Abstract
Recently there has been a resurgence in the use of lymphangiography related to development of percutaneous embolization methods to treat lymphatic leaks and technical simplification of the procedure. Constantin Cope pioneered thoracic duct and lymphatic vessel interventions that have now been reported in pediatric patients. The development of intranodal contrast administration has greatly simplified the procedure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
At author’s institution, 0.1 mL/kg of Gadovist® is diluted with 0.2 mL/kg NS.
References
Olszewski WL. The lymphatic system in body homeostasis: physiological conditions. Lymphat Res Biol. 2003;1(1):11–21; discussion 21–4.
Mallick A, Bodenham AR. Disorders of the lymph circulation: their relevance to anaesthesia and intensive care. Br J Anaesth. 2003;91(2):265–72.
Cope C. Percutaneous thoracic duct cannulation: feasibility study in swine. J Vasc Interv Radiol. 1995; 6(4):559–64.
Cope C. Percutaneous transabdominal embolization of thoracic duct lacerations in animals. J Vasc Interv Radiol. 1996;7(5):725–31.
Cope C, Salem R, Kaiser LR. Management of chylothorax by percutaneous catheterization and embolization of the thoracic duct: prospective trial. J Vasc Interv Radiol. 1999;10(9):1248–54.
Cope C, Kaiser LR. Management of unremitting chylothorax by percutaneous embolization and blockage of retroperitoneal lymphatic vessels in 42 patients. J Vasc Interv Radiol. 2002;13(11):1139–48.
Itkin M, Krishnamurthy G, Naim MY, Bird GL, Keller MS. Percutaneous thoracic duct embolization as a treatment for intrathoracic chyle leaks in infants. Pediatrics. 2011;128(1):e237–41.
Nadolski GJ, Itkin M. Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. J Vasc Interv Radiol. 2012;23(5):613–6.
Rajebi MR, Chaudry G, Padua HM, Dillon B, Yilmaz S, Arnold RW, et al. Intranodal lymphangiography: feasibility and preliminary experience in children. J Vasc Interv Radiol. 2011;22(9):1300–5.
Ferguson MK, Little AG, Skinner DB. Current concepts in the management of postoperative chylothorax. Ann Thorac Surg. 1985;40(6):542–5.
Bonner W. A review of the nutritional management of chyle leakage in adults. J Hum Nutr Diet. 1998; 11(2):105–14.
Trzewik J, Mallipattu SK, Artmann GM, Delano FA, Schmid-Schonbein GW. Evidence for a second valve system in lymphatics: endothelial microvalves. FASEB J. 2001;15(10):1711–7.
Farrell WJ. Lymphangiographic demonstration of lymphovenous communication after radiotherapy in Hodgkin’s disease. Radiology. 1966;87(4):630–4.
Bruna J. Collateral lymphatic circulation. Eur J Plast Surg. 2000;20(6):321–5.
Stamp GF, Peters AM. Peripheral lymphovenous communication in lymphoedema. Nucl Med Commun. 2012;33(7):701–7.
Kawasaki R, Sugimoto K, Fujii M, Miyamoto N, Okada T, Yamaguchi M, et al. Therapeutic effectiveness of diagnostic lymphangiography for refractory postoperative chylothorax and chylous ascites: correlation with radiologic findings and preceding medical treatment. AJR Am J Roentgenol. 2013;201(3): 659–66.
Matsumoto T, Yamagami T, Kato T, Hirota T, Yoshimatsu R, Masunami T, et al. The effectiveness of lymphangiography as a treatment method for various chyle leakages. Br J Radiol. 2009;82(976):286–90.
Yamagami T, Masunami T, Kato T, Tanaka O, Hirota T, Nomoto T, et al. Spontaneous healing of chyle leakage after lymphangiography. Br J Radiol. 2005; 78(933):854–7.
Goff AM, Gaensler EA. Respiratory distress syndrome following lymphangiography. Respiration. 1971;28(1):89–97.
Silvestri RC, Huseby JS, Rughani I, Thorning D, Culver BH. Respiratory distress syndrome from lymphangiography contrast medium. Am Rev Respir Dis. 1980;122(4):543–9.
Krishnamurthy R, Hernandez A, Kavuk S, Annam A, Pimpalwar S. Dynamic magnetic resonance lymphangiography (MRL): a new technique to image the central conducting lymphatics (CCL). J Vasc Interv Radiol. 2013;24(4):S28.
Chen E, Itkin M. Thoracic duct embolization for chylous leaks. Semin Intervent Radiol. 2011;28(1):63–74.
Praveen A, Sreekumar K, Nazar P, Moorthy S. Technical note: thoracic duct embolization for treatment of chylothorax: a novel guidance technique for puncture using combined MRI and fluoroscopy. Indian J Radiol Imaging. 2012;22(2):89–92.
Gomez FM, Martinez-Rodrigo J, Marti-Bonmati L, Santos E, Forner I, Lloret M, et al. Transnodal lymphangiography in the diagnosis and treatment of genital lymphedema. Cardiovasc Intervent Radiol. 2012;35(6):1488–91.
LLC G. Lipiodol product insert. Available from: http://www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/UCM213187.pdf.
Binkert CA, Yucel EK, Davison BD, Sugarbaker DJ, Baum RA. Percutaneous treatment of high-output chylothorax with embolization or needle disruption technique. J Vasc Interv Radiol. 2005;16(9):1257–62.
Litherland B, Given M, Lyon S. Percutaneous radiological management of high-output chylothorax with CT-guided needle disruption. J Med Imaging Radiat Oncol. 2008;52(2):164–7.
Mittleider D, Dykes TA, Cicuto KP, Amberson SM, Leusner CR. Retrograde cannulation of the thoracic duct and embolization of the cisterna chyli in the treatment of chylous ascites. J Vasc Interv Radiol. 2008;19(2 Pt 1):285–90.
Redman HC. Dermatitis as a complication of lymphangiography. Radiology. 1966;86(2):323–6.
Mansfield DC, Zeki SM, Mackenzie JR. Case report: extravasation of lipiodol—a complication of dacryocystography. Clin Radiol. 1994;49(3):217–8.
Gaba RC, Owens CA, Bui JT, Carrillo TC, Knuttinen MG. Chylous ascites: a rare complication of thoracic duct embolization for chylothorax. Cardiovasc Intervent Radiol. 2011;34 Suppl 2:S245–9.
Laslett D, Trerotola SO, Itkin M. Delayed complications following technically successful thoracic duct embolization. J Vasc Interv Radiol. 2012;23(1):76–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Temple, M., Krishnamurthy, G. (2014). Vascular Interventions: Lymphangiography and Thoracic Duct Embolization. In: Temple, M., Marshalleck, F. (eds) Pediatric Interventional Radiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5856-3_16
Download citation
DOI: https://doi.org/10.1007/978-1-4419-5856-3_16
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-5855-6
Online ISBN: 978-1-4419-5856-3
eBook Packages: MedicineMedicine (R0)