Complications of Percutaneous Nephrostomy, Percutaneous Insertion of Ureteral Endoprosthesis, and Replacement Procedures

Kaskarelis, Ioannis; Papadaki, Marina; Malliaraki, Niki; Robotis, Epaminondas D.; Malagari, Katerina; Piperopoulos, Ploutarchos

doi:10.1007/s00270-001-0004-z

Cited by 52 publications

(39 citation statements)

References 8 publications

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“…In our series, there were two perirenal hematoma and one postprocedure sepsis and this % 5 incidance of significant complications are not significantly higher than fluoroscopy guided procedures. There were eight (% 13.7) catheter dislodgement and two (% 3.4) catheter blockages that required exchange of catheter in our series and these rates are in correlation with reported %7-14 minor complication rates of fluoroscopy guided procedures (2,17,18). …”

Section: DI Is Sc Cu Us Ss Si Io On Nsupporting

confidence: 78%

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Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis

Özden¹

2002

Journal of Ankara Medical School

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Section: DI Is Sc Cu Us Ss Si Io On Nsupporting

confidence: 78%

“…These two attempts are a failure but not caused by US guidance and with these two accepted out of the study group, the real success rate of US guidance rises to % 91 in grade 2 hydronephrosis. But this is still under the % 96-100 reported success rates of fluoroscopy guided procedures (2,14).…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%

Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis

Özden¹

2002

Journal of Ankara Medical School

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“…USG localized the calyx for puncture while fluoroscopy was used for guidewire and catheter manipulations in the present study as also used by other authors [12]. In contrast to fluoroscopy real time ultrasound provides excellent cross sectional anatomic detail that allows for access to kidney in a single puncture with confidence [13].…”

Section: Discussionmentioning

confidence: 86%

“…Other advantages are avoiding radiation, lesser adjacent visceral/vascular injury. USG also allows for the shortest and most direct access to targeted renal calyx with minimal morbidity [12].…”

Section: Discussionmentioning

confidence: 99%

Success, Effectiveness and Safety of Combined Sonographic and Fluoroscopic Guided Percutaneous Nephrostomy in Malignant Ureteral Obstruction

Bhatt

Verma

Grover

et al. 2017

IJRRT

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Introduction: Percutaneous nephrostomy (PCN) is a palliative procedure required to drain malignant ureteral obstruction to provide reasonable benefit to the patient. The study was conducted with the objective to assess the success, effectiveness and safety of combined USG and Fluoroscopy guided percutaneous nephrostomy in malignant ureteral obstruction.Method: 69 obstructed ureters due to malignant cause in 50 patients were drained by PCN using combined ultrasound (USG) and fluoroscopic guidance. Postprocedural renal function tests were compared to pre-procedural values using paired t-test. Percentage of correct placement of tube and complications were studied.Result: PCN was successful in 98.55% units. Significant improvement in renal function occurred in 88% patients. Mean urea dropped from 89.68mg/dl ±39.95 to 65.34±16.55 mg/d and mean S. creatinine decreased from 4.31±2.84 to 2.61±1.21 between 14-35 days. No statistically significant increase was seen in renal parenchymal thickness. Major complications developed in 4.33% while minor in 50.72% PCN's with pain being the most common complication in 17.39% cases. Conclusion:PCN was successfully performed under combined image guidance and it effectively drained the obstructed kidney. It is a safe procedure but has a high minor complication rate leading to patient morbidity.

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“…This is the safest way of catheter fixation; however, skin inflammation at the entry site may be more common Fig. 7 Massive isodense retroperitoneal haematoma on the left side after bilateral percutaneous nephrostomy (arrows) [38]. The other possibility is to use self-retaining catheters (Flexima catheter; Boston Scientific, Watertown, N.J., USA).…”

Section: Local Complicationsmentioning

confidence: 98%

Percutaneous nephrostomy and antegrade ureteral stenting: technique—indications—complications

2006

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In this review the technique, indication for and complications of percutaneous nephrostomy (PCN) and antegrade ureter stent insertion are described. In the majority of the cases PCN is performed to relieve urinary obstruction, which can be of benign or malignant nature. Another indication for PCN is for treatment of urinary fistulas. PCN can be performed under ultrasound and/or fluoroscopic guidance, with a success rate of more than 90%. The complication rate is approximately 10% for major and minor complications together and 4-5% for major complications only. Percutaneous antegrade double-J stent insertion usually is performed if retrograde ureter stenting has not been successful. However, especially in malignant obstructions, the success rate for antegrade stenting is higher than for retrograde transvesical double-J stent insertion. In the case of severe infection and bleeding after PCN JJ-stent insertion may be contraindicated so long as there is no sufficient concomitant drainage via a PCN . Lower urinary tract dysfunction should be excluded before stent placement. The complication rate is 2-4%. Consequent stent surveillance with regular stent exchange is mandatory.

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Complications of Percutaneous Nephrostomy, Percutaneous Insertion of Ureteral Endoprosthesis, and Replacement Procedures

Abstract: The small number of complications observed during acts of interventional uroradiology prove transcutaneous manipulations to be safe medical procedures.

Cited by 52 publications

References 8 publications

Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis

Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis

Success, Effectiveness and Safety of Combined Sonographic and Fluoroscopic Guided Percutaneous Nephrostomy in Malignant Ureteral Obstruction

Percutaneous nephrostomy and antegrade ureteral stenting: technique—indications—complications

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