Ultrasound-guided intranodal lymphangiography followed by thoracic duct embolization for treatment of postoperative bilateral chylothorax
Article first published online: 19 OCT 2013
Copyright © 2013 Wiley Periodicals, Inc.
Head & Neck
Volume 36, Issue 2, pages E21–E24, February 2014
How to Cite
Parvinian, A., Mohan, G. C., Gaba, R. C., Saldanha, D. F., Knuttinen, M. G., Bui, J. T., Minocha, J. (2014), Ultrasound-guided intranodal lymphangiography followed by thoracic duct embolization for treatment of postoperative bilateral chylothorax. Head Neck, 36: E21–E24. doi: 10.1002/hed.23425
- Issue published online: 10 JAN 2014
- Article first published online: 19 OCT 2013
- Accepted manuscript online: 12 JUL 2013 06:59AM EST
- Manuscript Accepted: 26 JUN 2013
- Manuscript Revised: 25 APR 2013
- Manuscript Received: 15 MAR 2013
- thoracic duct embolization
Percutaneous thoracic duct embolization (TDE) is a safe, effective, and minimally invasive option for treating chylothorax. A recent report demonstrated the feasibility of ultrasound-guided intranodal lymphangiography as an alternative to pedal lymphangiography for visualization of the thoracic duct, promising relative technical ease and decreased procedure time for TDE.
We report a case of postoperative bilateral chylothorax treated with ultrasound-guided intranodal lymphangiography followed by TDE.
Intranodal lymphangiography resulted in rapid opacification of the abdominal lymphatics, permitting technically successful primary and secondary embolization procedures. Deployment of metallic coils and liquid embolic agents within the thoracic duct produced rapid clinical and radiographic improvement.
Intranodal lymphangiography is a reliable, reproducible, and less technically challenging alternative to pedal lymphangiography. © 2013 Wiley Periodicals, Inc. Head Neck 36: E21–E24, 2014