Computed Tomography-Guided Access to the Cisterna Chyli: Introduction of a Technique for Direct Lymphangiography to Evaluate and Treat Chylothorax

Journal Article · Tue Feb 15 00:00:00 EST 2011 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-010-9851-9· OSTI ID:21608765

Schoellnast, Helmut; Maybody, Majid; Getrajdman, George I ^[1]; Bains, Manjit S; Finley, David J ^[2]

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1. Memorial Sloan-Kettering Cancer Center, Department of Radiology (United States)
2. Memorial Sloan-Kettering Cancer Center, Department of Surgery (United States)

The purpose of this report is to introduce a technique of direct lymphangiography to enable chylothorax treatment. Using a hybrid computed tomography (CT) and fluoroscopy imaging system, a 21-gauge needle was placed under CT guidance into the cisterna chyli to allow contrast lymphangiography and CT lymphangiography in two patients with presumed postoperative chylothorax. Water-soluble contrast media injection demonstrated the thoracic duct anatomy in both patients. Further successful needle disruption of the cisterna chyli was performed in one patient to interrupt lymph flow and stop the chylous leak, with subsequent resolution of the chylothorax.

• OSTI ID: 21608765
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 34, Issue 2; Other Information: DOI: 10.1007/s00270-010-9851-9; Copyright (c) 2011 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANATOMY
COMPUTERIZED TOMOGRAPHY
CONTRAST MEDIA
FLUOROSCOPY
INJECTION
LYMPH
LYMPH VESSELS
PATIENTS
WATER
BIOLOGICAL MATERIALS
BIOLOGY
BIOMEDICAL RADIOGRAPHY
BODY FLUIDS
DIAGNOSTIC TECHNIQUES
HYDROGEN COMPOUNDS
INTAKE
LYMPHATIC SYSTEM
MATERIALS
MEDICINE
NUCLEAR MEDICINE
OXYGEN COMPOUNDS
RADIOLOGY
TOMOGRAPHY