Management of Chylothorax by Percutaneous Catheterization and Embolization of the Thoracic Duct: Prospective Trial
To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions. Eleven consecutive patients (four women and seven men; mean age, 53 years) were referred with chylothorax seconda...
Saved in:
Published in | Journal of vascular and interventional radiology Vol. 10; no. 9; pp. 1248 - 1254 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.10.1999
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions.
Eleven consecutive patients (four women and seven men; mean age, 53 years) were referred with chylothorax secondary to esophagectomy (
n = 4), lobectomy (
n = 1), lung transplant (
n = 1), coronary artery bypass (
n = 1), aortic graft (
n = 2), lymphangioleiomyomatosis (
n = 1), and gunshot wound (
n = 1). Two patients were brought by ambulance and referred back to their hospital on the same day. Pedal lymphography was used to opacify the cisterna chyli or major retroperitoneal lymphatic trunks. When patent, these were punctured under local anesthesia with a fine needle and the thoracic duct was catheterized over a microguide wire with use of a 3-F catheter; the duct was embolized with platinum coils. Patients were followed up for decrease in thoracic drainage output and morbidity.
There were no retroperitoneal ducts suitable for catheterization in six patients because of previous abdominal surgery, trauma, or lymphangioleiomyomatosis; the thoracic duct was successfully catheterized in five patients, a 45% technical success rate. Thoracic duct embolization was performed in four patients, with cure of effusion in two. In the other two patients, one with lymphangioleiomyomatosis and the other with nonchylous pleural fluid, continued effusion was successfully treated by means of pleurodesis. Of two patients with previous thoracic duct ligation, one was found to have the duct incompletely tied. The authors were surprised to find that previous major abdominal surgery, chronic aortic dissection, and lymphangioleiomyomatosis could obliterate major retroperitoneal lymphatic ducts and the cisterna chyli. Percutaneous study of the thoracic duct with aqueous contrast medium was more sensitive than lymphography with iodinated oil. There was no morbidity.
Catheterization of the thoracic duct was possible in all patients who had patent major retroperitoneal lymphatic trunks. Thoracic duct embolization was curative in patients with demonstrable duct leakage. Previous abdominal surgery, aortic dissection, and lymphangioleiomyomatosis can lead to silent occlusion of retroperitoneal lymphatic trunks. Percutaneous thoracic duct catheterization and embolization is safe and can replace surgical ligation in some patients. |
---|---|
AbstractList | To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions.
Eleven consecutive patients (four women and seven men; mean age, 53 years) were referred with chylothorax secondary to esophagectomy (
n = 4), lobectomy (
n = 1), lung transplant (
n = 1), coronary artery bypass (
n = 1), aortic graft (
n = 2), lymphangioleiomyomatosis (
n = 1), and gunshot wound (
n = 1). Two patients were brought by ambulance and referred back to their hospital on the same day. Pedal lymphography was used to opacify the cisterna chyli or major retroperitoneal lymphatic trunks. When patent, these were punctured under local anesthesia with a fine needle and the thoracic duct was catheterized over a microguide wire with use of a 3-F catheter; the duct was embolized with platinum coils. Patients were followed up for decrease in thoracic drainage output and morbidity.
There were no retroperitoneal ducts suitable for catheterization in six patients because of previous abdominal surgery, trauma, or lymphangioleiomyomatosis; the thoracic duct was successfully catheterized in five patients, a 45% technical success rate. Thoracic duct embolization was performed in four patients, with cure of effusion in two. In the other two patients, one with lymphangioleiomyomatosis and the other with nonchylous pleural fluid, continued effusion was successfully treated by means of pleurodesis. Of two patients with previous thoracic duct ligation, one was found to have the duct incompletely tied. The authors were surprised to find that previous major abdominal surgery, chronic aortic dissection, and lymphangioleiomyomatosis could obliterate major retroperitoneal lymphatic ducts and the cisterna chyli. Percutaneous study of the thoracic duct with aqueous contrast medium was more sensitive than lymphography with iodinated oil. There was no morbidity.
