Experience of Lymphangiography as a Therapeutic Tool for Lymphatic Leakage After Kidney Transplantation

• DOI: 10.1016/j.transproceed.2018.03.095
• Publication Date: 2018-03-19T17:41:56Z
• Authors: T. Iwai; J. Uchida; Y. Matsuoka; A. Kosoku; H. Shimada; S. Nishide; K. Kabei; N. Kuwabara; A. Yamamoto; T. Naganuma; M. Hamuro; N. Kumada; Y. Takemoto; T. Nakatani
• Keywords: Adult; Male; Lymphography; Middle Aged; Kidney Transplantation; 3. Good health; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Japan; Humans; Female; Lymph Nodes; Aged; Lymphatic Vessels

Lymphatic leakage after kidney transplantation is a relatively frequent complication but sometimes resistant to treatment, and there no fixed treatment algorithm. The effectiveness of therapeutic lymphangiography for postoperative lymphatic or chyle has been reported, few reports are available regarding patients who have undergone transplantation. In this study, we report our experience with as tool Intranodal was performed in 4 (3 male, 1 female; age range, 38 70 years old) living at the Osaka City University Hospital Japan. amount drainage before 169 361 mL/day. procedure intranodal follows: inguinal lymph node punctured under ultrasound guidance, tip needle instilled junction between cortex hilum, which Lipiodol slowly manually injected. Lymphangiography technically successful 3 out patients. all cases, decreased finally stopped without additional therapy such sclerotherapy fenestration. 2 were able directly detect site using lymphangiography. time resolution ranged from 8 13 days. There neither complications nor recurrence cases. may be not only diagnostic also an effective, minimally-invasive, safe method