Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site

Chylothorax treated with targeted sclerotherapy by direct puncture of the lymphatic leakage site

Blog Article

We report a novel application of targeted sclerotherapy to eradicate high-output chylothorax.The patient underwent thoracic duct embolization; however, cannulation of the thoracic duct failed, and thoracic duct disruption was performed.Leakage continued; Flashlight therefore, the leakage site in the mediastinum was punctured directly under fluoroscopic guidance and a drainage Cutting Board catheter was inserted, followed by sclerotherapy using OK-432.Finally, leakage stopped and chylothorax improved.This technique may be useful for refractory chylothorax in patients where thoracic duct embolization fails.