Catheterization of the thoracic duct was possible in all patients who had patent major retroperitoneal lymphatic trunks. Thoracic duct embolization was curative in patients with demonstrable duct leakage. Previous abdominal surgery, aortic dissection, and lymphangioleiomyomatosis can lead to silent occlusion of retroperitoneal lymphatic trunks. Percutaneous thoracic duct catheterization and embolization is safe and can replace surgical ligation in some patients. PURPOSETo prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions. MATERIALS AND METHODSEleven consecutive patients (four women and seven men; mean age, 53 years) were referred with chylothorax secondary to esophagectomy (n = 4), lobectomy (n = 1), lung transplant (n = 1), coronary artery bypass (n = 1), aortic graft (n = 2), lymphangioleiomyomatosis (n = 1), and gunshot wound (n = 1). Two patients were brought by ambulance and referred back to their hospital on the same day. Pedal lymphography was used to opacify the cisterna chyli or major retroperitoneal lymphatic trunks. When patent, these were punctured under local anesthesia with a fine needle and the thoracic duct was catheterized over a microguide wire with use of a 3-F catheter; the duct was embolized with platinum coils. Patients were followed up for decrease in thoracic drainage output and morbidity. RESULTSThere were no retroperitoneal ducts suitable for catheterization in six patients because of previous abdominal surgery, trauma, or lymphangioleiomyomatosis; the thoracic duct was successfully catheterized in five patients, a 45% technical success rate. Thoracic duct embolization was performed in four patients, with cure of effusion in two. In the other two patients, one with lymphangioleiomyomatosis and the other with nonchylous pleural fluid, continued effusion was successfully treated by means of pleurodesis. Of two patients with previous thoracic duct ligation, one was found to have the duct incompletely tied. The authors were surprised to find that previous major abdominal surgery, chronic aortic dissection, and lymphangioleiomyomatosis could obliterate major retroperitoneal lymphatic ducts and the cisterna chyli. Percutaneous study of the thoracic duct with aqueous contrast medium was more sensitive than lymphography with iodinated oil. There was no morbidity. CONCLUSIONSCatheterization of the thoracic duct was possible in all patients who had patent major retroperitoneal lymphatic trunks. Thoracic duct embolization was curative in patients with demonstrable duct leakage. Previous abdominal surgery, aortic dissection, and lymphangioleiomyomatosis can lead to silent occlusion of retroperitoneal lymphatic trunks. Percutaneous thoracic duct catheterization and embolization is safe and can replace surgical ligation in some patients. To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with high-output chylothoracic effusions. Eleven consecutive patients (four women and seven men; mean age, 53 years) were referred with chylothorax secondary to esophagectomy (n = 4), lobectomy (n = 1), lung transplant (n = 1), coronary artery bypass (n = 1), aortic graft (n = 2), lymphangioleiomyomatosis (n = 1), and gunshot wound (n = 1). Two patients were brought by ambulance and referred back to their hospital on the same day. Pedal lymphography was used to opacify the