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https://www.readbyqxmd.com/read/29783028/thoracic-duct-embolization-a-survey-of-practice-patterns
#1
Samantha A Jayasinghe, Ravi N Srinivasa, Anthony N Hage, Joseph J Gemmete, Bill S Majdalany, Jeffrey Forris Beecham Chick
PURPOSE: To determine training, treatment techniques, outcomes, and practice patterns of practitioners performing thoracic duct embolization (TDE). MATERIALS AND METHODS: From September to October of 2017, a 34-question survey focusing on training, treatment techniques, outcomes, and practice patterns of TDE was distributed through the Open Forum using the Society of Interventional Radiology Connect website. 54 practitioners completed the entire survey. Percentages were calculated for answers to the questions...
May 18, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29759734/lymphangiography-and-thoracic-duct-embolization-following-unsuccessful-thoracic-duct-ligation-imaging-findings-and-outcomes
#2
Gregory J Nadolski, Maxim Itkin
OBJECTIVE: To summarize the imaging findings and outcomes of thoracic duct (TD) embolization (TDE) performed in patients with chylous leaks persisting after TD ligation (TDL). MATERIALS AND METHODS: In this review of 50 patients (30 males and 20 females; median age, 54 years) referred for TDE following unsuccessful surgical TDL, records were reviewed for lymphangiographic findings, technical success of TDE, and outcome of TDE. Comparisons between groups were performed using the Fisher exact test...
April 11, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29757895/a-novel-technique-in-the-treatment-of-lymphoceles-after-renal-transplantation-c-arm-cone-beam-ct-guided-percutaneous-embolization-of-lymphatic-leakage-following-lymphangiography
#3
İsmail Okan Yildirim, Turgut Pişkin, Enes Duman, Ali Firat, Murat Dogan, Hülya Taskapan, Idris Sahin, Kaya Sarac
BACKGROUND: We aimed to evaluate the efficacy of percutaneous embolization following lymphangiography using C-arm cone-beam computed tomography (CBCT) performed at the site of lymphatic leakage in patients with postrenal transplant lymphocele. METHODS: Between July 2014 and August 2017, 13 patients not responding to percutaneous ethanol sclerotherapy and conservative treatment for recurrent lymphocele following renal transplant were included. The mean age of the patients was 56...
May 11, 2018: Transplantation
https://www.readbyqxmd.com/read/29738162/-radical-retropubic-prostatectomy-for-prostate-cancer-with-pelvic-lymph-node-metastasis
#4
Ding-Yi Liu, Sang Hu, Yan-Feng Zhou, Hong-Chao He, Jia-Shun Yu, Jian Wang, Wei-Mu Xia, Qi Tang, Ming-Wei Wang, Wen-Long Zhou
Objective: To investigate the safety and effectiveness of radical retropubic prostatectomy (RRP) with adjuvant androgen deprivation or external radiotherapy in the treatment of prostate cancer (PCa) with pelvic lymph node metastasis (PLNM). METHODS: Twenty PCa patients underwent bilateral pedal lymphangiography (PLG) preoperatively, and 11 of them received lymph node aspiration for examination of the mRNA expressions of prostate-specific antigen (PSA) and prostate-specific membrane antigen (PSMA) in the lymph fluid by real-time RT-PCR...
November 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29687529/lymphatic-imaging-and-intervention-in-a-pediatric-population-anesthetic-considerations
#5
David R Jobes, Lauren A Brown, Yoav Dori, Maxim Itkin, Susan C Nicolson
The recent adoption of an improved lymphatic access technique coupled with Dynamic Contrast-enhanced Magnetic Resonance Lymphangiography has introduced the ability to diagnose and treat severe lymphatic disorders unresponsive to other therapies. All pediatric patients presenting for lymphatic procedures require general anesthesia presenting challenges in managing highly morbid and comorbid conditions both from logistical as well as medical aspects. General anesthesia is used because of the procedural requirement for immobility to accurately place needles and catheters, treat pain secondary to contrast and glue injections, and to accommodate additional procedures...
