Mittleider Derek, Dykes Thomas A, Cicuto Kenneth P, Amberson Steven M, Leusner Charles R
Department of Radiology, Section of Vascular and Interventional Radiology, Maine Medical Center, 22 Bramhall St, Portland, ME 04102, USA.
J Vasc Interv Radiol. 2008 Feb;19(2 Pt 1):285-90. doi: 10.1016/j.jvir.2007.10.025.
The authors offer a previously undescribed technique for cisterna chyli embolization in the treatment of chylous ascites. After the failure of conventional percutaneous direct cisterna chyli cannulation, the authors accessed the thoracic duct directly from the subclavian vein. Retrograde microcatheter access through the thoracic duct enabled embolization of the cisterna chyli. Embolization materials included fibered endovascular coils, gelatin sponge, and doxycycline. The patient's symptoms returned 10 days after embolization. This technique provided short-term success in the treatment of the patient's chylous ascites.
作者提供了一种此前未被描述的乳糜池栓塞技术用于治疗乳糜性腹水。在传统经皮直接乳糜池插管失败后，作者经锁骨下静脉直接进入胸导管。通过胸导管逆行微导管进入实现了乳糜池的栓塞。栓塞材料包括纤维血管内线圈、明胶海绵和强力霉素。栓塞后10天患者症状复发。该技术在治疗患者乳糜性腹水中取得了短期成功。