cisterna chyli or major retroperitoneal lymphatic trunks. When patent, these were punctured under local anesthesia with a fine needle and the thoracic duct was catheterized over a microguide wire with use of a 3-F catheter; the duct was embolized with platinum coils. Patients were followed up for decrease in thoracic drainage output and morbidity. There were no retroperitoneal ducts suitable for catheterization in six patients because of previous abdominal surgery, trauma, or lymphangioleiomyomatosis; the thoracic duct was successfully catheterized in five patients, a 45% technical success rate. Thoracic duct embolization was performed in four patients, with cure of effusion in two. In the other two patients, one with lymphangioleiomyomatosis and the other with nonchylous pleural fluid, continued effusion was successfully treated by means of pleurodesis. Of two patients with previous thoracic duct ligation, one was found to have the duct incompletely tied. The authors were surprised to find that previous major abdominal surgery, chronic aortic dissection, and lymphangioleiomyomatosis could obliterate major retroperitoneal lymphatic ducts and the cisterna chyli. Percutaneous study of the thoracic duct with aqueous contrast medium was more sensitive than lymphography with iodinated oil. There was no morbidity. Catheterization of the thoracic duct was possible in all patients who had patent major retroperitoneal lymphatic trunks. Thoracic duct embolization was curative in patients with demonstrable duct leakage. Previous abdominal surgery, aortic dissection, and lymphangioleiomyomatosis can lead to silent occlusion of retroperitoneal lymphatic trunks. Percutaneous thoracic duct catheterization and embolization is safe and can replace surgical ligation in some patients. |
Author | Salem, Riad Cope, Constantin Kaiser, Larry R. |
Author_xml | – sequence: 1 givenname: Constantin surname: Cope fullname: Cope, Constantin email: cope@oasis.rad.upenn.edu – sequence: 2 givenname: Riad surname: Salem fullname: Salem, Riad – sequence: 3 givenname: Larry R. surname: Kaiser fullname: Kaiser, Larry R. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/10527204$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkEtv3CAURlGUKq_2J6RiVTULt5eHhyGbqpqmDylRIjVdI4yvM1S2mQKOOv31YeJEyq5iAeKej8s9x2R_DCMScsrgAwO2-PiTQc0qkFK81_pMAeeqUnvkiNWirpQSfL-cn5FDcpzSbwBYlnVADkuBKw7yiMQrO9o7HHDMNHR0td72Ia9DtH9ps6U3GN2U7YhhSnRl8xozRv_PZh9GaseWXgxN6J8vSr4Q9HYXd97RL5PL5_QmhrRBl_19KUVv-9fkVWf7hG-e9hPy6-vF7ep7dXn97cfq82XlpNK54qJpWyYEt02jre6gkQACGt25hWVYo5NaARMMOHYACpFrsdC8xRrksuPihLyb393E8GfClM3gk8O-n-cxCpaSyxoKWM-gK19NETuziX6wcWsYmJ1s8yjb7Ewarc2jbKNK7u1Tg6kZsH2Rmu0W4NMMYBnz3mM0yXkcHbY-FiOmDf4_LR4Aqs6RpQ |
CitedBy_id | crossref_primary_10_1186_s12957_021_02144_2 crossref_primary_10_1016_j_jvir_2017_10_006 crossref_primary_10_1148_radiol_14132616 crossref_primary_10_1016_j_ijscr_2016_04_002 crossref_primary_10_1016_j_clinimag_2016_12_012 crossref_primary_10_1159_000444264 crossref_primary_10_1016_j_cireng_2014_10_004 crossref_primary_10_1097_MS9_0000000000000191 crossref_primary_10_1016_j_rmed_2009_08_010 crossref_primary_10_1177_155698451100600210 crossref_primary_10_1097_TA_0b013e3180d0a46b crossref_primary_10_1053_j_semtcvs_2004_03_009 crossref_primary_10_1016_j_ciresp_2014_10_015 crossref_primary_10_1016_S1241_8226_05_39118_3 