A novel technique in the treatment of lymphoceles after renal transplantation: c-arm cone beamct-guided percutaneous embolization of lymphatic leakage after lymphangiography

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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.contributor.authorSarac, Kaya
dc.date.accessioned2019-07-03T10:15:13Z
dc.date.available2019-07-03T10:15:13Z
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.citationYildirim, IO. Piskin, T . Duman, E. Firat, A. Dogan, M. Taskapan, H. Sahin, I. Sarac, K. (2018). A novel technique in the treatment of lymphoceles after renal transplantation: c-arm cone beamct-guided percutaneous embolization of lymphatic leakage after lymphangiography.Cilt:102. Sayı:11. 1955-1960 ss.en_US
dc.identifier.doi10.1097/TP.0000000000002268en_US
dc.identifier.endpage1960en_US
dc.identifier.issue11en_US
dc.identifier.startpage1955en_US
dc.identifier.urihttps://hdl.handle.net/11616/12281
dc.identifier.volume102en_US
dc.language.isoenen_US
dc.publisherLıppıncott wıllıams & wılkıns, two commerce sq, 2001 market st, phıladelphıa, pa 19103 usaen_US
dc.relation.ispartofTransplantatıonen_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.subjectPostoperatıve lymphocelesen_US
dc.subjectcatheter draınageen_US
dc.subjectsclerotherapyen_US
dc.subjectmanagementen_US
dc.titleA novel technique in the treatment of lymphoceles after renal transplantation: c-arm cone beamct-guided percutaneous embolization of lymphatic leakage after lymphangiographyen_US
dc.typeArticleen_US

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