title: Lymphangiography for Thoracic Duct Interventions.
abstract: Lymph leaks resulting in chylous pleural effusions can be life-threatening. Minimally invasive thoracic duct embolization and disruption have been gaining acceptance as first-line treatment for these leaks. This review discusses the techniques for both pedal and intranodal lymphangiography in detail. It also discusses the use of lymphangiography as a means of targeting a retroperitoneal lymphatic to facilitate thoracic duct interventions for chyle leaks. Finally, outcomes and adverse events pertaining to these thoracic duct interventions are discussed.
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address: mstecker@partners.org.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Stecker
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address: cfan@partners.org.
authors.forename: Chieh-Min
authors.initials: CM
authors.lastname: Fan
mesh_terms: D002913:Chyle; D002916:Chylothorax / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy*; D003287:Contrast Media / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008220:Lymphography / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D010996:Pleural Effusion / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D011237:Predictive Value of Tests; D015641:Radiography, Interventional / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D012307:Risk Factors; D013897:Thoracic Duct / Q000000981:diagnostic imaging* / Q000503:physiopathology; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media
keywords: Chyle leak; Lymphatic embolization; Thoracic duct