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CVIR Endovascular
Fig. 6 | CVIR Endovascular

Fig. 6

From: The roles of iodized oil-based lymphangiography and post-lymphangiographic computed tomography for specific lymphatic intervention planning in patients with postoperative lymphatic fistula: a literature review and case series

Fig. 6

A patient underwent ALVE procedure after post-LAG CT. Note: Conventional iodized oil-based LAG showed the definite extravasation from three afferent LVs into the drainage (a). A similar demonstration was observed from the sagittal MIP images of post-LAG CT (b). The clear afferent LVs are shown (white arrowheads). The afferent LVs were punctured using the 21-G needles under the CT guidance penetrating the anterior and posterior walls (c). After the “cutting-off” embolization by using the histoacryl/lipiodol mixture (2:3) (d). The LF ceased immediately. Abbreviations: ALVE – afferent lymphatic vessel embolization; post-LAG CT – post-lymphangiographic computed tomography; LAG – lymphangiography; LVs – lymphatic vessels; LF – lymphatic fistula

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