Division of Vascular Surgery, Department of Surgery, Loma Linda University School of Medicine, Loma Linda, Calif; Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, Loma Linda, Calif.
Section of Vascular and Interventional Radiology, Department of Radiology, Loma Linda University School of Medicine, Loma Linda, Calif.
J Vasc Surg Venous Lymphat Disord. 2019 Mar;7(2):251-257. doi: 10.1016/j.jvsv.2018.09.013. Epub 2018 Dec 13.
Thoracic duct embolization (TDE) is currently the technique of choice for chylothorax refractory to medical management. Diagnosis and treatment of persistent lymphatic leakage after an initially successful TDE are complicated by inadequate imaging to localize the nidus of the lymphatic leak. Traditional imaging modalities including nuclear medicine lymphoscintigraphy, magnetic resonance lymphangiography, and fluoroscopic lymphangiography lack spatial resolution and dynamic physiologic real-time evaluation. We report a contemporary imaging technique using direct contrast-enhanced magnetic resonance lymphangiography to diagnose an occult chylous leak after TDE.
胸导管栓塞术（TDE）目前是治疗对药物治疗无效的乳糜胸的首选技术。最初成功的 TDE 后持续性淋巴漏的诊断和治疗因成像不足而变得复杂，无法定位淋巴漏的病灶。传统的成像方式，包括核医学淋巴闪烁成像、磁共振淋巴造影和荧光透视淋巴造影，缺乏空间分辨率和动态生理实时评估。我们报告了一种使用直接对比增强磁共振淋巴造影术的现代成像技术，用于诊断 TDE 后隐匿性乳糜漏。
Zotero 插件