IR lymph

Question 1

Cisterna chyli level

Answer 1

T12-L2

Question 2

agents uses for lymphangiogram

Answer 2

methylene blue

contrast: ethiadol

Question 3

Thoracic duct course

Answer 3

CC –> cross ML at T5/T6 –> –> SCV/IJV junction

*pst es

Question 4

complications of lymphangiogram

Answer 4

Immediate/periprocedural complication(s): Pulmonary oil embolization (usually asymptomatic), hypersensitivity to contrast materials, Pulmonary infarction; chemical pneumonitis, Stroke

Delayed complication(s): Possible permanent skin discoloration from Methylene blue injection (pedal injection only)

Question 5

TG level confirming chylothorax

Answer 5

> 100 mg/dL

Question 6

Management chylothorax

Answer 6

• conservative-dietary (avoid fats, NPO, TPN)
• somatostatin (best with output <500 mL/day)
• IR embo

Question 7

How to embolize lymph system

Answer 7

coils –> n-bca

Question 8

paralumbar lymphatics

Answer 8

paracaval and paraaortic