Download PDF
Semin intervent Radiol 2014; 31(01): 098-100
DOI: 10.1055/s-0033-1363849
How I Do It
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Access of Nondilated Renal Collecting Systems

Charles E. Ray Jr.
1   Department of Radiology, School of Medicine, University of Colorado, Aurora, Colorado
,
Anthony C. Brown
1   Department of Radiology, School of Medicine, University of Colorado, Aurora, Colorado
,
Mitchell T. Smith
1   Department of Radiology, School of Medicine, University of Colorado, Aurora, Colorado
,
Paul J. Rochon
1   Department of Radiology, School of Medicine, University of Colorado, Aurora, Colorado
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2014 (online)

Also available at
   Permissions and Reprints

Interventional radiology (IR) has seen an increase in the numbers of patients referred for urinary diversion in patients with ureteral leaks. This increase has corresponded to the increasing use of complicated surgical procedures for lower urinary tract tumors. These procedures are often relatively difficult to perform for two reasons: first, the renal collecting systems are typically completely decompressed due to the leak; second, many of these patients have recently undergone a significant operation via a ventral approach, making patient positioning difficult. The latter issue is relatively easy to control with the aid of anesthesiologists and the creative use of bolsters and pillows, although in the worst case scenario patients may have to be positioned in a lateral decubitus position (further complicating an already difficult procedure). The discussion below outlines the authors' procedural algorithm in gaining percutaneous collecting system access in this difficult patient population.

 

  • Bibliography

  • Dagli M, Ramchandani P. Percutaneous nephrostomy: technical aspects and indications. Semin Intervent Radiol 2011; 28 (4) 424-437
    Article in Thieme ConnectPubMedGoogle Scholar
  • Patel U, Hussain FF. Percutaneous nephrostomy of nondilated renal collecting systems with fluoroscopic guidance: technique and results. Radiology 2004; 233 (1) 226-233
    CrossrefPubMedGoogle Scholar
  • Yagci C, Ustuner E, Atman ED, Baltaci S, Uzun C, Akyar S. Diuretic agent and normal saline infusion technique for ultrasound-guided percutaneous nephrostomies in nondilated pelvicaliceal systems. Cardiovasc Intervent Radiol 2013; 36 (2) 492-497
    CrossrefPubMedGoogle Scholar