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Semin intervent Radiol 2020; 37(03): 309-317
DOI: 10.1055/s-0040-1713448
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Complications during Lymphangiography and Lymphatic Interventions

Bill S. Majdalany
1   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Mamadou L. Sanogo
2   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan
,
Waleska M. Pabon-Ramos
3   Division of Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, North Carolina
,
Kyle A. Wilson
2   Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan
,
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
,
Minhaj S. Khaja
4   Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia
› Author Affiliations
Further Information

Publication History

Publication Date:
31 July 2020 (online)

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Abstract

Lymphangiography as a diagnostic procedure dates back to the 1950s and was widely performed for several decades until being supplanted by other advanced imaging techniques. With the advent of thoracic duct embolization to treat chylothorax, Constantin Cope ushered in a transition from lymphangiography as a diagnostic procedure to a precursor for lymphatic intervention. Subsequently, technical modifications and applications of lymphatic embolization to other medical conditions have greatly expanded the scope and application of lymphangiography and lymphatic intervention. Although there is increasing familiarity with lymphatic interventions, few interventionalists have performed a high enough volume to be aware of potential complications and their management. Potential complications of lymphangiography and those encountered while performing lymphatic interventions are discussed along with approaches to minimize their risk and management strategies should they occur.

Keywords

lymphangiography - complication - nontarget embolization - oil embolization - chylothorax - interventional radiology

Notes

All authors have read and contributed to this manuscript.