• Rofo · Jul 2001

    Case Reports

    Percutaneous translymphatic thoracic duct embolization for treatment of chylothorax.

    • H Schild and A Hirner.
    • Klinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie Rheinische Friedrich-Wilhelms-Universität Bonn. schild@uni-bonn.de
    • Rofo. 2001 Jul 1; 173 (7): 580-2.

    AbstractA modified technique for transabdominal, translymphatic occlusion of the thoracic duct is described. During unilateral lymphangiography an abdominal lymph vessel was punctured with a fine needle under fluoroscopic guidance, and a 4 French access to the lymph system established. The thoracic duct was successfully embolized with coils and tissue adhesive in a patient with postoperative high output chylothorax. Chylous drainage immediately decreased after the intervention, the intercostal drain could be removed after seven days. Long term follow up over a ten months period confirmed the clinical success; the patient is still free of pleural effusions.

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