Computed tomography-guided access to the cisterna chyli: introduction of a technique for direct lymphangiography to evaluate and treat chylothorax. uri icon

Overview

abstract

  • The purpose of this report is to introduce a technique of direct lymphangiography to enable chylothorax treatment. Using a hybrid computed tomography (CT) and fluoroscopy imaging system, a 21-gauge needle was placed under CT guidance into the cisterna chyli to allow contrast lymphangiography and CT lymphangiography in two patients with presumed postoperative chylothorax. Water-soluble contrast media injection demonstrated the thoracic duct anatomy in both patients. Further successful needle disruption of the cisterna chyli was performed in one patient to interrupt lymph flow and stop the chylous leak, with subsequent resolution of the chylothorax.

publication date

  • April 16, 2010

Research

keywords

  • Chylothorax
  • Fluoroscopy
  • Lymphography
  • Postoperative Complications
  • Radiography, Interventional
  • Thoracic Duct
  • Tomography, Spiral Computed

Identity

Scopus Document Identifier

  • 79959697220

Digital Object Identifier (DOI)

  • 10.1007/s00270-010-9851-9

PubMed ID

  • 20396888

Additional Document Info

volume

  • 34 Suppl 2