crossref_primary_10_1111_j_1440_1673_2008_01935_x crossref_primary_10_1007_s00270_009_9545_3 crossref_primary_10_1111_j_1442_2050_2007_00644_x crossref_primary_10_1016_S1053_2498_03_00227_4 crossref_primary_10_1007_s13304_012_0133_8 crossref_primary_10_1016_j_jvir_2008_08_018 crossref_primary_10_7759_cureus_63981 crossref_primary_10_3238_arztebl_2013_0819 crossref_primary_10_1016_j_nut_2015_08_002 crossref_primary_10_1016_j_ejrad_2014_09_013 crossref_primary_10_1097_MLG_0b013e31816067b8 crossref_primary_10_1097_MS9_0000000000002037 crossref_primary_10_1016_j_jtcvs_2018_03_072 crossref_primary_10_1016_j_amjsurg_2014_05_031 crossref_primary_10_22575_interventionalradiology_2022_0015 crossref_primary_10_1186_s13023_018_0991_3 crossref_primary_10_12998_wjcc_v10_i24_8775 crossref_primary_10_1007_s00270_014_0888_z crossref_primary_10_1183_20734735_0014_2019 crossref_primary_10_1097_01_RVI_0000167869_36093_43 crossref_primary_10_2460_javma_233_10_1564 crossref_primary_10_1097_MAJ_0b013e3182070cf4 crossref_primary_10_1513_AnnalsATS_202202_121ED crossref_primary_10_2214_ajr_176_4_1761040 crossref_primary_10_1136_bcr_2012_006762 crossref_primary_10_1016_j_emcchi_2004_06_004 crossref_primary_10_1016_S0221_0363_07_89792_7 crossref_primary_10_3389_fped_2022_965989 crossref_primary_10_1016_S0761_8417_04_73477_X crossref_primary_10_1053_spsu_2001_19380 crossref_primary_10_1016_j_circv_2016_09_002 crossref_primary_10_1148_rg_2016160053 crossref_primary_10_1016_j_jccase_2012_03_009 crossref_primary_10_1097_MCP_0b013e3283610df2 crossref_primary_10_1148_rg_236035146 crossref_primary_10_1053_j_tvir_2016_10_010 crossref_primary_10_3348_kjr_2014_15_6_724 crossref_primary_10_3390_lymphatics2020006 crossref_primary_10_1055_s_0044_1786040 crossref_primary_10_1213_01_ANE_0000180277_93592_D2 crossref_primary_10_1016_S1051_0443_07_61730_8 crossref_primary_10_1007_s00270_010_9851_9 crossref_primary_10_1016_j_jvir_2018_07_028 crossref_primary_10_1016_j_thorsurg_2006_05_011 crossref_primary_10_1177_2050313X20921332 crossref_primary_10_1055_a_1172_7288 crossref_primary_10_1016_j_athoracsur_2011_10_060 crossref_primary_10_1148_radiol_2020191593 crossref_primary_10_1007_s12328_021_01429_z crossref_primary_10_2460_ajvr_72_11_1527 crossref_primary_10_1067_mva_2001_118800 crossref_primary_10_1002_lary_30898 crossref_primary_10_1016_j_suc_2012_07_007 crossref_primary_10_1590_1677_5449_20230101 crossref_primary_10_1016_j_ejcts_2007_04_024 crossref_primary_10_1097_imi_0b013e318216af7e crossref_primary_10_5758_vsi_230082 crossref_primary_10_1007_s00464_011_1629_x crossref_primary_10_2460_javma_2005_226_1667 crossref_primary_10_1016_j_jacr_2017_02_025 crossref_primary_10_1097_00003072_200110000_00008 crossref_primary_10_1007_s00270_013_0605_3 crossref_primary_10_1007_s00595_020_02143_y crossref_primary_10_1007_s11604_013_0252_2 crossref_primary_10_1016_j_ccm_2005_12_004 crossref_primary_10_1097_RLI_0000000000000966 crossref_primary_10_1016_S1052_3359_02_00010_8 crossref_primary_10_1111_pan_13385 crossref_primary_10_1007_s00270_016_1472_5 crossref_primary_10_1016_j_athoracsur_2003_12_069 crossref_primary_10_1007_s00270_016_1435_x crossref_primary_10_1016_j_clinimag_2020_03_014 crossref_primary_10_1016_j_jvir_2009_02_011 crossref_primary_10_1053_j_optechstcvs_2016_04_002 crossref_primary_10_1259_bjr_64849421 