Direct contrast-enhanced magnetic resonance lymphangiography in the diagnosis of persistent occult chylous effusion leak after thoracic duct embolization

Sharon C. Kiang; Khwaja A. Ahmed; Samual Barnes; Ahmed M. Abou-Zamzam; Roger T. Tomihama

doi:10.1016/j.jvsv.2018.09.013

Direct contrast-enhanced magnetic resonance lymphangiography in the diagnosis of persistent occult chylous effusion leak after thoracic duct embolization

Sharon C. Kiang, Khwaja A. Ahmed, Samual Barnes, Ahmed M. Abou-Zamzam, Roger T. Tomihama

Research output: Contribution to journal › Article › peer-review

Abstract

Thoracic duct embolization (TDE) is currently the technique of choice for chylothorax refractory to medical management. Diagnosis and treatment of persistent lymphatic leakage after an initially successful TDE are complicated by inadequate imaging to localize the nidus of the lymphatic leak. Traditional imaging modalities including nuclear medicine lymphoscintigraphy, magnetic resonance lymphangiography, and fluoroscopic lymphangiography lack spatial resolution and dynamic physiologic real-time evaluation. We report a contemporary imaging technique using direct contrast-enhanced magnetic resonance lymphangiography to diagnose an occult chylous leak after TDE.

Original language	English
Pages (from-to)	251-257
Number of pages	7
Journal	Journal of Vascular Surgery: Venous and Lymphatic Disorders
Volume	7
Issue number	2
DOIs	https://doi.org/10.1016/j.jvsv.2018.09.013
State	Published - Mar 2019

ASJC Scopus Subject Areas

Surgery
Cardiology and Cardiovascular Medicine

Keywords

Chylothorax
Direct contrast magnetic resonance lymphangiography
Lymphangiography
Thoracic duct embolization
Predictive Value of Tests
Humans
Middle Aged
Male
Treatment Outcome
Embolization, Therapeutic
Lymphography/methods
Magnetic Resonance Imaging
Chylothorax/diagnostic imaging
Thoracic Duct/diagnostic imaging
Organometallic Compounds/administration & dosage
Contrast Media/administration & dosage
Meglumine/administration & dosage

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Direct contrast-enhanced magnetic resonance lymphangiography in the diagnosis of persistent occult chylous effusion leak after thoracic duct embolization. / Kiang, Sharon C.; Ahmed, Khwaja A.; Barnes, Samual et al.
In: Journal of Vascular Surgery: Venous and Lymphatic Disorders, Vol. 7, No. 2, 03.2019, p. 251-257.

Research output: Contribution to journal › Article › peer-review

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abstract = "Thoracic duct embolization (TDE) is currently the technique of choice for chylothorax refractory to medical management. Diagnosis and treatment of persistent lymphatic leakage after an initially successful TDE are complicated by inadequate imaging to localize the nidus of the lymphatic leak. Traditional imaging modalities including nuclear medicine lymphoscintigraphy, magnetic resonance lymphangiography, and fluoroscopic lymphangiography lack spatial resolution and dynamic physiologic real-time evaluation. We report a contemporary imaging technique using direct contrast-enhanced magnetic resonance lymphangiography to diagnose an occult chylous leak after TDE.",

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AU - Tomihama, Roger T.

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AB - Thoracic duct embolization (TDE) is currently the technique of choice for chylothorax refractory to medical management. Diagnosis and treatment of persistent lymphatic leakage after an initially successful TDE are complicated by inadequate imaging to localize the nidus of the lymphatic leak. Traditional imaging modalities including nuclear medicine lymphoscintigraphy, magnetic resonance lymphangiography, and fluoroscopic lymphangiography lack spatial resolution and dynamic physiologic real-time evaluation. We report a contemporary imaging technique using direct contrast-enhanced magnetic resonance lymphangiography to diagnose an occult chylous leak after TDE.

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Direct contrast-enhanced magnetic resonance lymphangiography in the diagnosis of persistent occult chylous effusion leak after thoracic duct embolization

Abstract

ASJC Scopus Subject Areas

Keywords

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