Intravenous Misplacement of the Nephrostomy Catheter Following Percutaneous Nephrostolithotomy: Two Case Reports

Mazzucchi, Eduardo; Mitre, Anuar; Brito, Artur Henrique; Arap, Marco Antônio; Murta, Cláudio Bovolenta; Srougi, Miguel

doi:10.1590/s1807-59322009000100013

Cited by 22 publications

(34 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our patients, the guidewire was not found to pass directly into the venous system on radiological monitoring during the procedure. Hence, we considered that the nephrostomy tube passed into a vein after the fascial dilators had torn a large vein, as described by Mazzuchi et al (6).…”

Section: Discussionmentioning

confidence: 99%

“…None of our 3 patients received antithrombotic therapy or developed venous thrombosis. The anti-coagulation mechanisms can avoid the formation of atrial thrombi and consequent pulmonary embolism (4), and thrombotic phenomena are probably not observed due to the high blood flow and low venous pressure inside these veins (6). Thus, antithrombotic therapy is not necessary for these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, there has been an increase in surgical complications over the last decade (2). Intravenous misplacement of a urologic catheter is an uncommon complication of percutaneous renal surgery (2)(3)(4)(5)(6). Improper treatment of patients with this complication could lead to serious consequences, such as hemorrhage, embolization, perforation and infection (7,8).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intravenous misplacement of nephrostomy tube following percutaneous nephrolithotomy: Three new cases and review of seven cases in the literature

Chen

Shan-qun

et al. 2014

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Intravenous misplacement of nephrostomy tube following percutaneous nephrolithotomy: Three new cases and review of seven cases in the literature

Chen

Shan-qun

et al. 2014

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

“…Mazzucchi and colleagues reported 2 cases, both of which were done at the end of PCNL procedures, and discovered few days later. 3 The authors withdrew the catheters, in the presence of a surgical team, with no bleeding. They explained that the mishap occurred due to an injury of a large venous trunk during the percutaneous silicon catheter insertion procedure, with the presence of an Amplatz sheath near the venous injury, which dislodged the catheter into the IVC.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous silicon catheter insertion into the IVC, following percutaneous nephrostomy (PCN) exchange

Kotb

Elabbady

Mohamed

et al. 2013

CUAJ

View full text Add to dashboard Cite

case report E505Cite as: Can Urol Assoc J 2013;7(7-8):e505-7. http://dx.doi.org/10.5489/cuaj.1403 Published online on July 2, 2013. AbstractPercutaneous nephrostomy (PCN) has been widely used to drain an infected, obstructed kidney. Few major complications have been associated with it. Few publications have reported the misplacement of nephrostomy tube into the inferior vena cava (IVC), following percutaneous nephrolithotomy. We report a case of a misplaced silicon catheter, through the left renal vein, extending into the IVC, following nephrostomy tube exchange. Our case was safely managed, and we concluded that although PCN and nephrostomy tube exchange are relatively simple procedures, they should be done cautiously, by a well-trained urologist, and preferably under ultrasound or fluoroscopic guidance.

show abstract

“…In cases where misplacement of the tube is detected, depending on the postoperative time elapsed, relocation of the nephrostomy tube under fluoroscopy is strongly recommended, and the surgical team must stand ready to operate in case an open emergency procedure is required [ 9 ]. Our case illustrates that control on the hemorrhage could be achieved with the catheter being withdrawn in stages, and laparotomy could be avoided despite of the perforation into the major renal vein.…”

Section: Discussionmentioning

confidence: 99%

Metachronous renal vein and artery injure after percutaneous nephrostolithotomy

et al. 2013

View full text Add to dashboard Cite

BackgroundPercutaneous nephrostolithotomy is important approach for kidney stones removal. A percutaneous nephrostomy drainage tube placement is an effective method to stop venous bleeding. Occasionally, the catheter can pierce into the renal parenchyma, and migrate into the renal vein even to the vena cava.Case presentationA 66-year-old woman underwent a percutaneous nephrostolithotomy for kidney staghorn stone complicating severe bleeding. A computed tomography angiography showed the percutaneous nephrostomy drainage tube inside the renal vein. The percutaneous nephrostomy drainage tube was withdrawn 3 cm back to the renal parenchyma/sinus/pelvis in stages with the surgical team on standby. Seven days later, the patient developed severe hematuria. Computed tomography angiography demonstrated the pseudoaneurysm located near the percutaneous nephrostomy drainage tube. Pseudoaneurysm is embolized successfully.ConclusionOur case shows intravenous misplacement of the nephrostomy tube and subsequent pseudoaneurysm after percutaneous nephrostolithotomy. To our knowledge, this seems to be the first documentation of major bleeding from the injury to both renal vein and artery. The percutaneous nephrostomy drainage tube can be withdrawn back to the renal parenchyma/sinus/pelvis in stages with the surgical team on standby, and the withdrawn distance may vary according to patient and catheter position.

show abstract

Intravenous Misplacement of the Nephrostomy Catheter Following Percutaneous Nephrostolithotomy: Two Case Reports

Cited by 22 publications

References 3 publications

Intravenous misplacement of nephrostomy tube following percutaneous nephrolithotomy: Three new cases and review of seven cases in the literature

Intravenous misplacement of nephrostomy tube following percutaneous nephrolithotomy: Three new cases and review of seven cases in the literature

Percutaneous silicon catheter insertion into the IVC, following percutaneous nephrostomy (PCN) exchange

Metachronous renal vein and artery injure after percutaneous nephrostolithotomy

Contact Info

Product

Resources

About