Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection

Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case...

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Main Authors: Karan Nijhawan, Divya Kumari, Brian Funaki, Osman Ahmed
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-07-01
Series:The Arab Journal of Interventional Radiology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_26_20
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spelling doaj-56a319289c7348aeb81570622ed106322021-05-03T00:06:18ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Arab Journal of Interventional Radiology2542-70752542-70832020-07-0140212112310.4103/AJIR.AJIR_26_20Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck DissectionKaran Nijhawan0Divya Kumari1Brian Funaki2Osman Ahmed3Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USADepartment of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USADepartment of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USADepartment of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USAThoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_26_20chylous leakcisterna chylihybrid angiography/computed tomographythoracic duct embolization
collection DOAJ
language English
format Article
sources DOAJ
author Karan Nijhawan
Divya Kumari
Brian Funaki
Osman Ahmed
spellingShingle Karan Nijhawan
Divya Kumari
Brian Funaki
Osman Ahmed
Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
The Arab Journal of Interventional Radiology
chylous leak
cisterna chyli
hybrid angiography/computed tomography
thoracic duct embolization
author_facet Karan Nijhawan
Divya Kumari
Brian Funaki
Osman Ahmed
author_sort Karan Nijhawan
title Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
title_short Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
title_full Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
title_fullStr Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
title_full_unstemmed Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection
title_sort thoracic duct embolization using direct hybrid angiography/computed tomography‑guided cisterna chyli access for the treatment of chylous leak secondary to partial glossectomy and neck dissection
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series The Arab Journal of Interventional Radiology
issn 2542-7075
2542-7083
publishDate 2020-07-01
description Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.
topic chylous leak
cisterna chyli
hybrid angiography/computed tomography
thoracic duct embolization
url http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_26_20
work_keys_str_mv AT karannijhawan thoracicductembolizationusingdirecthybridangiographycomputedtomographyguidedcisternachyliaccessforthetreatmentofchylousleaksecondarytopartialglossectomyandneckdissection
AT divyakumari thoracicductembolizationusingdirecthybridangiographycomputedtomographyguidedcisternachyliaccessforthetreatmentofchylousleaksecondarytopartialglossectomyandneckdissection
AT brianfunaki thoracicductembolizationusingdirecthybridangiographycomputedtomographyguidedcisternachyliaccessforthetreatmentofchylousleaksecondarytopartialglossectomyandneckdissection
AT osmanahmed thoracicductembolizationusingdirecthybridangiographycomputedtomographyguidedcisternachyliaccessforthetreatmentofchylousleaksecondarytopartialglossectomyandneckdissection
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