Intranodal Glue Embolization for the Management of Postsurgical Groin Lymphocele and Lymphorrhea

Smolock, Amanda R.; Nadolski, G.; Itkin, Maxim

doi:10.1016/j.jvir.2018.04.020

Cited by 36 publications

(46 citation statements)

References 23 publications

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“…44 Smolock et al reported an 80% clinical success rate with this technique, which is similar to sclerotherapy, yet with a median number of embolizations of 1 and a maximum of 2, and a median time to resolution of 7 days, which is much less than the results of sclerotherapy reported elsewhere. 67,68 Chu et al reported similar promising results, with a clinical success rate of 100% and a median number of embolizations of 1 and a maximum of 3, and a median time to resolution of 7 days. 69 While both groups had a small number of patients, their results warrant a prospective study investigating the potential of this technique in rapid, minimally invasive management of lymphoceles.…”

Section: Diagnosismentioning

confidence: 86%

“…67 More recently, lymphangiography and lymphatic embolization have been used to address the lymphatic leak directly, which, when combined with percutaneous drainage, are thought to decrease the catheter dwelling time and decrease the rate of recurrence. 68,69…”

Section: Lymphoceles: Management and Interventionsmentioning

confidence: 99%

“…83 Historically, bipedal lymphangiography and more recently nodal lymphangiography have been used to show the source of lymphatic leak in lymphoceles. 58,68,69 Ethiodized oil is injected through a lymphatic vessel in the foot in conventional lymphangiography, or through one of the inguinal lymph nodes in nodal lymphangiography, and images are acquired using fluoroscopy showing flow of contrast into the lymphatic vessels and reaching the lymphocele cavity. 68,84 Percutaneous Management of Lymphoceles Surgical management with internal marsupialization, as with any surgical intervention, entailed significant patient morbidity and was not suitable for patients with infected lymphoceles.…”

Section: Diagnosismentioning

confidence: 99%

“…58,68,69 Ethiodized oil is injected through a lymphatic vessel in the foot in conventional lymphangiography, or through one of the inguinal lymph nodes in nodal lymphangiography, and images are acquired using fluoroscopy showing flow of contrast into the lymphatic vessels and reaching the lymphocele cavity. 68,84 Percutaneous Management of Lymphoceles Surgical management with internal marsupialization, as with any surgical intervention, entailed significant patient morbidity and was not suitable for patients with infected lymphoceles. 58,85 Laparoscopic management was then developed, which also entailed marsupialization into the peritoneum, with reduced procedure time and patient morbidity.…”

Section: Diagnosismentioning

confidence: 99%

“…2 and 3). 68,69 This technique draws on the success of TDE for the management of iatrogenic chylothorax, and has shown promising results. 44 Smolock et al reported an 80% clinical success rate with this technique, which is similar to sclerotherapy, yet with a median number of embolizations of 1 and a maximum of 2, and a median time to resolution of 7 days, which is much less than the results of sclerotherapy reported elsewhere.…”

Section: Diagnosismentioning

confidence: 99%

See 4 more Smart Citations

Chylous Ascites and Lymphoceles: Evaluation and Interventions

Santos

Moussa

2020

Semin intervent Radiol

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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.

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