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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2020; 4(02): 121-123
DOI: 10.4103/AJIR.AJIR_26_20
Case Report

Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection

Karan Nijhawan
Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA
,
Divya Kumari
Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA
,
Brian Funaki
Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA
,
Osman Ahmed
Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA
› Author Affiliations Financial support and sponsorship Nil.
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Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.

Chylous leak - cisterna chyli - hybrid angiography/computed tomography - thoracic duct embolization


Publication History

Received: 09 June 2020
Received: 21 June 2020

Accepted: 04 July 2020

Article published online:
26 March 2021

© 2020. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. https://creativecommons.org/licenses/by-nc-nd/4.0/.

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