Growing role of interventional radiology in managing thoracic duct injuries: a pictorial essay depicting the latest developments and interventional approaches

The role of endovascular interventions has progressed rapidly over the past several decades. While animal models have long-served as the mainstay for the advancement of this field, the use of in vitro models has become increasingly widely adopted with recent advances in engineering technologies. Here, we review the strategies, mainly including bioprinting and microfabrication, which allow for fabrication of biomimetic vascular models that will potentially serve to supplement the conventional animal models for convenient investigations of endovascular interventions. Besides normal blood vessels, those in diseased states, such as thrombosis, may also be modeled by integrating cues that simulate the microenvironment of vascular disorders. These novel engineering strategies for the development of biomimetic in vitro vascular structures will possibly enable unconventional means of studying complex endovascular intervention problems that are otherwise hard to address using existing models.

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Abstract No. 175 Efficacy of multidisciplinary physician panels in increasing student awareness of the role of interventional radiology in the treatment of pulmonary embolism

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.181 ◽

2021 ◽

Vol 32 (5) ◽

pp. S77

Author(s):

V. Danda ◽

C. Neely ◽

C. Gonsalves ◽

B. Awsare ◽

F. West ◽

...

Keyword(s):

Pulmonary Embolism ◽

Interventional Radiology

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The Role of Ablative Techniques in Treatment of Lung Metastasis: Our Interventional Radiology Experience

10.1055/s-0041-1729072 ◽

2020 ◽

Author(s):

Faiella Eliodoro ◽

Pacella Giuseppina ◽

Bernetti Caterina ◽

Altomare Carlo ◽

Andresciani Flavio ◽

...

Keyword(s):

Interventional Radiology ◽

Lung Metastasis ◽

Ablative Techniques

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Role of interventional radiology in placenta accreta spectrum (PAS) disorders

Best Practice & Research Clinical Obstetrics & Gynaecology ◽

10.1016/j.bpobgyn.2021.01.007 ◽

2021 ◽

Author(s):

Benjamin R. Hawthorn ◽

Lakshmi A. Ratnam

Keyword(s):

Interventional Radiology ◽

Placenta Accreta ◽

Placenta Accreta Spectrum

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Collaboration and Interventional Radiology: The Role of the Advanced Practice Provider

Journal of Radiology Nursing ◽

10.1016/j.jradnu.2021.02.003 ◽

2021 ◽

Author(s):

Sandra L. Schwaner

Keyword(s):

Interventional Radiology ◽

Advanced Practice

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Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

Surgical Case Reports ◽

10.1186/s40792-019-0709-3 ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Tomoyuki Ishida ◽

Jun Kanamori ◽

Hiroyuki Daiko

Keyword(s):

Magnetic Resonance Imaging ◽

Interventional Radiology ◽

Case Report ◽

Magnetic Resonance ◽

Thoracic Duct ◽

Rare Case ◽

Resonance Imaging ◽

Case Presentation ◽

Thoracostomy Tube ◽

Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

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