Thoracic duct embolization in post-neck dissection chylous leakage: A case series of six patients and review of the literature Journal Article
| Authors: | Moussa, A. M.; Maybody, M.; Gonzalez-Aguirre, A. J.; Buicko, J. L.; Shaha, A. R.; Santos, E. |
| Article Title: | Thoracic duct embolization in post-neck dissection chylous leakage: A case series of six patients and review of the literature |
| Abstract: | Chylous leak is a serious complication of neck dissection. Patients are often managed conservatively, and failure of conservative management necessitates surgical management, which adds to their morbidity. We present a case series demonstrating the value of thoracic duct embolization (TDE) in management of patients with chylous leaks following neck dissection who have failed conservative management and to review the literature on this specific application of TDE. Between 2011 and 2019, six patients underwent a total of seven TDE procedures. Lymphatic leak was identified, and clinical success was achieved in all patients, with one patient requiring repeat TDE. No minor or major complications were reported. In conclusion, TDE is a safe and effective tool in management of chylous leaks following neck dissection. © 2020, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). |
| Keywords: | adult; clinical article; treatment outcome; aged; middle aged; treatment failure; neck dissection; follow up; retrospective study; postoperative complication; conservative treatment; patient safety; surgical drainage; thyroid cancer; clinical effectiveness; lymphangiography; human; male; female; priority journal; article; thoracic duct embolization; artificial embolization; chylous leak; chylous leakage |
| Journal Title: | CardioVascular and Interventional Radiology |
| Volume: | 43 |
| Issue: | 6 |
| ISSN: | 0174-1551 |
| Publisher: | Springer |
| Date Published: | 2020-06-01 |
| Start Page: | 931 |
| End Page: | 937 |
| Language: | English |
| DOI: | 10.1007/s00270-020-02475-9 |
| PUBMED: | 32342160 |
| PROVIDER: | scopus |
| PMCID: | PMC8339939 |
| DOI/URL: | |
| Notes: | Article -- Source: Scopus |
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