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...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2011
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| 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 
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| 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 |
MARC
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| 245 | 1 | 0 | |a Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures |c 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 |
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| 520 | |a 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. | ||
| 650 | 4 | |a CT-guided | |
| 650 | 4 | |a Fluoroscopy-guided | |
| 650 | 4 | |a Non-obstructive uropathy | |
| 650 | 4 | |a Percutaneous nephrostomy | |
| 650 | 4 | |a Urine leaks | |
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