crossref_primary_10_1007_s00464_013_2991_7 crossref_primary_10_1002_jso_23759 crossref_primary_10_1002_hed_20624 crossref_primary_10_1016_j_jvir_2013_04_009 crossref_primary_10_1093_dote_doab012 crossref_primary_10_1016_S1051_0443_07_61956_3 crossref_primary_10_14503_THIJ_22_8077 crossref_primary_10_1097_CPM_0000000000000193 crossref_primary_10_1007_s00270_007_9026_5 crossref_primary_10_1016_j_avsg_2018_03_016 crossref_primary_10_1016_j_athoracsur_2008_09_054 crossref_primary_10_1097_01_mcp_0000127903_45446_6d crossref_primary_10_5005_ijcdas_58_2_131 crossref_primary_10_1016_j_jvir_2007_10_025 crossref_primary_10_1007_s12185_022_03397_7 |
Cites_doi | 10.1097/00000658-196801000-00001 10.1007/BF02329381 10.1016/S0022-5223(96)70152-6 10.3109/00016926209171771 10.1097/00000658-197302000-00022 10.1016/S1051-0443(95)71134-4 10.1016/S0022-5223(19)38816-6 10.1016/S1051-0443(96)70840-0 10.2214/ajr.157.4.1892021 10.1136/thx.16.1.12 10.1016/S1051-0443(98)70382-3 10.1007/s003300050417 |
ContentType | Journal Article |
Copyright | 1999 Society of Interventional Radiology |
Copyright_xml | – notice: 1999 Society of Interventional Radiology |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/S1051-0443(99)70227-7 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1535-7732 |
EndPage | 1254 |
ExternalDocumentID | 10_1016_S1051_0443_99_70227_7 10527204 S1051044399702277 |
Genre | Clinical Trial Journal Article |
GroupedDBID | --- --K .1- .FO 08G 08P 0R~ 1B1 1P~ 1RT 354 4.4 457 4Q1 4Q2 4Q3 53G 5GY 5RE 5VS 6PF AAEDT AAEDW AAIAV AAKAS AALRI AAQQT AAQXK AAWTL AAXUO ABFRF ABLJU ABMAC ACGFO ADBBV ADBIZ ADMUD ADPAM ADZCM AEFWE AENEX AEVXI AFRHN AFTJW AFTRI AFUWQ AGZHU AHHHB AHRYX AITUG AIZYK AJUYK ALMA_UNASSIGNED_HOLDINGS ALXNB AMRAJ ASPBG AVWKF AWKKM AZFZN BELOY CS3 DU5 EBS EFJIC EJD EX3 F5P FDB FEDTE FGOYB G-2 GBLVA GX1 H0~ HEI HEK HMK HMO HVGLF HZ~ IHE JF9 JG8 KMI M28 M41 NTWIH O9- OAG OAH OI~ OL1 OLY OLZ OU0 OVD OWU OWV OWW OWX OWY OWZ P2P R2- RIG ROL RPZ SAE SEL SES T8P TEORI UNMZH VVN WOQ WOW WUQ XH2 XXN XYM YQY Z5R ZGI AFCTW AFJKZ AKRWK CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c479t-23bdd1332abb9a9f0b40030b9fc6a1e5ec497013102ef007ee293692de5048f23 |
ISSN | 1051-0443 |
IngestDate | Sat Aug 17 01:24:42 EDT 2024 Thu Sep 26 18:32:01 EDT 2024 Sat Sep 28 08:34:47 EDT 2024 Fri Feb 23 02:32:00 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 9 |
Keywords | Chylothorax Lymphatic system, interventional procedure, Thoracic duct Cisterna chyli |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c479t-23bdd1332abb9a9f0b40030b9fc6a1e5ec497013102ef007ee293692de5048f23 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
PMID | 10527204 |
PQID | 70842450 |
PQPubID | 23479 |
PageCount | 7 |
ParticipantIDs | proquest_miscellaneous_70842450 crossref_primary_10_1016_S1051_0443_99_70227_7 pubmed_primary_10527204 elsevier_sciencedirect_doi_10_1016_S1051_0443_99_70227_7 |
PublicationCentury | 1900 |
PublicationDate | 1999-10-01 |
PublicationDateYYYYMMDD | 1999-10-01 |
PublicationDate_xml | – month: 10 year: 1999 text: 1999-10-01 day: 01 |
PublicationDecade | 1990 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Journal of vascular and interventional radiology |
PublicationTitleAlternate | J Vasc Interv Radiol |
