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Technical steps of thoracic duct embolization. (A) Fluoroscopic image of the access of the cisterna chyli (arrowhead) with a 21-gauge needle. (B) Fluoroscopic imaging of the V-18 wire advanced into the thoracic duct (arrow). (C) Injection the contrast into the thoracic duct through the catheter (arrow) to identify the chylous leak (arrowhead).
