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CASE REPORT
Year : 2020  |  Volume : 4  |  Issue : 2  |  Page : 121-123

Thoracic duct embolization using direct hybrid angiography/computed tomography-guided cisterna chyli access for the treatment of chylous leak secondary to partial glossectomy and neck dissection


Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA

Correspondence Address:
Dr. Karan Nijhawan
University of Chicago Medical Center, 5841 South Maryland Ave., MC 2026, Chicago, IL 60637
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJIR.AJIR_26_20

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Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.


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