April 23, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29665587/interstitial-transpedal-mr-lymphangiography-of-central-lymphatics-using-a-standard-mr-contrast-agent-feasibility-and-initial-results-in-patients-with-chylous-effusions
#6
Claus Christian Pieper, Hans Heinz Schild
PURPOSE:  To describe a novel technique for transpedal magnetic resonance lymphangiography (tMRL) with interstitial injection of a standard gadolinium-based contrast agent, and to assess its ability to visualize the central lymphatic system (CLS) in patients with chylous effusions. MATERIALS AND METHODS:  Experiences with tMRL were retrospectively reviewed in seven patients with chylous effusions. High-resolution three-dimensional multi-echo (mDIXON) images of the entire torso were obtained before and after interstitial injection of an extracellular gadolinium-based contrast agent...
April 17, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29580790/recognition-of-neonatal-lymphatic-flow-disorder-fetal-mr-findings-and-postnatal-mr-lymphangiogram-correlation
#7
David M Biko, Jordan A Johnstone, Yoav Dori, Teresa Victoria, Edward R Oliver, Maxim Itkin
RATIONALE AND OBJECTIVES: This study aimed to describe prenatal and postnatal imaging features and outcomes of neonates with neonatal lymphatic disorders (NLDs). MATERIALS AND METHODS: An institutional review board-approved search of the radiology database for patients with NLD identified five patients. Inclusion criteria include prenatal imaging (fetal magnetic resonance [MR] imaging and ultrasound) and postnatal three-dimensional T2 Sampling Perfection with Application optimized Contrasts using different flip angle Evolution (SPACE) and dynamic contrast-enhanced MR lymphangiography within 6 months of life...
March 23, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29571786/dynamic-contrast-enhanced-magnetic-resonance-lymphangiography-categorization-of-imaging-findings-and-correlation-with-patient-management
#8
Sheena Pimpalwar, Ponraj Chinnadurai, Alex Chau, Mercedes Pereyra, Daniel Ashton, Prakash Masand, Rajesh Krishnamurthy, Siddharth Jadhav
OBJECTIVE: To review the technical aspects and categorize the imaging findings of dynamic contrast enhanced magnetic resonance lymphangiography (DCMRL) and correlate the findings with patient management options. MATERIALS AND METHODS: A retrospective review of patients who underwent DCMRL between June 2012 and August 2017 at a tertiary care paediatric hospital was performed. Twenty-five DCMRL studies were performed in 23 patients (9 males, 13 females, 1 ambiguous gender) with a median age of 4 years (range: 1 month-29 years)...
April 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29551004/feasibility-of-fluorescence-lymph-node-imaging-in-colon-cancer-flicc
#9
M Chand, D S Keller, H M Joshi, L Devoto, M Rodriguez-Justo, R Cohen
BACKGROUND: In colon cancer, appropriate tumour excision and associated lymphadenectomy directly impact recurrence and survival outcomes. Currently, there is no standard for mesenteric lymphadenectomy, with a lymph node yield of 12 acting as a surrogate quality marker. Our goal was to determine the safety and feasibility of indocyanine green (ICG) fluorescence imaging to demonstrate lymphatic drainage in colon cancer in a dose-escalation study. METHODS: A prospective pilot study of colon cancer patients undergoing curative laparoscopic resection was performed...
March 17, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29538048/lymphatic-dysfunction-in-critical-illness
#10
Edmund Burke, Sanjeev A Datar
PURPOSE OF REVIEW: The essential role of the lymphatic system in fluid homeostasis, nutrient transport, and immune trafficking is well recognized; however, there is limited understanding of the mechanisms that regulate lymphatic function, particularly in the setting of critical illness. The lymphatics likely affect disease severity and progression in every condition, from severe systemic inflammatory states to respiratory failure. Here, we review structural and functional disorders of the lymphatic system, both congenital and acquired, as they relate to care of the pediatric patient in the intensive care setting, including novel areas of research into medical and procedural therapeutic interventions...
