Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Sep-Oct;23(5):379-380.
doi: 10.5152/dir.2017.16514.

Superselective retrograde lymphatic duct embolization for management of postoperative lymphatic leak

Bülent Arslan  1 , Abdulrahman Masrani, Jordan Cameron Tasse, Kerstin Stenson, Ülkü Cenk Turba
Affiliations
Case Reports

Superselective retrograde lymphatic duct embolization for management of postoperative lymphatic leak

Bülent Arslan et al. Diagn Interv Radiol. 2017 Sep-Oct.

Abstract

Lymphatic leak is a well-documented complication following neck dissection surgeries. When conservative methods fail to control the leak, thoracic duct embolization becomes an option. Transabdominal access is the standard for this procedure; however, it is not always feasible. We discuss a technique of selective lymphatic vessel embolization utilizing retrograde transvenous access.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest disclosure

Arslan B. is a speaker/advisory board member for Covidien Medtronic, WL Gore, BTG, Penumbra, Bard, Cook, and Guerbet. The other authors declared no conflicts of interest.

Figures

Figure 1
Figure 1
Identifying the confluence of the thoracic duct with the subclavian vein.
Figure 2
Figure 2
Contrast extravasation is seen at the level of lymphatic branch injury.
Figure 3
Figure 3
Microcoils embolization is perfomed in addition to Onyx to achieve complete occlusion.
See this image and copyright information in PMC

References

    1. Crumley RL, Smith JD. Postoperative chylous fistula prevention and management. Laryngoscope. 1976;86:804–813. https://doi.org/10.1288/00005537-197606000-00008. - DOI - PubMed
    1. Campisi CC, Boccardo F, Piazza C, Campisi C. Evolution of chylous fistula management after neck dissection. Curr Opin Otolaryngol Head Neck Surg. 2013;21:150–156. https://doi.org/10.1097/MOO.0b013e32835e9d97. - DOI - PubMed
    1. Scorza LB, Goldstein BJ, Mahraj RP. Modern management of chylous leak following head and neck surgery: a discussion of percutaneous lymphangiography-guided cannulation and embolization of the thoracic duct. Otolaryngol Clin North Am. 2008;41:1231–1240. https://doi.org/10.1016/j.otc.2008.06.004. - DOI - PubMed
    1. Cope C. Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study. J Vasc Interv Radiol. 1998;9:727–734. https://doi.org/10.1016/S1051-0443(98)70382-3. - DOI - PubMed
    1. Pieper CC, Schild HH. Direct Cervical Puncture for Retrograde Thoracic Duct Embolization in a Postoperative Cervical Lymphatic Fistula. J Vasc Interv Radiol. 2015;26:1405–1408. https://doi.org/10.1016/j.jvir.2015.05.003. - DOI - PubMed

Publication types

MeSH terms