TY - JOUR
T1 - Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site
AU - Takahashi, Masamichi
AU - Inoue, Masanori
AU - Wada, Tomoki
AU - Kawai, Go
AU - Machida, Munetaka
AU - Matsuoka, Yujiro
N1 - Publisher Copyright:
© 2020
PY - 2020/8
Y1 - 2020/8
N2 - We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax. The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed. Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432. Finally, leakage stopped and chylothorax improved. This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.
AB - We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax. The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed. Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432. Finally, leakage stopped and chylothorax improved. This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.
KW - Chylothorax
KW - Direct puncture
KW - OK-432
KW - Sclerotherapy
UR - http://www.scopus.com/inward/record.url?scp=85086913428&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086913428&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2020.06.014
DO - 10.1016/j.radcr.2020.06.014
M3 - Article
AN - SCOPUS:85086913428
SN - 1930-0433
VL - 15
SP - 1398
EP - 1402
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 8
ER -