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Intranodal Embolization for Groin Lymphocele

PURPOSE: Intranodal embolization using n-butyl cyanoacrylate glue is an emerging treatment option for persistent lymphatic leakage. This report describes the procedure details of intranodal embolization for groin lymphocele and evaluates the efficacy of intranodal embolization at our institution via...

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Autores principales: Ozawa, Mizuki, Yamamoto, Masayoshi, Yamada, Kentaro, Sugawara, Toshimasa, Zako, Ryusei, Suzuki, Akiyoshi, Hitomi, Suguru, Hara, Takuya, Yamamoto, Kotaro, Kondo, Hiroshi, Oba, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Interventional Radiology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327352/
https://www.ncbi.nlm.nih.gov/pubmed/35912276
http://dx.doi.org/10.22575/interventionalradiology.2020-0034
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author Ozawa, Mizuki
Yamamoto, Masayoshi
Yamada, Kentaro
Sugawara, Toshimasa
Zako, Ryusei
Suzuki, Akiyoshi
Hitomi, Suguru
Hara, Takuya
Yamamoto, Kotaro
Kondo, Hiroshi
Oba, Hiroshi
author_facet Ozawa, Mizuki
Yamamoto, Masayoshi
Yamada, Kentaro
Sugawara, Toshimasa
Zako, Ryusei
Suzuki, Akiyoshi
Hitomi, Suguru
Hara, Takuya
Yamamoto, Kotaro
Kondo, Hiroshi
Oba, Hiroshi
author_sort Ozawa, Mizuki
collection PubMed
description PURPOSE: Intranodal embolization using n-butyl cyanoacrylate glue is an emerging treatment option for persistent lymphatic leakage. This report describes the procedure details of intranodal embolization for groin lymphocele and evaluates the efficacy of intranodal embolization at our institution via retrospective chart review. MATERIAL AND METHODS: Nine consecutive patients (six men and three women; median age, 77.4 years; range, 43-95 years) who underwent intranodal embolization for groin lymphocele between January 2017 and December 2019 were included as study subjects. Intranodal lymphangiography with iodinated contrast was performed to confirm lymphatic leakage, followed by intranodal embolization using n-butyl cyanoacrylate glue mixed with iodized oil for all nine patients. The etiologies of lymphocele, technical and clinical success rates of intranodal embolization, duration of treatment, follow-up period, and acute and chronic complications were retrospectively investigated. RESULTS: The etiologies of groin lymphoceles were the cutdown access of inguinal vessels (n = 7), lymph node biopsy (n = 1), and trauma (n = 1). The technical and clinical success rates of both lymphangiography and subsequent intranodal embolization were 100%. For intranodal embolization, 16.7%-33.3% n-butyl cyanoacrylate glue was used. The median duration of treatment was 2 days (range, 1-13 days). The follow-up period lasted 0-895 days (median, 9 days). No acute or chronic complications were observed. CONCLUSIONS: In this study, intranodal embolization showed promising results for groin lymphocele with a short duration of treatment with a median of 2 days. Intranodal embolization using n-butyl cyanoacrylate glue could be a treatment option for persistent groin lymphocele. However, further research is warranted to further evaluate the efficacy of intranodal embolization.
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spelling pubmed-93273522022-07-29 Intranodal Embolization for Groin Lymphocele Ozawa, Mizuki Yamamoto, Masayoshi Yamada, Kentaro Sugawara, Toshimasa Zako, Ryusei Suzuki, Akiyoshi Hitomi, Suguru Hara, Takuya Yamamoto, Kotaro Kondo, Hiroshi Oba, Hiroshi Interv Radiol (Higashimatsuyama) Technical Note PURPOSE: Intranodal embolization using n-butyl cyanoacrylate glue is an emerging treatment option for persistent lymphatic leakage. This report describes the procedure details of intranodal embolization for groin lymphocele and evaluates the efficacy of intranodal embolization at our institution via retrospective chart review. MATERIAL AND METHODS: Nine consecutive patients (six men and three women; median age, 77.4 years; range, 43-95 years) who underwent intranodal embolization for groin lymphocele between January 2017 and December 2019 were included as study subjects. Intranodal lymphangiography with iodinated contrast was performed to confirm lymphatic leakage, followed by intranodal embolization using n-butyl cyanoacrylate glue mixed with iodized oil for all nine patients. The etiologies of lymphocele, technical and clinical success rates of intranodal embolization, duration of treatment, follow-up period, and acute and chronic complications were retrospectively investigated. RESULTS: The etiologies of groin lymphoceles were the cutdown access of inguinal vessels (n = 7), lymph node biopsy (n = 1), and trauma (n = 1). The technical and clinical success rates of both lymphangiography and subsequent intranodal embolization were 100%. For intranodal embolization, 16.7%-33.3% n-butyl cyanoacrylate glue was used. The median duration of treatment was 2 days (range, 1-13 days). The follow-up period lasted 0-895 days (median, 9 days). No acute or chronic complications were observed. CONCLUSIONS: In this study, intranodal embolization showed promising results for groin lymphocele with a short duration of treatment with a median of 2 days. Intranodal embolization using n-butyl cyanoacrylate glue could be a treatment option for persistent groin lymphocele. However, further research is warranted to further evaluate the efficacy of intranodal embolization. The Japanese Society of Interventional Radiology 2021-11-01 /pmc/articles/PMC9327352/ /pubmed/35912276 http://dx.doi.org/10.22575/interventionalradiology.2020-0034 Text en © 2021 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Technical Note
Ozawa, Mizuki
Yamamoto, Masayoshi
Yamada, Kentaro
Sugawara, Toshimasa
Zako, Ryusei
Suzuki, Akiyoshi
Hitomi, Suguru
Hara, Takuya
Yamamoto, Kotaro
Kondo, Hiroshi
Oba, Hiroshi
Intranodal Embolization for Groin Lymphocele
title Intranodal Embolization for Groin Lymphocele
title_full Intranodal Embolization for Groin Lymphocele
title_fullStr Intranodal Embolization for Groin Lymphocele
title_full_unstemmed Intranodal Embolization for Groin Lymphocele
title_short Intranodal Embolization for Groin Lymphocele
title_sort intranodal embolization for groin lymphocele
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327352/
https://www.ncbi.nlm.nih.gov/pubmed/35912276
http://dx.doi.org/10.22575/interventionalradiology.2020-0034
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