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Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery

OBJECTIVE: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. MATERIALS AND METHODS: A retrospective analysis from January 2014 to October 2018 was performed in six patie...

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Autores principales: Kwon, Lyo Min, Hur, Saebeom, Jeong, Chang Wook, Jae, Hwan Jun, Chung, Jin Wook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909856/
https://www.ncbi.nlm.nih.gov/pubmed/32901460
http://dx.doi.org/10.3348/kjr.2020.0056
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author Kwon, Lyo Min
Hur, Saebeom
Jeong, Chang Wook
Jae, Hwan Jun
Chung, Jin Wook
author_facet Kwon, Lyo Min
Hur, Saebeom
Jeong, Chang Wook
Jae, Hwan Jun
Chung, Jin Wook
author_sort Kwon, Lyo Min
collection PubMed
description OBJECTIVE: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. MATERIALS AND METHODS: A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14.2 years; range, 26–61 years) who underwent LPA embolization for chylous ascites developing after retroperitoneal surgery involving the perirenal space (four donor nephrectomies, one partial nephrectomy, and one retroperitoneal lymphadenectomy). After placing a percutaneous drainage catheter into the LPA or adjacent lymphocele, embolization was performed by filling the LPA itself with a mixture of glue and Lipiodol (Guerbet). RESULTS: Daily drainage from percutaneously placed drains exceeded 300 mL/day despite medical and surgical treatment (volume: mean, 1173 ± 1098 mL; range, 305–2800 mL). Intranodal lymphangiography was performed in four of the six patients and revealed leakage in 2 patients. Percutaneous embolization of the LPA was successful in all patients using an NBCA and Lipiodol mixture in a ratio of 1:1–1:2 (volume: mean, 4.3 ± 1.1 mL; range, 3–6 mL). Chylous ascites was resolved and the drainage catheter was removed in all patients within 4 days after the procedure (mean, 2.0 ± 1.8 days; range, 0–4 days). No procedure-related complications or recurrence of chylous ascites occurred during a mean follow-up period of 37.3 months (range, 21.1–48.4 months). CONCLUSION: Glue embolization of LPA has the potential to be a feasible and effective treatment method for the management of chylous ascites after retroperitoneal surgery.
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spelling pubmed-79098562021-03-04 Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery Kwon, Lyo Min Hur, Saebeom Jeong, Chang Wook Jae, Hwan Jun Chung, Jin Wook Korean J Radiol Intervention OBJECTIVE: To assess the safety and efficacy of lymphopseudoaneurysm (LPA) glue (n-butyl cyanoacrylate [NBCA]) embolization in the management of chylous ascites after retroperitoneal surgery. MATERIALS AND METHODS: A retrospective analysis from January 2014 to October 2018 was performed in six patients (4 females and 2 males; mean age, 45.3 ± 14.2 years; range, 26–61 years) who underwent LPA embolization for chylous ascites developing after retroperitoneal surgery involving the perirenal space (four donor nephrectomies, one partial nephrectomy, and one retroperitoneal lymphadenectomy). After placing a percutaneous drainage catheter into the LPA or adjacent lymphocele, embolization was performed by filling the LPA itself with a mixture of glue and Lipiodol (Guerbet). RESULTS: Daily drainage from percutaneously placed drains exceeded 300 mL/day despite medical and surgical treatment (volume: mean, 1173 ± 1098 mL; range, 305–2800 mL). Intranodal lymphangiography was performed in four of the six patients and revealed leakage in 2 patients. Percutaneous embolization of the LPA was successful in all patients using an NBCA and Lipiodol mixture in a ratio of 1:1–1:2 (volume: mean, 4.3 ± 1.1 mL; range, 3–6 mL). Chylous ascites was resolved and the drainage catheter was removed in all patients within 4 days after the procedure (mean, 2.0 ± 1.8 days; range, 0–4 days). No procedure-related complications or recurrence of chylous ascites occurred during a mean follow-up period of 37.3 months (range, 21.1–48.4 months). CONCLUSION: Glue embolization of LPA has the potential to be a feasible and effective treatment method for the management of chylous ascites after retroperitoneal surgery. The Korean Society of Radiology 2021-03 2020-08-28 /pmc/articles/PMC7909856/ /pubmed/32901460 http://dx.doi.org/10.3348/kjr.2020.0056 Text en Copyright © 2021 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Intervention
Kwon, Lyo Min
Hur, Saebeom
Jeong, Chang Wook
Jae, Hwan Jun
Chung, Jin Wook
Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title_full Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title_fullStr Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title_full_unstemmed Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title_short Glue Embolization of Lymphopseudoaneurysm for Chylous Ascites after Retroperitoneal Surgery
title_sort glue embolization of lymphopseudoaneurysm for chylous ascites after retroperitoneal surgery
topic Intervention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909856/
https://www.ncbi.nlm.nih.gov/pubmed/32901460
http://dx.doi.org/10.3348/kjr.2020.0056
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