Intranodal Glue Embolization for the Management of Postsurgical Groin Lymphocele and Lymphorrhea

This report describes intranodal lymphatic embolization for treatment of groin lymphatic leaks following surgery or percutaneous vascular interventions. In 10 consecutive patients with groin lymphatic leak between 2015 and 2017, lymphangiography with embolization was performed by intranodal injectio...

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Published inJournal of vascular and interventional radiology Vol. 29; no. 10; pp. 1462 - 1465
Main Authors Smolock, Amanda R., Nadolski, Gregory, Itkin, Maxim
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2018
Subjects
NBCA
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Summary:This report describes intranodal lymphatic embolization for treatment of groin lymphatic leaks following surgery or percutaneous vascular interventions. In 10 consecutive patients with groin lymphatic leak between 2015 and 2017, lymphangiography with embolization was performed by intranodal injection with dilute N-butyl cyanoacrylate (NBCA). Mean volume of dilute NBCA (1:3 with ethiodized oil) injected was 1 mL. Clinical success rate was 80%. Median time to resolution was 7 days. Intranodal lymphatic embolization for treatment of groin lymphatic leaks is a safe and effective treatment alternative to surgery resulting in a rapid time to resolution.
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ISSN:1051-0443
1535-7732
DOI:10.1016/j.jvir.2018.04.020