June 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29524461/endolymphatic-interventions-for-the-treatment-of-chylothorax-and-chylous-ascites-in-neonates-technical-and-clinical-success-and-complications
#11
Rajiv N Srinivasa, Jeffrey Forris Beecham Chick, Joseph J Gemmete, Anthony N Hage, Ravi N Srinivasa
BACKGROUND: The aim of this study was to report the technical and clinical success of performing minimally invasive endolymphatic embolization in neonates presenting with a chylothorax or chylous ascites. METHODS: Three neonates, 2 males and 1 female, with a mean age of 28 days (range: 19-39 days) presented with a chylothorax or chylous ascites that was refractory to conservative management. All 3 patients (1 previously reported) underwent intranodal lymphangiography, followed by thoracic duct embolization, with 1 patient undergoing additional sclerosis of the retroperitoneal abdominal lymphatics...
March 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29518822/double-vascularized-omentum-lymphatic-transplant-volt-for-the-treatment-of-lymphedema
#12
Elizabeth O Kenworthy, Jonas A Nelson, Richa Verma, JeanJacques Mbabuike, Babak J Mehrara, Joseph H Dayan
BACKGROUND AND OBJECTIVES: Orthotopic vascularized lymph node transplant has been successfully used to treat lymphedema. A second, heterotopic lymph node transplant in the distal extremity may provide further improvement. The vascularized omentum lymphatic transplant (VOLT) provides adequate tissue for two simultaneous flap transfers to one limb. The purpose of this study was to review our experience with this technique. METHODS: We conducted a retrospective study of patients who underwent VOLT, with a subgroup analysis of patients who underwent double VOLT...
March 8, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29496058/real-time-indocyanin-green-near-infrared-lymphangiography-for-the-reduction-of-drainage-volume-after-neck-dissection
#13
Jimmy Yu Wai Chan, Stanley Thian Sze Wong, William Ignace Wei
BACKGROUND: To investigate the role of indocyanine green (ICG) lymphangiography in the reduction of drainage after neck dissection. METHODS: Patients with oral cavity squamous cell carcinoma were randomized into Group A (study group) and Group B (control). In the study group, upon the completion of neck dissection, a total of 2.5 mg of ICG was injected submucosally at the four quadrants around the tumour. Another 2.5 mg of ICG was injected subdermally in the groin bilaterally...
March 2018: Oral Oncology
https://www.readbyqxmd.com/read/29470154/unipedal-diagnostic-lymphangiography-followed-by-sequential-ct-examinations-in-patients-with-idiopathic-chyluria-a-retrospective-study
#14
Jian Dong, Jianfeng Xin, Wenbin Shen, Xiaobai Chen, Tingguo Wen, Chunyan Zhang, Rengui Wang
OBJECTIVE: The objective of our study was to investigate the clinical value of diagnostic lymphangiography followed by sequential CT examinations in patients with idiopathic chyluria. MATERIALS AND METHODS: Thirty-six patients with idiopathic chyluria underwent unipedal diagnostic lymphangiography and then underwent sequential CT examinations. The examinations were reviewed separately by two radiologists. Abnormal distribution of contrast medium, lymphourinary leakages, and retrograde flow were noted, and the range and distribution of lymphatic vessel lesions were recorded...
April 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29454438/therapeutic-lymphangiography-for-traumatic-chylothorax
#15
Hisako Hara, Makoto Mihara, Masayoshi Yamamoto
Chylothorax is a challenging disease. We present a case of traumatic chylothorax that was successfully treated using lymphangiography through intranodal injection of contrast agent. A 17-year-old girl had chylothorax. It did not improve despite medical treatment. We performed lymphangiography through intranodal injection of an oil contrast agent (Lipiodol). The amount of chylothorax was reduced from 1000 to 120 mL/d, and we could remove the thoracotomy tube. Thereafter, although she had a small amount of pleural effusion, she has not demonstrated aggravation for 19 months...
