Technical Note: Thoracic duct embolization for treatment of chylothorax: A novel guidance technique for puncture using combined MRI and fluoroscopy

Alampath, Praveen; Sreekumar, Karumathil Pullara; Nazar, Puthukudiyil Kader; Moorthy, Srikanth

doi:10.4103/0971-3026.101077

Cited by 5 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…and Maxim Itkin, M.D. Thoracic Duct Embolization for Chylous Leaks [ 10 ]). The success rate of embolization is 70 % in experienced setup and appropriate patient selection [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Tension chylothorax following blunt neck injury: case report

Abera,

Kassa,

Tesfay

2023

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…and Maxim Itkin, M.D. Thoracic Duct Embolization for Chylous Leaks [ 10 ]). The success rate of embolization is 70 % in experienced setup and appropriate patient selection [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Tension chylothorax following blunt neck injury: case report

Abera,

Kassa,

Tesfay

2023

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…Recently, combining MRI with fluoroscopy to guide needle puncture of the thoracic duct has been described [13].…”

Section: Technique Of Thoracic Duct Embolizationmentioning

confidence: 99%

Thoracic duct embolization for the management of chylothoraces

Nadolski

Itkin²

2013

Current Opinion in Pulmonary Medicine

View full text Add to dashboard Cite

Recent advances in the lymphangiography techniques and the accumulation of experience in treating chylous effusions have significantly broadened the adoption of TDE to treat chylothorax. TDE for traumatic chylothorax has been demonstrated to be less morbid and more effective than surgical and conservative treatment. In cases of nontraumatic chylothorax, the patient has to be evaluated by MRI and lymphangiography to exclude causes of chylothorax which cannot be managed by interruption of the thoracic duct (e.g. lymphatic malformations or chylous ascites). Future advancements in noninvasive imaging of the thoracic duct and imaging guidance during TDE will continue to refine the percutaneous management of chylous effusions.

show abstract

“…Another report has indicated that non-contrast-enhanced MRI is feasible for the detection of morphological changes of thoracic lymphatics, and in the identification of chyloma and leak sites in patients with chylothorax (28). Furthermore, a technique of using T2W MRI for guiding thoracic duct puncture and direct injection of glue through the puncture needle under fluoroscopic guidance without cannulating the duct, instead of using bipedal lymphangiography, has been published (29).…”

Section: Gastric Tubementioning

confidence: 99%

Localization of thoracic duct using heavily T2W MRI for intractable post-esophagectomy chylothorax—a case report

et al. 2017

View full text Add to dashboard Cite

Post-esophagectomy chylothorax is a rare yet serious complication. Herein we report the case of a patient with intractable post-esophagectomy chylothorax despite medical treatment with total parenteral nutrition and octreotide, as well as prophylactic and repeated thoracic duct mass ligation. The patient was eventually treated with localization of thoracic duct using T2-weighted magnetic resonance imaging (T2W MRI), followed by video-assisted thoracoscopic thoracic duct ligation.

show abstract

Technical Note: Thoracic duct embolization for treatment of chylothorax: A novel guidance technique for puncture using combined MRI and fluoroscopy

Cited by 5 publications

References 13 publications

Tension chylothorax following blunt neck injury: case report

Tension chylothorax following blunt neck injury: case report

Thoracic duct embolization for the management of chylothoraces

Localization of thoracic duct using heavily T2W MRI for intractable post-esophagectomy chylothorax—a case report

Contact Info

Product

Resources

About