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Semin intervent Radiol 2020; 37(03): 263-268
DOI: 10.1055/s-0040-1713443
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Traumatic Chylothorax: Approach and Outcomes

Shenise N. Gilyard
1   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Minhaj S. Khaja
2   Division of Vascular and Interventional Radiology, Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia
,
Abhishek K. Goswami
1   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Nima Kokabi
1   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Wael E. Saad
3   Division of Vascular and Interventional Radiology, Department of Radiology, National Institutes of Health, Bethesda, Maryland
,
Bill S. Majdalany
1   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
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Publikationsdatum:
31. Juli 2020 (online)

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Abstract

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.

Keywords

chylothorax - thoracic duct embolization - iatrogenic - traumatic - postoperative - interventional radiology

Disclosures

All authors have read and contributed to this manuscript. The authors have no relevant disclosures. There was no grant funding or financial support for this manuscript.