Intranodal Lymphangiography with Thoracic Duct Embolization for Treatment of Chyle Leak after Thoracic Outlet Decompression Surgery

摘要

From 2015 to 2019, 9 patients underwent ultrasound-guided intranodal lymphangiography for the treatment of a chyle leak following thoracic outlet decompression surgery. Chyle leaks Were identified by Lipiodol (Guerhet. Roissy. France) extravasation near the left supraclavicular surgical Kid in all patients. The technical SUCCCSS rate of thoracic duct embolization was 67% (6 of 9), including fluoroscopic transandominal antegrade access ( n = 4) and ultrasound-guided retrograde access in the left neck (n = 2). Clinical success was achieved in 89% of patients (8 of 0). The mean interval from lymphangiography to drain removal was 6.6 days (range. 4-18 d). No patients had a chyle leak recurrence during clinical follow-up (mean, 304 d).