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Treatment Of Post-Operative Chylothorax: The Role Of Intranodal Lymphangiography And Thoracic Duct Disruption
Tiago Paulino Torres1, Pedro Costa2, Herculano Moreira2
1Radiology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal.
Thoracic duct embolization is a common treatment for chylothorax. In a complex case, lipiodol lymphangiography alone, without successful embolization, effectively treated high-output chylothorax.
Area of Science:
- Interventional Radiology
- Thoracic Surgery
- Gastroenterology
Background:
- Chylothorax, particularly high-output cases (>1L/day), presents a significant post-operative challenge.
- Thoracic duct embolization is an increasingly adopted first-line therapy for chylothorax.
- The procedure typically involves lipiodol lymphangiography, thoracic duct access, and embolization.
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