A Novel Technique in the Treatment of Lymphoceles After Renal Transplantation: C-Arm Cone Beam CT-Guided Percutaneous Embolization of Lymphatic Leakage After Lymphangiography

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dc.authoridSahin, Idris/0000-0002-8683-3737
dc.authoridtaskapan, hulya/0000-0001-8736-4779
dc.authoridDOGAN, SAIT MURAT/0000-0001-8840-4365
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidSahin, Idris/AAS-4390-2020
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.authorwosidFırat, Ali/AHB-8427-2022
dc.authorwosidtaskapan, hulya/ABI-7737-2020
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidDOGAN, SAIT MURAT/AAP-7924-2021
dc.contributor.authorYildirim, Ismail Okan
dc.contributor.authorPiskin, Turgut
dc.contributor.authorDuman, Enes
dc.contributor.authorFirat, Ali
dc.contributor.authorDogan, Murat
dc.contributor.authorTaskapan, Huelya
dc.contributor.authorSahin, Idris
dc.date.accessioned2024-08-04T20:45:30Z
dc.date.available2024-08-04T20:45:30Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground We aimed to evaluate the efficacy of percutaneous embolization after lymphangiography using C-arm cone-beam computed tomography (CBCT) performed at the site of lymphatic leakage in patients with postrenal transplant lymphocele. Methods Between July 2014 and August 2017, 13 patients not responding to percutaneous ethanol sclerotherapy and conservative treatment for recurrent lymphocele after renal transplant were included. The mean age of the patients was 56.38 9.91 (range, 36-70) years, and it comprised 9 men and 4 women. All patients underwent intranodal lymphangiography. C-arm CBCT-guided percutaneous embolization was performed in patients with confirmed lymphatic leakage. Patients who had no lymphatic leakage underwent drainage with fibrin glue injection. Results Lymphatic leakage was observed in 9 patients after lymphangiography, and they underwent CBCT-guided percutaneous N-butyl-2-cyanoacrylate embolization. The volume of lymphatic drainage reduced to less than 10 mL in 8 patients. One patient who was not responding to embolization was treated surgically, after percutaneous drainage and fibrin glue injection. Lymphatic leakage was not observed in 4 patients after lymphangiography. Of these, 3 patients showed a reduction in the amount of lymphatic drainage after lymphangiography. All 4 patients underwent percutaneous drainage and fibrin glue injection. One patient did not respond to the treatment and was treated surgically. Prelymphangiography and postlymphangiography and embolization, the volume of lymphatic drainage was 113.07 +/- 21.75 mL, and 53.84 +/- 30.96 mL, respectively, and statistically significant decrease was detected (P < 0.005). Conclusions Lymphangiography and CBCT-guided percutaneous embolization procedures might be an effective treatment method for patients with lymphocele refractory to treatment.en_US
dc.identifier.doi10.1097/TP.0000000000002268
dc.identifier.endpage1960en_US
dc.identifier.issn0041-1337
dc.identifier.issn1534-6080
dc.identifier.issue11en_US
dc.identifier.pmid29757895en_US
dc.identifier.scopus2-s2.0-85055159820en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1955en_US
dc.identifier.urihttps://doi.org/10.1097/TP.0000000000002268
dc.identifier.urihttps://hdl.handle.net/11616/98501
dc.identifier.volume102en_US
dc.identifier.wosWOS:000449067000031en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofTransplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPostoperative Lymphocelesen_US
dc.subjectCatheter Drainageen_US
dc.subjectSclerotherapyen_US
dc.subjectManagementen_US
dc.titleA Novel Technique in the Treatment of Lymphoceles After Renal Transplantation: C-Arm Cone Beam CT-Guided Percutaneous Embolization of Lymphatic Leakage After Lymphangiographyen_US
dc.typeArticleen_US

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