Interventional radiology in the management of thoracic duct injuries: Anatomy, techniques and results
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Updated: Mar 8, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Mohammad Toliyat1, Kanwar Singh1, Robert C Sibley1
1Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, 5323, Harry Hines Blvd, Dallas, TX 75390-9178, United States.
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.
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