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

Abstract

ARTICLE INfO ______________________________________________________________ ______________________Purpose: We investigated the characteristics and management of patients with intravenous misplacement of a nephrostomy tube.

Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: two case reports and literature review

“…The tract was allowed to heal with the catheter being withdrawn in stages, under fluoroscopic guidance. Similar to the other reported cases, Xiao-Feng Chen and colleagues [8] reported three cases of intravenous misplacement after PCNL. The tip of the tube was located in the IVC in two cases, and in the renal vein in one case.…”

Intravenous misplacement of the nephrostomy catheter following percutaneous nephrostolithotomy: a case report and literature review

“…9,10 Several publications have shown rare complications that are related to nephrostomy tube misplacement into the vessel following PCNL. 2,4,5,9,[11][12][13][14][15] The data from these publications are summarized in Table 1. Controllable bleeding is a common complication during PCNL.…”

The use of endo-vascular balloon tamponade technique for the removal of a misplaced nephrostomy tube in the inferior vena cava: A case report

“…The pre-existing chronic infection like in our case is a risk factor for intravenous catheter migration [7] . Patients with solitary kidney are more prone to have this rare complication [4] . Poor visualization of the renal calyces owing to bleeding in the kidney may contribute to misplacement of the tube into the vascular system [4] .…”

“…The closed nephrostomy tube can be removed in the operating room under CT, US or fluoroscopic guidance. They recommended one step removal if the misplaced catheter tip is in the renal vein adjacent to the sinus after seven days [4] .…”

“…Few case reports have been published in the literature. Chen et al reported three cases of intravenous misplacement of nephrostomy catheter following percutaneous nephrolithotomy (PCNL) and incidence of 0.5% in their hospital [4] . There are few other case reports scattered in the literature.…”