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

doi:10.1016/j.radcr.2020.06.014

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 journal › Article › peer-review

1 Citation (Scopus)

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 language	English
Pages (from-to)	1398-1402
Number of pages	5
Journal	Radiology Case Reports
Volume	15
Issue number	8
DOIs	https://doi.org/10.1016/j.radcr.2020.06.014
Publication status	Published - 08-2020
Externally published	Yes

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging

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10.1016/j.radcr.2020.06.014

Cite this

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title = "Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site",

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.",

keywords = "Chylothorax, Direct puncture, OK-432, Sclerotherapy",

author = "Masamichi Takahashi and Masanori Inoue and Tomoki Wada and Go Kawai and Munetaka Machida and Yujiro Matsuoka",

note = "Publisher Copyright: {\textcopyright} 2020",

year = "2020",

month = aug,

doi = "10.1016/j.radcr.2020.06.014",

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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

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 - https://www.scopus.com/pages/publications/85086913428

UR - https://www.scopus.com/pages/publications/85086913428#tab=citedBy

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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 -

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

Abstract

All Science Journal Classification (ASJC) codes

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