Lymphangiography for Thoracic Duct Interventions

Tech Vasc Interv Radiol. 2016 Dec;19(4):277-285. doi: 10.1053/j.tvir.2016.10.010. Epub 2016 Oct 8.

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.

Keywords: Chyle leak; Lymphatic embolization; Thoracic duct.

Publication types

  • Review

MeSH terms

  • Chyle*
  • Chylothorax / diagnostic imaging*
  • Chylothorax / physiopathology
  • Chylothorax / therapy*
  • Contrast Media / administration & dosage
  • Embolization, Therapeutic / adverse effects
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Equipment Design
  • Humans
  • Lymphography / adverse effects
  • Lymphography / instrumentation
  • Lymphography / methods*
  • Pleural Effusion / diagnostic imaging*
  • Pleural Effusion / physiopathology
  • Pleural Effusion / surgery*
  • Predictive Value of Tests
  • Radiography, Interventional / adverse effects
  • Radiography, Interventional / instrumentation
  • Radiography, Interventional / methods*
  • Risk Factors
  • Thoracic Duct / diagnostic imaging*
  • Thoracic Duct / physiopathology
  • Treatment Outcome

Substances

  • Contrast Media