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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Interventional Radiology
2021
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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. |
format | Online Article Text |
id | pubmed-9327352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Interventional Radiology |
record_format | MEDLINE/PubMed |
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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