Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection

Abstract

Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.