Computed tomography-guided access to the cisterna chyli: Introduction of a technique for direct lymphangiography to evaluate and treat chylothorax Journal Article

  


Authors: Schoellnast, H.; Maybody, M.; Getrajdman, G. I.; Bains, M. S.; Finley, D. J.; Solomon, S. B.
Article Title: Computed tomography-guided access to the cisterna chyli: Introduction of a technique for direct lymphangiography to evaluate and treat chylothorax
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. © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010.
Keywords: treatment outcome; aged; case report; artificial embolism; nuclear magnetic resonance imaging; computer assisted tomography; steroid; pneumonia; lung adenocarcinoma; contrast enhancement; iohexol; chronic lymphatic leukemia; video assisted thoracoscopic surgery; lung infiltrate; fluoroscopy; lymphangiography; lymph flow; cisterna chyli; conventional lymphangiography; ct-guidance; ct-lymphangiography; chylothorax
Journal Title: CardioVascular and Interventional Radiology
Volume: 34
Issue: Suppl. 2
ISSN: 0174-1551
Publisher: Springer  
Date Published: 2011-02-01
Start Page: S240
End Page: S244
Language: English
DOI: 10.1007/s00270-010-9851-9
PROVIDER: scopus
PUBMED: 20396888
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-79959697220&partnerID=40&md5=ffcc9efe7a746002d373b8b86d7aa5d1
Notes: --- - "Export Date: 17 August 2011" - "CODEN: CARAD" - "Source: Scopus"
Altmetric
What is Altmetric?
Citation Impact
What is Dimensions Citation Badge?
BMJ Impact Analytics
MSK Authors
  1. George I Getrajdman
    118 Getrajdman
  2. Majid Maybody
    98 Maybody
  3. David John Finley
    40 Finley
  4. Helmut Schoellnast
    8 Schoellnast
  5. Stephen Solomon
    424 Solomon
  6. Manjit S Bains
    338 Bains
Related MSK Work