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Use of Sequential Pneumatic Compression Devices to Facilitate Propagation of Contrast during Intranodal
Quinn C Meisinger1, Sophia O'Brien1, Maxim Itkin1
1Division of Interventional Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.
Purpose:
To examine effects of lower extremity sequential compression devices (SCDs) on lymphatic transit during intranodal lymphangiography (IL) and thoracic duct interventions.
Materials And Methods:
A retrospective review of 19 SCD-assisted IL (IL-SCD) procedures was performed. The control group comprised 18 consecutive IL-guided procedures performed in the immediately preceding time period. For IL-SCD procedures, SCDs were placed onto patients' calves before sterile preparation. Total procedure time and lymphatic transit time were measured. Mean age was 52 years in the IL-SCD group and 64 years in the control group. In the control group, 100% (18/18) of patients had a chylous leak, whereas only 74% (14/19) of patients in the IL-SCD group had a leak.
Results:
In the IL-SCD group, mean total procedure time was 75 minutes (range, 34-126 min), and mean lymphatic transit time was 29 minutes (range, 8-63 min). In the control group, mean total procedure time was 105 minutes (range, 51-203 min), and mean lymphatic transit time was 56 minutes (range, 28-117 min). Lymphatic transit time and procedure time were significantly reduced in the IL-SCD group (P < .01 and P < .05, respectively).
Conclusions:
Use of lower extremity SCDs reduces lymphatic transit time and IL-dependent procedure time.
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