Maxim Itkin, MD, John C. Kucharczuk, MD, Andrew Kwak, MD, Scott O

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Nonoperative thoracic duct embolization for traumatic thoracic duct leak: Experience in 109 patients  Maxim Itkin, MD, John C. Kucharczuk, MD, Andrew Kwak, MD, Scott O. Trerotola, MD, Larry R. Kaiser, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 3, Pages 584-590 (March 2010) DOI: 10.1016/j.jtcvs.2009.11.025 Copyright © 2010 Terms and Conditions

Figure 1 Radiographic image showing attempt to access cysterna chyli opacified with contrast (arrow) with 21-gauge needle. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 584-590DOI: (10.1016/j.jtcvs.2009.11.025) Copyright © 2010 Terms and Conditions

Figure 2 Radiographic image showing V18 wire (arrow) in the cysterna chyli and thoracic duct. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 584-590DOI: (10.1016/j.jtcvs.2009.11.025) Copyright © 2010 Terms and Conditions

Figure 3 Radiographic image showing extravasation of the contrast in the upper part of the thoracic duct (arrow), following injection of the duct with iodinated contrast through the microcathetr. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 584-590DOI: (10.1016/j.jtcvs.2009.11.025) Copyright © 2010 Terms and Conditions

Figure 4 Radiographic image showing the occluded thoracic duct filled with coils (arrow) and glue cast below the colis. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 584-590DOI: (10.1016/j.jtcvs.2009.11.025) Copyright © 2010 Terms and Conditions

Figure 5 Catheterization success of the cisterna chyli over the years. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 584-590DOI: (10.1016/j.jtcvs.2009.11.025) Copyright © 2010 Terms and Conditions