Modern Techniques of Lymphangiography and Interventions: Current Status and Future Development

One of the crucial functions of the lymphatic system is maintenance of fluid balance. Nonetheless, due to lack of clinical imaging and interventional techniques, the lymphatic system has been under the radar of the medical community. The recently developed intranodal lymphangiography and dynamic con...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2018-03, Vol.41 (3), p.366-376
Main Authors: Itkin, Maxim, Nadolski, Gregory J.
Format: Article
Language:English
Subjects:
Cardiology
Diagnostic systems
Embolization
Imaging
Liver
Lymphangiography
Lymphatic diseases
Lymphatic system
Medicine
Medicine & Public Health
Nuclear Medicine
Radar imaging
Radiology
Review
Thoracic duct
Ultrasound
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Summary:One of the crucial functions of the lymphatic system is maintenance of fluid balance. Nonetheless, due to lack of clinical imaging and interventional techniques, the lymphatic system has been under the radar of the medical community. The recently developed intranodal lymphangiography and dynamic contrast-enhanced MR lymphangiography provide new insight into lymphatic pathology. Thoracic duct embolization has become the method of choice for the treatment of patients with chylous leaks. Interstitial lymphatic embolization further expanded the lymphatic embolization approaches. Liver lymphatic lymphangiography and embolization allow treatment of postsurgical liver lymphorrhea and protein-losing enteropathy. The potential for further growth of lymphatic interventions is vast and includes liver lymphatic procedures and advanced thoracic duct interventions, such as thoracic duct externalization and stenting. These current and future advances will open up a realm of new treatments and diagnostic opportunities.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-017-1863-2