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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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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. |
format | Online Article Text |
id | pubmed-7358384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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