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Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures

Aim - To report our experience of combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures. - Patients and methods - Eighteen patients (23 kidneys) with non-obstructive uropathy due to urine leaks und...

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Hauptverfasser: Sommer, Christof-Matthias (VerfasserIn) , Huber, J. (VerfasserIn) , Radeleff, Boris (VerfasserIn) , Hosch, Waldemar P. (VerfasserIn) , Stampfl, Ulrike (VerfasserIn) , Lönard, Brigitta Michaela (VerfasserIn) , Hallscheidt, Peter (VerfasserIn) , Haferkamp, A. (VerfasserIn) , Kauczor, Hans-Ulrich (VerfasserIn) , Richter, Götz Martin (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2011
In: European journal of radiology
Year: 2011, Jahrgang: 80, Heft: 3, Pages: 686-691
ISSN:1872-7727
DOI:10.1016/j.ejrad.2010.09.035
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ejrad.2010.09.035
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0720048X10004924
Volltext
Verfasserangaben:C.M. Sommer, J. Huber, B.A. Radeleff, W. Hosch, U. Stampfl, B.M. Loenard, P. Hallscheidt, A. Haferkamp, H.U. Kauczor, G.M. Richter
Beschreibung
Zusammenfassung:Aim - To report our experience of combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures. - Patients and methods - Eighteen patients (23 kidneys) with non-obstructive uropathy due to urine leaks underwent combined CT- and fluoroscopy-guided nephrostomy. All procedures were indicated as second-line interventions after failed ultrasound-guided nephrostomy. Thirteen males and five females with an age of 62.3±8.7 (40-84) years were treated. Urine leaks developed in majority after open surgery, e.g. postoperative insufficiency of ureteroneocystostomy (5 kidneys). The main reasons for failed ultrasound-guided nephrostomy included anatomic obstacles in the puncture tract (7 kidneys), and inability to identify pelvic structures (7 kidneys). CT-guided guidewire placement into the collecting system was followed by fluoroscopy-guided nephrostomy tube positioning. Procedural success rate, major and minor complication rates, CT-views and needle passes, duration of the procedure and radiation dose were analyzed. - Results - Procedural success was 91%. Major and minor complication rates were 9% (one septic shock and one perirenal abscess) and 9% (one perirenal haematoma and one urinoma), respectively. 30-day mortality rate was 6%. Number of CT-views and needle passes were 9.3±6.1 and 3.6±2.6, respectively. Duration of the complete procedure was 87±32min. Dose-length product and dose-area product were 1.8±1.4Gycm and 3.9±4.3Gycm2, respectively. - Conclusions - Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures was feasible with high technical success and a tolerable complication rate.
Beschreibung:Online verfügbar 23 October 2010
Gesehen am 18.10.2022
Beschreibung:Online Resource
ISSN:1872-7727
DOI:10.1016/j.ejrad.2010.09.035

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