PublicationYear | 1999 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Cope (bib4) 1998; 9 Milsom (bib8) 1985; 89 Sachs, Zelch, Rice (bib13) 1991; 157 Williams, Vetto, Quinones-Baldrich (bib12) 1991; 5 Fuchs (bib5) 1962; 57 Kehagias, Pafiti, Vaos (bib10) 1998; 8 Ross (bib6) 1961; 16 Cope (bib2) 1995; 6 Tilney, Murray (bib11) 1968; 167 Selle, Snyder, Schreiber (bib7) 1973; 177 Cerfolio, Allen, Deschamps (bib9) 1996; 112 Cox, Kinmonth (bib14) 1975; 16 Cope (bib3) 1996; 7 Cope, Kensey (bib1) 1994; 5 Cox (10.1016/S1051-0443(99)70227-7_bib14) 1975; 16 Tilney (10.1016/S1051-0443(99)70227-7_bib11) 1968; 167 Fuchs (10.1016/S1051-0443(99)70227-7_bib5) 1962; 57 Ross (10.1016/S1051-0443(99)70227-7_bib6) 1961; 16 Cope (10.1016/S1051-0443(99)70227-7_bib1) 1994; 5 Milsom (10.1016/S1051-0443(99)70227-7_bib8) 1985; 89 Cope (10.1016/S1051-0443(99)70227-7_bib3) 1996; 7 Cope (10.1016/S1051-0443(99)70227-7_bib2) 1995; 6 Sachs (10.1016/S1051-0443(99)70227-7_bib13) 1991; 157 Cerfolio (10.1016/S1051-0443(99)70227-7_bib9) 1996; 112 Kehagias (10.1016/S1051-0443(99)70227-7_bib10) 1998; 8 Williams (10.1016/S1051-0443(99)70227-7_bib12) 1991; 5 Cope (10.1016/S1051-0443(99)70227-7_bib4) 1998; 9 Selle (10.1016/S1051-0443(99)70227-7_bib7) 1973; 177 |
References_xml | – volume: 157 start-page: 703 year: 1991 end-page: 705 ident: bib13 article-title: Diagnosis and localization of laceration of the thoracic duct: usefulness of lymphangiography and CT publication-title: AJR contributor: fullname: Rice – volume: 16 start-page: 12 year: 1961 end-page: 21 ident: bib6 article-title: A review of the surgery of the thoracic duct publication-title: Thorax contributor: fullname: Ross – volume: 5 start-page: 247 year: 1991 end-page: 252 ident: bib12 article-title: Chylous ascites following abdominal aortic surgery publication-title: Ann Vasc Surg contributor: fullname: Quinones-Baldrich – volume: 112 start-page: 1361 year: 1996 end-page: 1366 ident: bib9 article-title: Postoperative chylothorax publication-title: J Thorac Cardiovasc Surg contributor: fullname: Deschamps – volume: 7 start-page: 725 year: 1996 end-page: 731 ident: bib3 article-title: Percutaneous transabdominal embolization of thoracic duct laceration in animals publication-title: JVIR contributor: fullname: Cope – volume: 5 start-page: 33 year: 1994 ident: bib1 article-title: Percutaneous thoracic duct cannulation [abstract] publication-title: JVIR contributor: fullname: Kensey – volume: 9 start-page: 727 year: 1998 end-page: 734 ident: bib4 article-title: Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study publication-title: JVIR contributor: fullname: Cope – volume: 167 start-page: 1 year: 1968 end-page: 8 ident: bib11 article-title: Chronic thoracic duct fistula: operative technic and physiological effects in man publication-title: Ann Surg contributor: fullname: Murray – volume: 57 start-page: 427 year: 1962 end-page: 432 ident: bib5 article-title: Complications in lymphography with oily contrast media publication-title: Acta Radiol contributor: fullname: Fuchs – volume: 8 start-page: 471 year: 1998 end-page: 473 ident: bib10 article-title: Retroperitoneal lymphangioleiomyo-matosis: CT appearance publication-title: Eur Radiol contributor: fullname: Vaos – volume: 6 start-page: 559 year: 1995 end-page: 564 ident: bib2 article-title: Percutaneous thoracic duct cannulation: feasibility study in swine publication-title: JVIR contributor: fullname: