IR lymph Flashcards
1
Q
Cisterna chyli level
A
T12-L2
2
Q
agents uses for lymphangiogram
A
methylene blue
contrast: ethiadol
3
Q
Thoracic duct course
A
CC –> cross ML at T5/T6 –> –> SCV/IJV junction
*pst es
4
Q
complications of lymphangiogram
A
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)
5
Q
TG level confirming chylothorax
A
> 100 mg/dL
6
Q
Management chylothorax
A
- conservative-dietary (avoid fats, NPO, TPN)
- somatostatin (best with output <500 mL/day)
- IR embo
7
Q
How to embolize lymph system
A
coils –> n-bca
8
Q
paralumbar lymphatics
A
paracaval and paraaortic
