Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures

• Verfasst von: Sommer, Christof-Matthias [VerfasserIn]
• Verfasst von: Huber, J. [VerfasserIn]
• Verfasst von: Radeleff, Boris [VerfasserIn]
• Verfasst von: Hosch, Waldemar P. [VerfasserIn]
• Verfasst von: Stampfl, Ulrike [VerfasserIn]
• Verfasst von: Lönard, Brigitta Michaela [VerfasserIn]
• Verfasst von: Hallscheidt, Peter [VerfasserIn]
• Verfasst von: Haferkamp, A. [VerfasserIn]
• Verfasst von: Kauczor, Hans-Ulrich [VerfasserIn]
• Verfasst von: Richter, Götz Martin [VerfasserIn]
• Titel: Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures
• Verf.angabe: C.M. Sommer, J. Huber, B.A. Radeleff, W. Hosch, U. Stampfl, B.M. Loenard, P. Hallscheidt, A. Haferkamp, H.U. Kauczor, G.M. Richter
• Jahr: 2011
• Umfang: 6 S.
• Fussnoten: Online verfügbar 23 October 2010 ; Gesehen am 18.10.2022
• Titel Quelle: Enthalten in: European journal of radiology
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1990
• Jahr Quelle: 2011
• Band/Heft Quelle: 80(2011), 3, Seite 686-691
• ISSN Quelle: 1872-7727
• DOI: doi:10.1016/j.ejrad.2010.09.035
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: CT-guided
• Sach-SW: Fluoroscopy-guided
• Sach-SW: Non-obstructive uropathy
• Sach-SW: Percutaneous nephrostomy
• Sach-SW: Urine leaks
• K10plus-PPN: 1819112934

Abstract

Aim - To report our experience of combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures. - Patients and methods - Eighteen patients (23 kidneys) with non-obstructive uropathy due to urine leaks underwent combined CT- and fluoroscopy-guided nephrostomy. All procedures were indicated as second-line interventions after failed ultrasound-guided nephrostomy. Thirteen males and five females with an age of 62.3±8.7 (40-84) years were treated. Urine leaks developed in majority after open surgery, e.g. postoperative insufficiency of ureteroneocystostomy (5 kidneys). The main reasons for failed ultrasound-guided nephrostomy included anatomic obstacles in the puncture tract (7 kidneys), and inability to identify pelvic structures (7 kidneys). CT-guided guidewire placement into the collecting system was followed by fluoroscopy-guided nephrostomy tube positioning. Procedural success rate, major and minor complication rates, CT-views and needle passes, duration of the procedure and radiation dose were analyzed. - Results - Procedural success was 91%. Major and minor complication rates were 9% (one septic shock and one perirenal abscess) and 9% (one perirenal haematoma and one urinoma), respectively. 30-day mortality rate was 6%. Number of CT-views and needle passes were 9.3±6.1 and 3.6±2.6, respectively. Duration of the complete procedure was 87±32min. Dose-length product and dose-area product were 1.8±1.4Gycm and 3.9±4.3Gycm2, respectively. - Conclusions - Combined CT- and fluoroscopy-guided nephrostomy in patients with non-obstructive uropathy due to urine leaks in cases of failed ultrasound-guided procedures was feasible with high technical success and a tolerable complication rate.