Cope – volume: 89 start-page: 221 year: 1985 end-page: 227 ident: bib8 article-title: Chylothorax: an assessment of current surgical management publication-title: J Thorac Cardiovasc Surg contributor: fullname: Milsom – volume: 16 start-page: 120 year: 1975 end-page: 122 ident: bib14 article-title: Lymphography of the thoracic duct: a new technique for improving visualization publication-title: J Cardiovasc Surg contributor: fullname: Kinmonth – volume: 177 start-page: 245 year: 1973 end-page: 249 ident: bib7 article-title: Chylothorax: indications for surgery publication-title: Ann Surg contributor: fullname: Schreiber – volume: 167 start-page: 1 year: 1968 ident: 10.1016/S1051-0443(99)70227-7_bib11 article-title: Chronic thoracic duct fistula: operative technic and physiological effects in man publication-title: Ann Surg doi: 10.1097/00000658-196801000-00001 contributor: fullname: Tilney – volume: 5 start-page: 33 year: 1994 ident: 10.1016/S1051-0443(99)70227-7_bib1 article-title: Percutaneous thoracic duct cannulation [abstract] publication-title: JVIR contributor: fullname: Cope – volume: 5 start-page: 247 year: 1991 ident: 10.1016/S1051-0443(99)70227-7_bib12 article-title: Chylous ascites following abdominal aortic surgery publication-title: Ann Vasc Surg doi: 10.1007/BF02329381 contributor: fullname: Williams – volume: 112 start-page: 1361 year: 1996 ident: 10.1016/S1051-0443(99)70227-7_bib9 article-title: Postoperative chylothorax publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(96)70152-6 contributor: fullname: Cerfolio – volume: 57 start-page: 427 year: 1962 ident: 10.1016/S1051-0443(99)70227-7_bib5 article-title: Complications in lymphography with oily contrast media publication-title: Acta Radiol doi: 10.3109/00016926209171771 contributor: fullname: Fuchs – volume: 177 start-page: 245 year: 1973 ident: 10.1016/S1051-0443(99)70227-7_bib7 article-title: Chylothorax: indications for surgery publication-title: Ann Surg doi: 10.1097/00000658-197302000-00022 contributor: fullname: Selle – volume: 6 start-page: 559 year: 1995 ident: 10.1016/S1051-0443(99)70227-7_bib2 article-title: Percutaneous thoracic duct cannulation: feasibility study in swine publication-title: JVIR doi: 10.1016/S1051-0443(95)71134-4 contributor: fullname: Cope – volume: 89 start-page: 221 year: 1985 ident: 10.1016/S1051-0443(99)70227-7_bib8 article-title: Chylothorax: an assessment of current surgical management publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)38816-6 contributor: fullname: Milsom – volume: 16 start-page: 120 year: 1975 ident: 10.1016/S1051-0443(99)70227-7_bib14 article-title: Lymphography of the thoracic duct: a new technique for improving visualization publication-title: J Cardiovasc Surg contributor: fullname: Cox – volume: 7 start-page: 725 year: 1996 ident: 10.1016/S1051-0443(99)70227-7_bib3 article-title: Percutaneous transabdominal embolization of thoracic duct laceration in animals publication-title: JVIR doi: 10.1016/S1051-0443(96)70840-0 contributor: fullname: Cope – volume: 157 start-page: 703 year: 1991 ident: 10.1016/S1051-0443(99)70227-7_bib13 article-title: Diagnosis and localization of laceration of the thoracic duct: usefulness of lymphangiography and CT publication-title: AJR doi: 10.2214/ajr.157.4.1892021 contributor: fullname: Sachs – volume: 16 