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Interventional Management of Acquired Lymphatic Disorders.

Kenneth S Zurcher1, Kenneth N Huynh1, Aditya Khurana1

  • 1From the Division of Vascular and Interventional Radiology, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054 (K.S.Z., J.S.K., I.J.P., S.G.N., R.O., S.J.A.); Department of Radiological Sciences, University of California, Irvine, Orange, Calif (K.N.H.); Department of Radiology, Mayo Clinic, Rochester, Minn (A.K.); Department of Radiology, University of Vermont, Burlington, VT (B.S.M.); and Division of Vascular and Interventional Radiology, Mayo Clinic Jacksonville, Jacksonville, Fla (B.T.).

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Summary
This summary is machine-generated.

Radiology is crucial for diagnosing and managing lymphatic leaks, which can cause serious illness. Advanced imaging and interventional techniques, including MR lymphangiography and thoracic duct embolization, improve patient treatment.

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Area of Science:

  • Radiology
  • Lymphatic System Anatomy
  • Interventional Radiology

Background:

  • The lymphatic system is vital for fluid balance and immunity.
  • Disruptions to the lymphatic system can lead to severe morbidity and mortality.
  • Diagnosing and managing lymphatic leaks presents significant challenges.

Purpose of the Study:

  • To review conventional and variant lymphatic anatomy.
  • To discuss recent advances in lymphatic imaging and interventional techniques.
  • To highlight the critical role of radiology in managing lymphatic disorders.

Main Methods:

  • Review of diagnostic techniques, including MR lymphangiography.
  • Detailed summary of percutaneous lymphangiography and lymphatic intervention techniques (transpedal, transnodal).
  • Outline of traditional and newer interventional approaches (transabdominal, retrograde, transhepatic, thoracic duct embolization/stent placement).

Main Results:

  • Conventional and variant lymphatic anatomy are detailed.
  • Advances in diagnostic imaging like MR lymphangiography are presented.
  • Percutaneous and transjugular techniques for lymphatic intervention are outlined.

Conclusions:

  • Radiology is essential for the multidisciplinary management of lymphatic disorders.
  • Understanding lymphatic anatomy and modern techniques is vital for effective patient treatment.
  • Diagnostic and interventional radiologists play a key role in managing acquired lymphatic disorders.