A critical evaluation of a percutaneous diagnostic and treatment strategy for chylothorax after thoracic surgery

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Daniel J BoffaEugene H Blackstone

Abstract

Because chylothorax complicating thoracic surgery is difficult to diagnose and failure of nonoperative management necessitates further surgery, we critically evaluated an evolving percutaneous strategy for diagnosing and treating chylothorax. After thoracic surgery, 37 patients with a clinical diagnosis of chylothorax were referred for lymphangiography for definitive diagnosis and percutaneous treatment. Successful localization of the cisterna chyli by lymphangiogram facilitated percutaneous cannulation of the thoracic duct and its embolization. In patients in whom cannulation was not possible, the thoracic duct was percutaneously disrupted. Lymphangiography was successful in 36 of the 37 patients (97%). Contrast extravasation, confirming clinical diagnosis, was present in 21 of the 36 (58%). Twenty-one of 36 patients underwent 22 lymphangiographically directed percutaneous interventions: 12 embolizations and 10 disruptions. Mortality was zero, with two manageable complications. Patients without percutaneous intervention were discharged a median of 7 days (range 4-58) after first lymphangiography, 8 days (range 2-19) after percutaneous embolization, and 19 days (range 6-48) after first disruption. Eight patients had nine subseq...Continue Reading

Citations

Mar 20, 2009·Cardiovascular and Interventional Radiology·Joseph C ChooStuart M Lyon
Apr 13, 2013·Cardiovascular and Interventional Radiology·Stuart LyonPatricio Vargas Hudson
May 18, 2011·Surgical Endoscopy·Francesca MarconMarcovalerio Melis
May 20, 2014·Journal of Vascular and Interventional Radiology : JVIR·Vishwan PamarthiChieh-Min Fan
Feb 12, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S BölükbasJ Schirren
Feb 4, 2010·The American Journal of the Medical Sciences·Fabien MaldonadoJay H Ryu
Oct 3, 2012·The Surgical Clinics of North America·Daniel Raymond
Oct 29, 2011·Journal of Visceral Surgery·M Chalret du RieuJ-Y Mabrut
Mar 8, 2011·The British Journal of Oral & Maxillofacial Surgery·P A BrennanR Anand
Feb 24, 2011·Cirugía española·Carlos Cerdán SantacruzAntonio José Torres García
Dec 21, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Sven PeterssAxel Haverich
Jan 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Maxim ItkinLarry R Kaiser
Mar 4, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bradley BenderRonald S Chamberlain
Nov 22, 2008·The Annals of Thoracic Surgery·Brian L PettifordRodney J Landreneau
Mar 11, 2016·International Journal of Surgery Case Reports·Noriaki HayashibaraKazuo Ishizuna
Oct 31, 2015·Thoracic Surgery Clinics·Nicola MartucciGaetano Rocco
Dec 5, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·K PhangJ Windsor
Aug 26, 2014·Journal of Surgical Oncology·Subroto Paul, Nasser Altorki
Mar 1, 2014·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·P M WilkersonY Soon
Apr 16, 2016·International Journal of Surgery Case Reports·M AtieG L Falk
Sep 22, 2009·Respiratory Medicine·Emmet E McGrathPaul B Anderson
Aug 10, 2010·International Journal of Surgery·Choon SeowRuth F McKee
Apr 4, 2015·Journal of Maxillofacial and Oral Surgery·Sundararaman Prabhu, Shaji Thomas
Feb 24, 2015·The Korean Journal of Thoracic and Cardiovascular Surgery·Kwang Hyoung LeeHo Sung Son
Nov 29, 2014·Thoracic Surgery Clinics·Andrew Arndt, Daniel J Boffa
Feb 9, 2018·Cardiovascular and Interventional Radiology·Masayoshi YamamotoShigeru Furui
Jan 2, 2015·Therapeutic Advances in Chronic Disease·Jaymin B MorjariaJack A Kastelik
Jun 22, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M SchirrenJ Schirren
Jul 10, 2019·Investigative Radiology·Claus Christian PieperMaxim Itkin
Mar 24, 2020·Lymphatic Research and Biology·Xiao LuGhassan S Kassab
Jul 3, 2020·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Cong ChenQiang Pu
Jan 11, 2019·Orphanet Journal of Rare Diseases·Jana PospiskovaPavel Zak
Aug 25, 2017·International Journal of Endocrinology and Metabolism·Seo Young OhIn Joo Kim
Jun 2, 2020·SAGE Open Medical Case Reports·Samuel JacobDavid Erasmus
Apr 30, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Z SziklavariM Ried
Sep 19, 2020·Surgery Today·Vaibhav Kumar VarshneyPushpinder Singh Khera
Dec 18, 2013·Deutsches Ärzteblatt International·Hans H SchildJörg Kalff
Feb 8, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Laser Arif BazancirMichael Patrick Achiam
Mar 17, 2021·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Robert PowerJohn V Reynolds
Apr 9, 2021·BMJ Case Reports·Sarah AkbarRohini Aggarwal

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