start-page: 12 year: 1961 ident: 10.1016/S1051-0443(99)70227-7_bib6 article-title: A review of the surgery of the thoracic duct publication-title: Thorax doi: 10.1136/thx.16.1.12 contributor: fullname: Ross – volume: 9 start-page: 727 year: 1998 ident: 10.1016/S1051-0443(99)70227-7_bib4 article-title: Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study publication-title: JVIR doi: 10.1016/S1051-0443(98)70382-3 contributor: fullname: Cope – volume: 8 start-page: 471 year: 1998 ident: 10.1016/S1051-0443(99)70227-7_bib10 article-title: Retroperitoneal lymphangioleiomyo-matosis: CT appearance publication-title: Eur Radiol doi: 10.1007/s003300050417 contributor: fullname: Kehagias |
SSID | ssj0008080 |
Score | 1.988723 |
Snippet | To prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with... PURPOSETo prospectively assess the efficacy of percutaneous transabdominal thoracic duct catheterization and embolization in the management of patients with... |
SourceID | proquest crossref pubmed elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 1248 |
SubjectTerms | Adult Aged Catheterization - methods Chylothorax Chylothorax - diagnostic imaging Chylothorax - etiology Chylothorax - therapy Cisterna chyli Embolization, Therapeutic Female Humans Lymphatic system, interventional procedure, Thoracic duct Lymphography Male Middle Aged Prospective Studies Thoracic Duct |
Title | Management of Chylothorax by Percutaneous Catheterization and Embolization of the Thoracic Duct: Prospective Trial |
URI | https://dx.doi.org/10.1016/S1051-0443(99)70227-7 https://www.ncbi.nlm.nih.gov/pubmed/10527204 https://search.proquest.com/docview/70842450 |
Volume | 10 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLbKJiFeJu503PzAJNCULk3sJuZtGkMT09AEndib5VtEJWimKJWAn8Mv5Zw4TsK0AuPFqqLYdX2--ny2v3NMyAshuLJplkVI7iPmoMgNn0V5qqZAj_M0NhgofPJ-dnTG3p3z89Ho50C1tKr1xPy4Mq7kf6wKz8CuGCV7Dct2jcID-Az2hRIsDOU_2bjXrnhVBSy-689g029IKk9dZVZA_RyKXJtAP0zL7KMumyODw6-6_BIetFKBOVY3C7P7ZmWaTcPTqgzBmLtz_Elr2GynaPXZnHohJV4coOzit937g_LCCxA9OQ3Zv3GjB_yVv3h5oWznDPB4q_JR3FUFi4ZJv1fR5DcIqrcwvcIUEMXMJ2bq5t94gDMxmEyBeuQDxwxUjF056fv9h49d4zu4iNxJRIbpEaOs93ThdP-SA-xkiZ3iDZuS2JQUQjbNyOwG2UwywWGBv7l__OHTcefvMTNnc6befn0fJ7bX9-mlEK_a_qxjQOtWOA3Tmd8mW61R6b7H2x0ycsu75OZJK8K4R6oedrQs6AB2VH-nQ9jRS7CjAA46hB3WhzdogB1F2L2mA9DRBnT3ydnbw_nBUdRe3REZlok6SlJt7TRNE6W1UKKINUN3okVhZmrquDMMzDOFtUXiCqCpziV4s2RiHQeXUiTpA7KxLJfuEaFMYxJHpZhKLZs5rlPOLF6yYDk07dyYTMJwygufoUX-0ZBjkodBly3N9PRRAqD-VvV5MJKEaRjP1vx4wgs5agjiMXnobTfoC0etA9u-bj8fk1v9f-gJ2airlXsKDLjWz1oI_gJoV6yN |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | Library Specific Holdings |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Management+of+Chylothorax+by+Percutaneous+Catheterization+and+Embolization+of+the+Thoracic+Duct%3A+Prospective+Trial&rft.jtitle=Journal+of+vascular+and+interventional+radiology&rft.au=Cope%2C+Constantin&rft.au=Salem%2C+Riad&rft.au=Kaiser%2C+Larry+R.&rft.date=1999-10-01&rft.issn=1051-0443&rft.volume=10&rft.issue=9&rft.spage=1248&rft.epage=1254&rft_id=info:doi/10.1016%2FS1051-0443%2899%2970227-7&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_S1051_0443_99_70227_7 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1051-0443&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1051-0443&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1051-0443&client=summon |