Percutaneous Nephrostomy: Native and Transplanted Kidneys

Dual Technique Percutaneous Nephrostomy: Experience from a Tertiary Care Centre

“…In contrast to 22 G needle that accepts only 0.018 inch guide wire, requires a composite/telescoped access system to allow a 0.035 inch wire over which the dilator and catheter can be passed. [3] Overall complication rate in our study is 14.9% (in 66 PCN). Total rate of major complication is 2% (9 patients).…”

“…Needle access into the pelvic alyceal system can be done as (i) one step technique under USG guidance (ii) two step technique using USG guided renal pelvic access followed by definitive fluoroscopy guided needle access or (iii) two step technique using fluoroscopy guided renal pelvic access followed by definitive fluoroscopy guided needle access. [3] In all cases of our study needle access was done in one step technique under USG guidance. After puncture of the calyx the remaining steps were performed under fluoroscopy guidance.…”

“…As per our department protocol, International normalised ratio (INR) should be less than or equal to 1.4 and platelet counts more than 50,000 per mm 3 . Abnormalities in PT and the partial thromboplastin time (PTT) were corrected by giving fresh frozen plasma and vitamin K prior to the procedure.…”

“…[1,2] In percutaneous nephrostomy access to pelvicalyceal system of www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i2.185 kidney is obtained through the skin providing external drainage or a portal for minimally invasive procedures. [3] PCN is an effective and safe minimally invasive procedure in experienced hand. PCN is usually indicated for decompression of urinary obstruction, which may be secondary to nephrolithiasis, pelvicalyceal malignancy, retroperitoneal fibrosis and other urogenital and soft tissue tumors.…”

Akut és szubakut klinikai állapotok radiológiai intervenciója: fókuszban a nem vascularis intervenciók és a haemoptysis kezelése

“…A fentiekhez hasonlóan először az akut állapot kezelésére szorít-kozunk, a pontos anatómiai ábrázolás, netán végleges megoldás későbbi időre halasztható (3. ábra). Uretersé-rülések esetén a pyelon leggyakrabban nem tágabb -ez nehezíti a punkciót, de jó minőségű ultrahang-berendezéssel és ultrahangon jobban látható végkiképzésű tűvel sikeresen kivitelezhető [6]. A perinephricus, psoas és kismedencei folyadékok, urinomák, tályogok drenázsa nem különbözik a korábban leírtaktól.…”