Gilyard Shenise N, Khaja Minhaj S, Goswami Abhishek K, Kokabi Nima, Saad Wael E, Majdalany Bill S
Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia.
Division of Vascular and Interventional Radiology, Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia.
Semin Intervent Radiol. 2020 Aug;37(3):263-268. doi: 10.1055/s-0040-1713443. Epub 2020 Jul 31.
Traumatic chylothorax occurs more often now than in historic reports. In part, this is due to the increased ability to perform more advanced and aggressive thoracic resections and cardiovascular surgeries as well as the improved mortality of cancer patients. If untreated, chylothorax can result in significant morbidity and mortality, particularly in patients with underlying malignancy. Thoracic duct embolization for chylothorax was the first successful lymphatic intervention and has been performed for over 20 years. An overview of the clinical and technical approach to thoracic duct embolization for traumatic chylothorax is presented in addition to a review of outcomes.
与历史报告相比,创伤性乳糜胸现在更为常见。部分原因是进行更先进、更积极的胸部切除术和心血管手术的能力有所提高,以及癌症患者的死亡率有所改善。如果不进行治疗,乳糜胸会导致严重的发病率和死亡率,尤其是对于患有潜在恶性肿瘤的患者。乳糜胸的胸导管栓塞术是首次成功的淋巴介入治疗,已经开展了20多年。本文除了对结果进行回顾外,还介绍了创伤性乳糜胸胸导管栓塞术的临床和技术方法概述。