+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Fluoroscopically guided pyeloureteral interventions by using a perurethral transvesical approach

, : Fluoroscopically guided pyeloureteral interventions by using a perurethral transvesical approach. Ajr. American Journal of Roentgenology 152(1): 97-102

Using a perurethral transvesical approach, we attempted a total of 180 varied pyeloureteral uroradiologic interventional procedures during a 20-month period; 168 were successfully accomplished (93% success rate). We used standard interventional equipment, fluoroscopy, and (for access to the upper urinary tract) ureteral catheters that had been partially or completely inserted at cystoscopy by urologists. The successful procedures included insertion of double-pigtail ureteral stents (42 procedures), inserted of single-pigtail ureteral stents (47), advancement of arrested or incompletely inserted retrograde ureteral catheters (42), urothelial biopsy (30), balloon dilatation of ureteral strictures (three), retrograde cannulation of ureteropelvic junction obstructions that could not be negotiated in a percutaneous antegrade fashion (three), and ureteral stone extraction (one). The method was unsuccessful in 12 patients. Failures were due to caudal migration of a ureteral catheter into the bladder in eight patients and to an inability to advance a guidewire beyond an area of ureteral obstruction or perforation in four. Although most commonly used as an adjunct to extracorporeal shock-wave lithotripsy of renal and proximal ureteral calculi, the perurethral approach was extremely valuable for a wide variety of other indications. Significant complications, encountered in 5% of the procedures, included urosepsis (two), ureteral performations (five), and cannulation of a false ureteral lumen (two). These problems resolved without sequelae with conservative management. The perurethral transvesical approach represents a relatively simple, safe, and expeditious interventional uroradiologic method. It frequently obviated other more invasive interventions such as percutaneous nephrostomy, ureteroscopy, or surgery.


PMID: 2783294

DOI: 10.2214/ajr.152.1.97

Other references

Shiloh, S.; S.J.mes, P.; Waisbren, S., 1990: The development of a patient knowledge test on maternal phenylketonuria. A short multiple-choice knowledge test on maternal phenylketonuria was developed and validated. It was administered to 49 young female patients participating in a longitudinal study. The test was analyzed for its psychometric qualities and was fou...

Veien, N.K.; Buus, S.K., 2000: Treatment of epidermolysis bullosa simplex (EBS) with tetracycline. Archives of Dermatology 136(3): 424-425

Anderson, E.C.; Thompson, E.A., 2002: A model-based method for identifying species hybrids using multilocus genetic data. We present a statistical method for identifying species hybrids using data on multiple, unlinked markers. The method does not require that allele frequencies be known in the parental species nor that separate, pure samples of the parental species...

Song, Y-Qin.; Chen, M.; Yang, Z-Ling.; He, W-Yin.; Liu, W-Qiang.; Li, Y.; Gong, Y-Fei.; Wang, J-Yan.; Sun, X-Fang.; Chen, X-Jie., 2016: Prenatal diagnosis of hemivertebrae--A likely association with 7q deletion. This study aims to investigate the possible cause of a prenatal case of hemivertebrae with a 7q terminal deletion. This case describes a fetus with hemivertebrae in thoracic vertebrae as the sole antenatal sonographic finding. Genetic testing was...

Plateaux-Quenu, C.P.ateaux, L., 1980: Analysis of the male and female constituents in the first brood of Evylaeus calceatus (Scop.) (Hymenoptera, Halictinae). Annales des sciences naturelles zoologie et biologie animale 13e serie(4): 209-214

Anonymous, 2013: Local Attitudes on Protected Areas Evidence from Sumava National Park and Sumava Protected Landscape Area. The present article aims to describe perceptions and awareness of local residents in two categories of the Sumava region protected areas National Park (NP) and Protected Landscape Area (PLA). The survey explores perceptions of individuals on natur...

Miller, J.; Dalton, M.K.; Duggan, C.; Lam, S.; Iglesias, J.; Jaksic, T.; Gura, K.M., 2014: Going with the flow or swimming against the tide: should children with central venous catheters swim?. Children who require long-term parenteral nutrition (PN) have central venous catheters (CVCs) in place to allow the safe and effective infusion of life-sustaining fluids and nutrition. Many consider recreational swimming to be a common part of chi...

Neumann,H.; Ehrich,S.; Kroncke,I., 2008: Effects of cold winters and climate on the temporal variability of an epibenthic community in the German Bight. Benthic epifauna was sampled in an area of 10x10 nautical miles in the German Bight. Samples were collected in January and July/August from 1998 to 2007 with a standard 2 m beam trawl. The epibenthic communities were severely affected by the cold...

Zuin, M.; Kuo, W.T.; Rigatelli, G.; Daggubati, R.; Vassiliev, D.; Roncon, L., 2016: Catheter-directed therapy as a first-line treatment strategy in hemodynamically unstable patients with acute pulmonary embolism: Yes or no?. International Journal of Cardiology 225: 14-15

Zhou, G.; Pang, H.; Tang, Y.; Yao, X.; Mo, X.; Zhu, S.; Guo, S.; Qian, D.; Qian, Y.; Su, S.; Zhang, L.; Jin, C.; Qin, Y.; Duan, J-ao., 2013: Hydrophilic interaction ultra-performance liquid chromatography coupled with triple-quadrupole tandem mass spectrometry for highly rapid and sensitive analysis of underivatized amino acids in functional foods. This work presented a new analytical methodology based on hydrophilic interaction ultra-performance liquid chromatography coupled with triple-quadrupole tandem mass spectrometry in multiple-reaction monitoring mode for analysis of 24 underivatized...