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Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review

Percutaneous transabdominal lymphangiography and embolization have been reported as useful approaches for intractable chylothorax or chylous ascites. However, they are often difficult to perform after extensive lymph node dissection because disruption of the antegrade lymphatic flow makes leaks iden...

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Autores principales: Morikawa, Kazuhiko, Takenaga, Shinsuke, Hasumi, Jun, Kano, Asami, Tatsuno, Satoshi, Michimoto, Kenkichi, Terayama, Tomomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358384/
https://www.ncbi.nlm.nih.gov/pubmed/32685083
http://dx.doi.org/10.1016/j.radcr.2020.06.052
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author Morikawa, Kazuhiko
Takenaga, Shinsuke
Hasumi, Jun
Kano, Asami
Tatsuno, Satoshi
Michimoto, Kenkichi
Terayama, Tomomi
author_facet Morikawa, Kazuhiko
Takenaga, Shinsuke
Hasumi, Jun
Kano, Asami
Tatsuno, Satoshi
Michimoto, Kenkichi
Terayama, Tomomi
author_sort Morikawa, Kazuhiko
collection PubMed
description Percutaneous transabdominal lymphangiography and embolization have been reported as useful approaches for intractable chylothorax or chylous ascites. However, they are often difficult to perform after extensive lymph node dissection because disruption of the antegrade lymphatic flow makes leaks identification difficult. When the leakage point cannot be identified or percutaneous transabdominal lymphangiography and embolization fail, a retrograde transvenous approach to the thoracic duct can be used instead. We report 3 cases of refractory chylous ascites after retroperitoneal operation or extensive lymph node dissection that was addressed by retrograde transvenous lymphatic embolization. In one case, a combination of retrograde transvenous lymphatic embolization, transcatheter sclerotherapy, and transcatheter embolization was used. These findings suggest that retrograde transvenous lymphatic embolization appears to be feasible and efficient for postoperative chylous ascites.
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spelling pubmed-73583842020-07-17 Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review Morikawa, Kazuhiko Takenaga, Shinsuke Hasumi, Jun Kano, Asami Tatsuno, Satoshi Michimoto, Kenkichi Terayama, Tomomi Radiol Case Rep Interventional Radiology Percutaneous transabdominal lymphangiography and embolization have been reported as useful approaches for intractable chylothorax or chylous ascites. However, they are often difficult to perform after extensive lymph node dissection because disruption of the antegrade lymphatic flow makes leaks identification difficult. When the leakage point cannot be identified or percutaneous transabdominal lymphangiography and embolization fail, a retrograde transvenous approach to the thoracic duct can be used instead. We report 3 cases of refractory chylous ascites after retroperitoneal operation or extensive lymph node dissection that was addressed by retrograde transvenous lymphatic embolization. In one case, a combination of retrograde transvenous lymphatic embolization, transcatheter sclerotherapy, and transcatheter embolization was used. These findings suggest that retrograde transvenous lymphatic embolization appears to be feasible and efficient for postoperative chylous ascites. Elsevier 2020-07-13 /pmc/articles/PMC7358384/ /pubmed/32685083 http://dx.doi.org/10.1016/j.radcr.2020.06.052 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Interventional Radiology
Morikawa, Kazuhiko
Takenaga, Shinsuke
Hasumi, Jun
Kano, Asami
Tatsuno, Satoshi
Michimoto, Kenkichi
Terayama, Tomomi
Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title_full Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title_fullStr Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title_full_unstemmed Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title_short Retrograde transvenous lymphatic embolization for postoperative chylous ascites: A report of three cases and literature review
title_sort retrograde transvenous lymphatic embolization for postoperative chylous ascites: a report of three cases and literature review
topic Interventional Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358384/
https://www.ncbi.nlm.nih.gov/pubmed/32685083
http://dx.doi.org/10.1016/j.radcr.2020.06.052
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