Percutaneous Extra-Anatomic Lymphovenous Bypass Creation: Toward Treatment of Central Conducting Lymphatic Obstructions.

Autor: Bundy JJ; Division of Interventional Radiology, Wake Forest Baptist HealthOne Medical Center Boulevard, Winston-Salem, NC, USA., Shin DS; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA., Chick JFB; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA. jeffreychick@gmail.com., Monsky WL; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA., Jones ST; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA., List J; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA., Hage AN; Division of Interventional Radiology, Thomas Jefferson University Hospital, 111 South 11th Street, Philadelphia, PA, USA., Vaidya SS; Division of Interventional Radiology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, 98195, USA.
Jazyk: angličtina
Zdroj: Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2020 Sep; Vol. 43 (9), pp. 1392-1397. Date of Electronic Publication: 2020 May 22.
DOI: 10.1007/s00270-020-02457-x
Abstrakt: Introduction: Protein-losing enteropathy manifests as a loss of serum proteins through the gastrointestinal tract, resulting in hypoproteinemia, extravascular fluid retention, and edema. Management consists of nutritional maintenance in conjunction with interventions targeted at treating the underlying etiology.
Materials and Methods: This report describes a patient with protein-losing enteropathy from a central conducting lymphatic obstruction who was treated with percutaneous extra-anatomic lymphovenous bypass creation.
Results: A modified gun-sight technique was used to create a lymphovenous bypass between an occluded terminal thoracic duct and the left internal jugular vein.
Conclusion: A percutaneous technique to reconstruct the terminal thoracic duct via lymphovenous bypass creation was feasible.
Databáze: MEDLINE
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