Embolization of the Thoracic Duct by Direct Injection of N-Butyl-2-Cyanoacrylate Glue via a Puncture Needle

Masayoshi Yamamoto, Kentaro Yamada, Masahiro Horikawa, Hiroshi Kondo, Hiroshi Oba, Shigeru Furui

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: To report embolization of the thoracic duct by direct injection of N-butyl-2-cyanoacrylate (NBCA) glue via a puncture needle. Materials and Methods: Two cases of high output chylothorax were successfully treated with direct injection of N-butyl-2-cyanoacrylate (NBCA) glue via a puncture needle. In them, conventional thoracic duct embolization (TDE) was attempted, but the cisterna chyli was absent on intranodal lymphangiography, and probably for this reason catheterization of the thoracic duct was unsuccessful. Contrast material injection via a puncture needle, however, clearly showed a leak from the thoracic duct, prompting us to attempt embolization of the thoracic duct by direct injection of NBCA glue via the needle. Results: Thoracic duct embolization by direct injection of NBCA glue via a puncture needle was technically successful in both patients. No minor or major complication occurred. Both patients disappeared chylothorax after this treatment. Conclusion: This embolization method can be useful for treatment of chylothorax when conventional TDE is not achievable.

Original languageEnglish (US)
Pages (from-to)959-963
Number of pages5
JournalCardiovascular and interventional radiology
Volume41
Issue number6
DOIs
StatePublished - Jun 1 2018

Keywords

  • TDD
  • TDE
  • Thoracic duct disruption
  • Thoracic duct embolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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