Article
Otorhinolaryngology
Alexander Ushinsky, Carlos J. Guevara, Seung Kwon Kim
Summary: Thoracic duct embolization (TDE) is a safe and effective treatment for chyle leaks following head and neck surgery, with high technical and clinical success rates.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ravivarma Balasubramaniam, Mona Mossad
Summary: This study demonstrates the effectiveness of intranodal thoracic duct embolization (TDE) for treating post-operative chyle leaks and the feasibility of using lower-limb intermittent pneumatic compression devices during TDE. The results show that TDE guided by lymphangiogram is a safe and effective option for treating chyle leaks. The application of intermittent pneumatic compression devices in the lower limb contributes to shorter lymphangiogram times.
DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Hoyong Jun, Saebeom Hur, Yun Soo Jeong, Chang Hyun Kang, Hyukjoon Lee
Summary: The bail-out retrograde approach for thoracic duct cannulation significantly improves the overall technical success of thoracic duct embolization for managing postoperative chylothorax.
EUROPEAN RADIOLOGY
(2022)
Article
Surgery
Being-Chuan Lin, Cheng-Hsien Wu, Yon-Cheong Wong, Huan-Wu Chen, Chen-Ju Fu, Chen-Chih Huang, Chen-Te Wu, Yi-Kang Ku, Chien-Cheng Chen, Ting-Wen Sheng, Chun-Bi Chang
Summary: This retrospective study compared the outcomes of proximal (P), distal (D), and combined (C) splenic artery embolization (SAE) for blunt splenic injuries (BSI), and found that the location of embolization had no significant impact on the success rate and major complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Saebeom Hur, Alexey Gurevich, Gregory Nadolski, Maxim Itkin
Summary: Chyluria, the leakage of intestinal lymph into urine, can be effectively treated using novel lymphatic intervention techniques. However, identifying connections between the lymphatic system and kidney collecting system presents a challenge. This study introduces a method of embolizing abnormal lymphatic connections through retrograde thoracic duct access in chyluria patients.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Hyeongchun Kim, Dongho Hyun, Sung Wook Shin, Guseong Jeong, Jungon Kim, Jong Ho Cho, Ho Yun Lee, Yunjeong Jang
Summary: The purpose of this study was to identify key factors for successful transvenous retrograde cannulation of the thoracic duct. The study found that secure selection of the jugulovenous junction and the presence of a dominant channel in the terminal portion of the thoracic duct were significant prognostic factors for successful TVRC.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Oncology
Yeong Jeong Jeon, Jong Ho Cho, Dongho Hyun, Sumin Shin, Hong Kwan Kim, Yong Soo Choi, Jhingook Kim, Jae Ill Zo, Young Mog Shim
Summary: Thoracic duct embolization is an effective method for managing postoperative chyle leakage and may help avoid invasive surgery. In the second period, patients who underwent lung cancer surgery had a shorter hospital stay compared to the first period.
Article
Medicine, General & Internal
Toshinobu Yamagishi, Masahiro Kashiura, Yuji Shindo, Kenichi Yamanaka, Ken Tsuboi, Hakuei Shinhata
Summary: This retrospective study investigated the effectiveness of endoscopic hemostasis in preventing rebleeding in diverticular bleeding patients with extravasation visualized by contrast-enhanced computed tomography. The rebleeding rate was higher in the extravasation-positive group compared to the extravasation-negative group, especially among patients who underwent endoscopic hemostasis. Endoscopic hemostasis may be considered as a preferred and effective first-line therapy for diverticular bleeding patients with extravasation.
Article
Medicine, Research & Experimental
Wanli Liu, Pinghu Wang, Hui Zhu, Hui Tang, Hongmei Guan, Xiaoying Wang, Chengxiang Wang, Yao Qiu, Lianxiang He
Summary: The study identified risk factors for moderate contrast media extravasation injuries, including malignant tumors, iohexol, large-volume extravasation (>50 mL), and back-of-the-hand injections. Analyzing these risk factors can help reduce the degree of injury after extravasation.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2023)
Article
Medicine, General & Internal
Naoki Notani, Masashi Miyazaki, Shozo Kanezaki, Toshibobu Ishihara, Tomonori Sakamoto, Tetsutaro Abe, Masashi Kataoka, Hiroshi Tsumura
Summary: The study evaluated risk factors predicting CE in patients with sacral fractures, with fibrinogen identified as an independent predictor of CE. The admission fibrinogen level can be used for predicting contrast extravasation on CT.
Article
Medicine, General & Internal
Le Viet Dung, Ma Mai Hien, Thieu-Thi Tra My, Doan Tien Luu, Le Tuan Linh, Nguyen Minh Duc
Summary: Thoracic duct embolization is a safe and minimally invasive procedure for the treatment of chylothorax, but complications such as biliary peritonitis can occur. Severe or persistent abdominal pain following the procedure should be investigated promptly using imaging data and laboratory results.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Medicine, General & Internal
Noel E. Donlon, Tim S. Nugent, Robert Power, Waqas Butt, Ahmad Kamaludin, Steven Dolan, Michael Guiney, Niall Mc Eniff, Narayanasamy Ravi, John V. Reynolds
Summary: Chyle leaks from the thoracic duct or cisterna chyli are rare complications of esophageal cancer surgery, with conservative approaches usually effective but high volume leaks potentially requiring reoperation or intervention. This article presents two cases where interventional radiology successfully embolized and disrupted complex fistulae, potentially changing the approach to treatment for type III chyle leaks in the future.
IRISH JOURNAL OF MEDICAL SCIENCE
(2021)
Review
Pediatrics
Maria F. Dien Esquivel, Elka Miller, Vid Bijelic, Nick Barrowman, Rita Putnins
Summary: This study retrospectively assessed the prevalence, severity, management, and outcome of contrast extravasations during CT scans in children. The study found that severe complications of contrast extravasation are rare and not strongly associated with age, sex, weight, and other factors.
PEDIATRIC RADIOLOGY
(2023)
Review
Oncology
Eslam Wassal Youssef, Ahmed Aly, Akshaar Brahmbhatt, Amgad Moussa, Ernesto Santos
Summary: This article reviews the contemporary approach of percutaneous lymphatic embolization in cancer patients with lymphatic leaks, and discusses recent advancements and the expansion of its applications.
CURRENT ONCOLOGY REPORTS
(2022)
Article
Gastroenterology & Hepatology
Laser Arif Bazancir, Ruben Juhl Jensen, Susanne Christiansen Frevert, Philip Ryom, Michael Patrick Achiam
Summary: Chylothorax is the accumulation of lymphatic fluid in the pleural cavity due to thoracic duct trauma or obstructions, often as a traumatic complication after thoracic surgery. Surgical intervention has high mortality and morbidity rates, leading to the development of a minimally invasive percutaneous treatment method called thoracic duct embolization (TDE). TDE appears to be a safe technique with high clinical success in iatrogenic chylothorax patients when implemented by experienced clinicians.
DISEASES OF THE ESOPHAGUS
(2021)