An Algorithmic Approach to Minimally Invasive Management of Nontraumatic Chylothorax

Semin intervent Radiol 2020; 37: 269-273 DOI: 10.1055/s-0040-1713444Chylothorax is a rare condition characterized by lymph accumulation in the pleural space. When it occurs independent of trauma, it is even more rare and difficult to treat as identification of lymphatic leak is unpredictable. In addition, treatment of this condition with conventional lymphangiography and thoracic duct embolization may not result in positive outcomes. As such, the role of contrast-enhanced dynamic magnetic resonance lymphangiography to guide treatment is key to maximizing success with the advantage of localizing the site of lymphatic leak. Herein, we summarize etiologies of nontraumatic chylothorax, offer an updated treatment algorithm to stratify affected patients and determine appropriate treatment options, and review procedural techniques critical to efficient and effective treatment. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Seminars in Interventional Radiology - July 30, 2020 Category: Radiology Authors: Goity, Luis D. Itkin, Maxim Nadolski, Gregory Tags: Review Article Source Type: research