Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site.
Chylothorax
Direct puncture
OK-432
Sclerotherapy
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
24
05
2020
revised:
03
06
2020
accepted:
04
06
2020
entrez:
9
7
2020
pubmed:
9
7
2020
medline:
9
7
2020
Statut:
epublish
Résumé
We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax. The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed. Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432. Finally, leakage stopped and chylothorax improved. This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.
Identifiants
pubmed: 32636982
doi: 10.1016/j.radcr.2020.06.014
pii: S1930-0433(20)30266-1
pmc: PMC7329934
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1398-1402Informations de copyright
© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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