Verletzungen des Ductus thoracicus

Thoracic duct

embolization with coils and glue to treat post-esophagectomy lymphatic leakage. Schematic diagram illustrates TD anatomic variants. May be challenging to advance a guidewire in the plexiform variants due to the small size of the multiple trunks; this may cause technical failure of the procedure.

Thoracic duct

embolization with coils and glue to treat post-esophagectomy lymphatic leakage. Initial spot fluoroscopic image of right inguinal region shows acess to two right inguinal lymph nodes with 25-gauge needles (arrows), with sucessful opacification of efferent lymphatic vessels with Lipiodol.