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Pediatric lymphangiography, thoracic duct embolization and thoracic duct disruption: a single-institution experience in 11 children with chylothorax.
- Source :
-
Pediatric Radiology . Feb2018, Vol. 48 Issue 2, p235-240. 6p. 3 Black and White Photographs, 2 Charts. - Publication Year :
- 2018
-
Abstract
- <bold>Background: </bold>Interventional radiology treatment of chylothorax is well described in adults, with high technical and clinical success that decreases patient morbidity and mortality. However there is limited experience in children.<bold>Objective: </bold>To report the technical and clinical success of lymphangiography, thoracic duct embolization and thoracic duct disruption in the pediatric population.<bold>Materials and Methods: </bold>We studied 11 pediatric patients (7 boys, 4 girls; median weight 6.0 kg) who underwent lymphangiography and thoracic duct embolization from November 2015 to May 2017. All 11 (100%) children presented with chylothorax, with 1 (9%) having concomitant chylous ascites and 1 (9%) having concomitant chylopericardium. Ten (91%) children had traumatic chylothorax and one (9%) had congenital chylothorax. We recorded technical success, clinical success and complications.<bold>Results: </bold>Twelve procedures were completed in 11 children. Bilateral intranodal lymphangiography was technically successful in all (100%) patients. Central lymphatics were visualized in eight (67%) procedures. Access to central lymphatics was attempted in eight procedures and successful in five (63%). In three (37%) of the eight procedures, disruption was performed when the central lymphatics could not be accessed. Clinical success was achieved in 7/11 (64%) children. Three minor complications were reported. No major complications were encountered.<bold>Conclusion: </bold>Lymphangiography, thoracic duct embolization and thoracic duct disruption are successful interventional strategies in children with chylothorax and should be considered as viable treatment options at any age. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03010449
- Volume :
- 48
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Pediatric Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 127735441
- Full Text :
- https://doi.org/10.1007/s00247-017-3988-5