Korean J Radiol.  2014 Dec;15(6):724-732. 10.3348/kjr.2014.15.6.724.

Lymphangiography to Treat Postoperative Lymphatic Leakage: A Technical Review

Affiliations
  • 1Department of Radiology, UCLA Medical Center, Los Angeles, CA 90095, USA.
  • 2Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea. jhshin@amc.seoul.kr

Abstract

In addition to imaging the lymphatics and detecting various types of lymphatic leakage, lymphangiography is a therapeutic option for patients with chylothorax, chylous ascites, and lymphatic fistula. Percutaneous thoracic duct embolization, transabdominal catheterization of the cisterna chyli or thoracic duct, and subsequent embolization of the thoracic duct is an alternative to surgical ligation of the thoracic duct. In this pictorial review, we present the detailed technique, clinical applications, and complications of lymphangiography and thoracic duct embolization.

Keyword

Lymphangiography; Chylothorax; Chylous ascites; Lymphatic fistula

MeSH Terms

Catheterization
Chylothorax/*radiography/therapy
Chylous Ascites/*radiography/therapy
Embolization, Therapeutic
Humans
Lymph Nodes/radiography/surgery
Lymphography
Thoracic Duct/radiography
Tomography, X-Ray Computed
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