Lymphangiography to treat postoperative lymphatic leakage: a technical review

Korean J Radiol. 2014 Nov-Dec;15(6):724-32. doi: 10.3348/kjr.2014.15.6.724. Epub 2014 Nov 7.

Abstract

In addition to imaging the lymphatics and detecting various types of lymphatic leakage, lymphangiography is a therapeutic option for patients with chylothorax, chylous ascites, and lymphatic fistula. Percutaneous thoracic duct embolization, transabdominal catheterization of the cisterna chyli or thoracic duct, and subsequent embolization of the thoracic duct is an alternative to surgical ligation of the thoracic duct. In this pictorial review, we present the detailed technique, clinical applications, and complications of lymphangiography and thoracic duct embolization.

Keywords: Chylothorax; Chylous ascites; Lymphangiography; Lymphatic fistula.

Publication types

  • Review

MeSH terms

  • Catheterization
  • Chylothorax / diagnostic imaging*
  • Chylothorax / therapy
  • Chylous Ascites / diagnostic imaging*
  • Chylous Ascites / therapy
  • Embolization, Therapeutic
  • Humans
  • Lymph Nodes / diagnostic imaging
  • Lymph Nodes / surgery
  • Lymphography
  • Thoracic Duct / diagnostic imaging
  • Tomography, X-Ray Computed