Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site

Masamichi Takahashi, Masanori Inoue, Tomoki Wada, Go Kawai, Munetaka Machida, Yujiro Matsuoka

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1398-1402
Number of pages5
JournalRadiology Case Reports
Volume15
Issue number8
DOIs
Publication statusPublished - 2020 Aug

Keywords

  • Chylothorax
  • Direct puncture
  • OK-432
  • Sclerotherapy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site'. Together they form a unique fingerprint.

  • Cite this