Open AccessAn Algorithmic Approach to Minimally Invasive Management of Nontraumatic Chylothorax
Author(s) -
Luis Goity,
Maxim Itkin,
Gregory J. Nadolski
Publication year - 2020
Publication title -
seminars in interventional radiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.35
H-Index - 40
eISSN - 1098-8963
pISSN - 0739-9529
DOI - 10.1055/s-0040-1713444
Subject(s) - chylothorax , medicine , thoracic duct , lymphatic system , leak , radiology , embolization , magnetic resonance imaging , surgery , lymph , pathology , environmental engineering , engineering
Chylothorax 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.