Related Experiment Video
Updated: Feb 3, 2026
13:17
The Mesenteric Lymph Duct Cannulated Rat Model: Application to the Assessment of Intestinal Lymphatic Drug Transport
Published on: March 6, 2015
29.6K
Vascular and lymphatic complications after thoracic duct cannulation
Jacob J Bundy1, Ravi N Srinivasa2, Rajiv N Srinivasa1
1Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, Mich.
Journal of Vascular Surgery. Venous and Lymphatic Disorders
|October 20, 2018
Summary
Transabdominal thoracic duct cannulation is a successful technique for treating chyle leaks, with a 90% success rate and low complication incidence. This minimally invasive approach is effective for complex patients requiring lymphatic intervention.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Lymphatic Imaging
Background:
- Chyle leaks are challenging to manage, often requiring invasive treatments.
- Thoracic duct cannulation offers a targeted approach to lymphatic intervention.
Purpose of the Study:
- To determine the incidence of vascular and lymphatic complications following transabdominal thoracic duct cannulation.
- To assess the technical success and safety of this procedure.
Main Methods:
- Retrospective review of 58 patients undergoing attempted thoracic duct cannulation.
- Data collected included access level, needle gauge, interventions, and complications.
- Follow-up imaging and medical records were analyzed for outcomes.
Main Results:
- Successful thoracic duct cannulation was achieved in 89.7% of patients.
- Immediate complications occurred in 3.4% (wire shearing); delayed complications in 4% (thrombosis, lymphatic collection).
- Interventions included embolization (70.7%) and disruption (20.7%).
Conclusions:
- Transabdominal thoracic duct cannulation is a highly successful and safe technique for treating chyle leaks.
- The procedure has a low rate of early and delayed complications.
- It is a valuable option for complex patients with lymphatic abnormalities.
Related Concept Videos
01:15Development of the Lymphatic System
2.1K
The development of lymphatic tissues and vessels in embryonic life begins around the fifth week. These structures originate from the mesoderm layer, with lymph sacs emerging from developing veins.
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
The first lymph sacs to form are the paired jugular lymph sacs located at the junction of the internal jugular and subclavian veins. From these sacs, lymphatic capillary plexuses extend to the thorax, upper limbs, neck, and head, eventually forming lymphatic vessels. Each jugular lymph sac maintains a...
2.1K
01:15Thoracic Aorta
1.7K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
1.7K
01:24Hemodialysis II: Procedure and Complications
821
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
821
01:17The Thoracic Cage: Sternum
6.0K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
6.0K
01:20The Thoracic Cage: Ribs
8.7K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
8.7K
01:22Introduction to Lymphatic and Immune System
17.5K
Immunity is a crucial biological concept about our body's inherent capacity to prevent infections and diseases. A complex network of cells and tissues collectively known as the immune system facilitates this natural defense mechanism. The immune system plays an integral role in maintaining our health and well-being, shielding us from potential health threats.
The immune responses can be categorized into two types: innate and adaptive. Innate immunity comprises nonspecific defenses we are...
The immune responses can be categorized into two types: innate and adaptive. Innate immunity comprises nonspecific defenses we are...
17.5K