March 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29417265/embolization-of-the-thoracic-duct-by-direct-injection-of-n-butyl-2-cyanoacrylate-glue-via-a-puncture-needle
#16
Masayoshi Yamamoto, Kentaro Yamada, Masahiro Horikawa, Hiroshi Kondo, Hiroshi Oba, Shigeru Furui
PURPOSE: To report embolization of the thoracic duct by direct injection of N-butyl-2-cyanoacrylate (NBCA) glue via a puncture needle. MATERIALS AND METHODS: Two cases of high output chylothorax were successfully treated with direct injection of N-butyl-2-cyanoacrylate (NBCA) glue via a puncture needle. In them, conventional thoracic duct embolization (TDE) was attempted, but the cisterna chyli was absent on intranodal lymphangiography, and probably for this reason catheterization of the thoracic duct was unsuccessful...
February 7, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29409490/unilateral-pedal-lymphangiography-plus-computed-tomography-angiography-for-location-of-persistent-idiopathic-chyle-leakage-not-detectable-by-ordinary-contrast-computed-tomography
#17
Dingyi Liu, Boke Liu, Weimu Xia, Qi Tang, Haidong Wang, Jian Wang, Yanfeng Zhou, Jiashun Yu, Wenmin Li, Mingwei Wang, Wenlong Zhou, Sang Hu, Yuan Shao
BACKGROUND: To identify the value of unilateral pedal lymphangiography (LPG) plus computed tomography angiography (CTA) in accurate depiction of persistent idiopathic chyluria undetectable by ordinary contrast CT. METHODS: Eighteen patients 44-63 years of age with persistent idiopathic chyluria who failed conservative management were included. Ordinary CT had not revealed a chyle leak. Cystoscopy, unilateral LPG, and post-LPG CT angiography (CTA) were sequentially performed...
February 6, 2018: BMC Urology
https://www.readbyqxmd.com/read/29395022/indocyanine-green-and-fluorescence-lymphangiography-for-sentinel-node-identification-in-patients-with-melanoma
#18
Colette R Pameijer, Anna Leung, Rogerio I Neves, Junjia Zhu
BACKGROUND: Infrared fluorescence imaging with indocyanine green (ICG) is a novel method for sentinel node localization. Our objective was to assess ICG and fluorescence imaging for preoperative and intraoperative utility. METHODS: 87 eligible patients participated in this prospective study. All patients received injection of ICG dye in addition to both methylene blue and 99m Tc. Each sentinel node was assessed for the presence of each dye. RESULTS: ICG was visible prior to incision in 44% of subjects...
January 23, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29394697/-a-case-of-t4-esophageal-cancer-with-refractory-chylothorax-developed-postoperatively
#19
Yoshihiro Ota, Shingo Tachibana, Kosuke Takahashi, Takafumi Watanabe, Takeshi Suda, Sumito Hoshino, Yoshiaki Osaka, Kazuhiko Kasuya, Kenji Katsumata, Akihiko Tsuchida
A 65-year-old man was diagnosed as having middle thoracic esophageal cancer(c-T3N2M0, stage III ), and neoadjuvant chemoradiotherapy was performed.We performed surgical therapy.However, tumor and #113 lymph node invasion into the aortic arch was observed; therefore, it was judged that curative resection was difficult, and R2 surgery was performed instead. Postoperative diagnosis was Mt, CRT-type 5b, s-T4(aortic arch)N4(#113)M0, stage IV a.After surgery, pleural effusion was abundant and was diagnosed as chylothorax...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29375697/primary-chylopericardium-a-case-report-and-literature-review
#20
Xue Yu, Na Jia, Sanxia Ye, Min Zhou, Deping Liu
Primary chylopericardium (CP) is a rare clinical condition in which chylous fluid containing high concentrations of triglyceride accumulates in the pericardial cavity. The present study reports a case of CP that was successfully treated by reconstruction surgery of thoracic duct. To improve the ability to diagnosis and treat this rare disease, the current study also systematically extracted 104 reported cases of primary or idiopathic CP from the past 60 years (January 1950 to December of 2015), and reviewed the clinical manifestation, etiology, diagnosis and treatment of these cases...
January 2018: Experimental and Therapeutic Medicine
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