Outpatient percutaneous nephrostomy.

Gray, R; So, Benny; McLoughlin, Raymond F.; Pugash, Robyn; Saliken, John C.; Macklin, N I

doi:10.1148/radiology.198.1.8539411

Cited by 31 publications

(10 citation statements)

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“…Previous studies show a success rate of 90% or more using some guidance modality [11,14,15] and 91% to 92%, when USG alone is used for the procedure [14]. With improved imaging systems, PCN has largely replaced surgical nephrostomy in drainage of obstructed renal systems and can be safely performed as an outpatient procedure with same day discharge [16].…”

Section: Successmentioning

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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Section: Successmentioning

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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“…Despite many advantages of this procedure, the use of percutaneous nephrostomy [10] can be questioned in as much alternative techniques such as sonographic and X-ray, powerful, cheap and easily available.…”

mentioning

confidence: 99%

Percutaneous nephrostomy: placement under laser guidance and real-time CT fluoroscopy

et al. 2000

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The purpose of this paper is to present our experience with real-time computed tomography (CT) fluoroscopy guided percutaneous nephrostomy (PNT) and to describe this technique involving puncture under laser guidance. We attempted 30 placements in 25 patients: puncture was directed by laser guidance and placement of the tube was made under real time CT fluoroscopy. 25 procedures were performed in prone position and 5 procedures in the supine position. The time necessary for the procedure ranged from 10 to 45 min (mean 25 min). The average duration of CT fluoroscopy per placement was 49 seconds (range 7-110 s). The PNT placement was successful as a sole procedure including puncture and catheter placement in 24 of 30 cases; in the remainder of cases, puncture was performed under CT guidance but the catheter was definitively positioned in conventional fluoroscopy. The CT fluoroscopy technique allows routine, efficient and safe PNT placement, especially when encountering difficult access to the pelvicaliceal system.

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“…[12] Success rate in most recent series under fluoroscopy guidance alone or in combination of USG and fluoroscopy ranges from 98 to 100%. [13,4,14,15] Success rate using USG only is 91-92%. [16,17] The lower success rate using USG alone may be due to difficulty in visualisation of guidewire and catheter.…”

Section: Discussionmentioning

confidence: 99%

Dual Technique Percutaneous Nephrostomy: Experience from a Tertiary Care Centre

Naik¹

2018

jmscr

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Outpatient percutaneous nephrostomy.

Abstract: Outpatient PCN is feasible and safe in carefully selected patients and yields major cost savings because it precludes hospital admission.

Cited by 31 publications

References 0 publications

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

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

Percutaneous nephrostomy: placement under laser guidance and real-time CT fluoroscopy

Dual Technique Percutaneous Nephrostomy: Experience from a Tertiary Care Centre

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