Semin intervent Radiol 2020; 37(04): 414-419
DOI: 10.1055/s-0040-1715876
How I Do It

Pediatric Lymphatics Review: Current State and Future Directions

Deborah Rabinowitz
1   Division of Interventional Radiology, Department of Medical Imaging, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware
2   Department of Radiology and Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
,
Maxim Itkin
3   Center for Lymphatic Imaging, Penn Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
4   Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia Pennsylvania
› Author Affiliations

Pediatric lymphatic flow disorders present a unique disease spectrum with specific challenges and considerations. The immense recent advances in lymphatic imaging and therapeutics have allowed the identification and treatment of these devastating symptoms from the neonatal period to adolescence. The development of dynamic contrast-enhanced magnetic resonance lymphangiography (DCMRL) has provided accurate diagnoses and classification of neonatal and pediatric flow disorders. The concomitant innovation in the field of lymphatic interventions including thoracic duct (TD) embolization, interstitial embolization, and lymphovenous anastomosis offers curative interventions. As the field rapidly grows, there is a need for both classification and treatment algorithms for these diseases.

This article describes the pediatric-specific lymphatic pathologies and technical considerations of treatment and diagnosis of lymphatic flow disorder.



Publication History

Article published online:
01 October 2020

© 2020. Thieme. All rights reserved.

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