolic materials. 20,22,24,25,29,30,[46][47][48][49][50][51][52][53][54][55] INL has been accepted as the gold standard invasive imaging test to delineate the anatomy of the lymphatic system and identify the site of leakage, particularly lymphatic leaks arising from the pelvis, retroperitoneum, and central lymphatics (cisterna chyli and TD). Patients with CA after pelvic lymphadenectomy or retroperitoneal lymphadenectomy (RPLDN) are good candidates for INL alone or associated with glue embolization of the lymph node or lymphatic vessels feeding the leak.…”

Section: Pathways For Lymphangiography and Lymphatic Embolization In mentioning

confidence: 99%

“…This approach can be combined with sclerotherapy or glue injection to stop the leakage. 25,47,53 Retrograde access can be achieved via transvenous retrograde thoracic ductography (success rate, 61.5%), 56 under ultrasound or fluoroscopic guidance at the cervical segment of the TD 26 or by snaring a wire previously placed in the TD via transabdominal approach.…”

Section: Pathways For Lymphangiography and Lymphatic Embolization In mentioning

confidence: 99%

See 1 more Smart Citation

Chylous Ascites and Lymphoceles: Evaluation and Interventions

Santos

Moussa

2020

Semin intervent Radiol

View full text Add to dashboard Cite

Kinmonth introduced lymphangiography in 1955 and it became an important tool in the diagnosis and treatment of malignant disease. The technique, based on bipedal approach, was difficult and time-consuming which limited its use in clinical practice. Cope is the father of percutaneous lymphatic interventions and he was the first person to access and intervene on the lymphatic system. After his initial work published on 1999, there has been an expansion of the lymphatic embolization techniques, particularly since the development of intranodal lymphangiography and advance lymphatic imaging. This article is focused on the evaluation and management of postoperative chylous ascites and lymphoceles. Their incidence is growing due to longer survival of cancer patients and more radical surgical approaches, leading to an increased morbidity and mortality in this patient population. Minimally invasive percutaneous lymphatic embolization is becoming a first-line therapy in patients with postoperative lymphatic leakage.

show abstract

Section: Pathways For Lymphangiography and Lymphatic Embolization In mentioning

confidence: 99%

Section: Pathways For Lymphangiography and Lymphatic Embolization In mentioning

confidence: 99%

Chylous Ascites and Lymphoceles: Evaluation and Interventions

Santos

Moussa

2020

Semin intervent Radiol

View full text Add to dashboard Cite

show abstract

“…8). 29 However, the thoracic duct contains many irregularities and numerous valves, which makes catheter advancement difficult. Additionally, the cervical part demonstrates a plexiform morphology in 23 to 26% of cases, and retrograde cannulation is impossible in such cases.…”

Section: Transvenous Retrograde Lymph Duct Embolizationmentioning

confidence: 99%

Lymphatic Interventional Radiology for Postoperative Lymphatic Leakage

Sato,

Matsueda,

Inaba

et al. 2024

Digestive Disease Interventions

View full text Add to dashboard Cite

Lymphatic leakage is a relatively rare complication following various surgical procedures. Occasionally, conservative treatments fail to control postoperative lymphatic leakage. Refractory lymphatic leakage causes severe morbidities, including malnutrition, immunodeficiency, and impaired wound healing. Lymphangiography is a useful method for identifying various types of lymphatic leakage. Recently, lipiodol lymphangiography has been popular for its potential therapeutic effects on refractory lymphatic leakage, but this technique remains underdeveloped. This review discusses lymphatic interventional radiology for postoperative lymphatic leakage.

show abstract

“…In the event of chylous ascites, which is caused by intestinal lymphatic vessel breakdown, embolization following transvenous retrograde thoracic duct cannulation or intranodal lymphangiography may be conducted via a mesenteric lymph node, but the number of patients in whom these procedures is feasible is limited. [34][35][36] The diagnosis and treatment of chylous ascites is a future issue for lymphatic interventional radiology.…”

Section: Liver Lymphatic Imaging and Embolizationmentioning

confidence: 99%

The role of lymphatic interventional radiology for postoperative lymphorrhea

Kariya

Yamamoto

Nakatani

et al. 2022

Int J Gastrointest Interv

View full text Add to dashboard Cite

Lymphorrhea after gastrointestinal surgery may be treated conservatively or surgically, and treatment by lymphatic interventional radiology has also recently come into use. From pedal lymphangiography, intranodal lymphangiography was widely adopted, enabling the site of lymphorrhea to be identified and its approach to be planned, and embolization for lymphorrhea is now becoming feasible in an increasing number of patients. Even for patients in whom embolization is infeasible, identifying the site of leakage and providing the surgeon with this information is useful. Although this technique is still under development, interventional radiologists are now able to play a role in the treatment of lymphorrhea. Herein, we discuss lymphatic interventional radiology for lymphorrhea following gastrointestinal surgery.

show abstract

Balloon-Occluded Retrograde Abdominal Lymphangiography and Embolization for Opacification and Treatment of Abdominal Chylous Leakage

Cited by 23 publications

References 4 publications

Chylous Ascites and Lymphoceles: Evaluation and Interventions

Chylous Ascites and Lymphoceles: Evaluation and Interventions

Lymphatic Interventional Radiology for Postoperative Lymphatic Leakage

The role of lymphatic interventional radiology for postoperative lymphorrhea

Contact Info

Product

Resources

About