Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site
oleh: Masamichi Takahashi, MD, Masanori Inoue, MD, PhD, Tomoki Wada, MD, PhD, Go Kawai, MD, Munetaka Machida, MD, Yujiro Matsuoka, MD, PhD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2020-08-01 |
Deskripsi
We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax. The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed. Leakage continued; therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage catheter was inserted, followed by sclerotherapy using OK-432. Finally, leakage stopped and chylothorax improved. This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.