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Direct trans-cervical endolymphatic thoracic duct stent-graft for plastic bronchitis.
Majdalany, B S; Khayat, M; Sanogo, M L; Saad, W E; Khaja, M S.
Afiliação
  • Majdalany BS; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
  • Khayat M; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
  • Sanogo ML; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
  • Saad WE; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
  • Khaja MS; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
Lymphology ; 51(3): 97-101, 2018.
Article em En | MEDLINE | ID: mdl-30422431
Plastic bronchitis is a poorly understood and uncommon diagnosis, arising from multiple etiologies. Traditional treatment consists of steroids and vasodilators, with thoracic duct embolization emerging as a new procedural therapy. Herein, abnormal lymphatic vessels were noted on lymphangiography in an adult patient with debilitating plastic bronchitis, but anterograde lymphatic access was not feasible due to the patient's morbid obesity and non-visualization of retroperitoneal lymphatics. After trans-venous thoracic duct access could not be established, direct trans-cervical thoracic duct access was performed. A thoracic duct stent-graft was placed, excluding the abnormal bronchial lymphatics and maintaining physiologic anterograde flow through the central lymphatics. At three-month follow-up, the patient's condition had resolved.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ducto Torácico / Bronquite / Stents / Embolização Terapêutica / Sistema Linfático Tipo de estudo: Prognostic_studies Limite: Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ducto Torácico / Bronquite / Stents / Embolização Terapêutica / Sistema Linfático Tipo de estudo: Prognostic_studies Limite: Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article