Lymphatic Interventions for Treatment of Chylothorax.
Rofo
; 187(7): 584-8, 2015 Jul.
Article
em En
| MEDLINE
| ID: mdl-26090651
ABSTRACT
PURPOSE:
To determine effectiveness of lymphatic interventional procedures for treatment of chylothorax. MATERIAL ANDMETHODS:
Analysis of interventions performed from 2001 to 2014.RESULTS:
In 21 patients with therapy resistant chylothorax a lymphatic radiological intervention was attempted, which could be performed in 19 cases 17 thoracic duct embolizations (15 transabdominal, one transzervical and one retrograde transvenous procedure), 2 percutaneous destructions of lymphatic vessels, one CT-guided injection of ethanol next to a duplicated thoracic duct. Fourteen of seventeen (82.3â%) of the technically successful embolizations lead to clinical cure. This encluded three patients with prior unsuccessful surgical thoracic duct ligation. Also the injection of ethanol was clinically effective. Complications were a bile peritonitis requiring operation, and one clinical deterioration of unknown cause.CONCLUSION:
Interventional lymphatic procedures allow for effective treatment in many cases of chylothorax, and should be considered early during treatment. KEY POINTS â¢âThoracic duct embolization is an effective treatment method for chylothorax. â¢âIf embolization is impossible, percutaneous lymphatic destruction or injection of sclerosants/tissue adhesive next to the thoracic duct may be tried.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Hemostáticos
/
Radiografia Intervencionista
/
Quilotórax
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Cirurgia Assistida por Computador
/
Embolização Terapêutica
/
Excisão de Linfonodo
Limite:
Adult
/
Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Rofo
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Alemanha