Interventional radiology in the management of thoracic duct injuries: Anatomy, techniques and results

Mohammad Toliyat, Kanwar Singh, Robert C. Sibley, Murthy Chamarthy, Sanjeeva P. Kalva, Anil K. Pillai

Research output: Contribution to journalReview article

13 Scopus citations

Abstract

Disruption of the thoracic duct can have devastating consequences and be associated with a high morbidity and mortality. Conservative therapies have been attempted to treat chylothorax without much success. Surgical management has traditionally been necessary to provide definitive treatment at the expense of increased morbidity. Lymphatic interventions have recently emerged as a new frontier for interventional radiologists to add value and provide minimally invasive therapies for debilitating conditions. The goal of this manuscript is to review the anatomy of the thoracic duct, describe various percutaneous techniques for accessing the duct, and briefly discuss outcomes as reported in the literature.

Original languageEnglish (US)
Pages (from-to)183-192
Number of pages10
JournalClinical Imaging
Volume42
DOIs
StatePublished - Mar 1 2017

Keywords

  • Chylothorax
  • Lymphangiography
  • Lymphatic intervention
  • Thoracic duct disruption
  • Thoracic duct embolization
  • Thoracic duct injury

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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