A Single-Center Experience With Percutaneous Interventional Management of Refractory Chylous Ascites.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
Elizabeth TaiDheeraj K Rajan

Abstract

Management of chylous ascites is poorly understood with no management guidelines. We retrospectively reviewed patients treated for chylous ascites at our institution to evaluate efficacy and safety of lipiodol lymphangiography and embolization. Seven patients underwent percutaneous interventional management of chylous ascites (average age 52.5 years, 3 female, 6 post-surgical, 1 pancreatitis) from 2012. All patients underwent lipiodol inguinal lymph node injection. Adjunctive glue embolization was performed if a leak was identified. Data were collected on the cause of chylous ascites, conservative management strategies, procedural details, and success. All patients had chylous ascites refractory to conservative management. Preprocedure lymphoscintigraphy identified a retroperitoneal leak in 6 patients. Seven patients underwent 12 lymphangiogram procedures; 8 were performed at our institution. Lymphangiography identified a leak in 5 patients (71%). Success was achieved in 2 patients (28%) treated at our institution after glue embolization following cannulation of the leaking lymphatic channels and 1 patient (14%) after lymphangiography alone for an overall success rate of 43% (3/7). Two patients (29%) were successfully treated a...Continue Reading

References

Nov 1, 1992·The British Journal of Surgery·N L BrowseD R Allen
Nov 1, 2000·Surgery·O O AalamiC H Organ
Mar 24, 2012·Journal of Vascular and Interventional Radiology : JVIR·Gregory J Nadolski, Maxim Itkin
Nov 23, 2013·Journal of Vascular and Interventional Radiology : JVIR·Nikolas KortesUlrike Stampfl
Dec 10, 2013·Cardiovascular and Interventional Radiology·Kevin C ChingGeetha Jeyabalan
Dec 21, 2016·Techniques in Vascular and Interventional Radiology·Jinoo Kim, Je Hwan Won
Dec 15, 2017·Cardiovascular and Interventional Radiology·Gregory J NadolskiMaxim Itkin
Mar 27, 2018·Journal of Clinical and Translational Hepatology·Richa BhardwajGeorge Y Wu
Dec 12, 2018·European Journal of Radiology·Bill S MajdalanyWael A Saad
Jan 9, 2019·Cardiovascular and Interventional Radiology·Shuji KariyaNoboru Tanigawa
Jul 10, 2019·Investigative Radiology·Claus Christian PieperMaxim Itkin

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine
H SakuraiH Itakura
Journal of General Internal Medicine
Elizabeth AdlerSusan Wlodarczyk
Nederlands tijdschrift voor geneeskunde
Lee H BouwmanOnno R Guicherit
© 2022 Meta ULC. All rights reserved