Semin intervent Radiol 2006; 23(3): 287-294
DOI: 10.1055/s-2006-948768
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Emergency Percutaneous Nephrostomy

Sidney P. Regalado1
  • 1Department of Diagnostic Radiology, Section of Vascular and Interventional Radiology, University of Chicago Hospitals, Chicago, Illinois
Further Information

Publication History

Publication Date:
16 August 2006 (online)

ABSTRACT

The primary indication for the urgent percutaneous nephrostomy is to relieve an obstructed and infected renal collecting system (pyonephrosis). Percutaneous nephrostomy catheter placement is a safe procedure with a high technical success rate. This article will discuss all aspects regarding the emergent placement of nephrostomy catheters, including the indications, techniques, results, and complications. Differences between emergent and nonemergent placement of percutaneous nephrostomy catheters will also be addressed.

REFERENCES

  • 1 Goodwin W E, Casey W C, Woolf W. Percutaneous trocar nephrostomy in hydronephrosis.  J Am Med Assoc. 1955;  157 891-894
  • 2 Reznek R H, Talner L B. Percutaneous nephrostomy.  Radiol Clin North Am. 1984;  22 393-406
  • 3 Yoder I C, Lindfors K K, Pfister R C. Diagnosis and treatment of pyonephrosis.  Radiol Clin North Am. 1984;  22 407-414
  • 4 Ramchandani P, Cardella J F, Grassi C J et al.. Quality improvements guidelines for percutaneous nephrostomy.  J Vasc Interv Radiol. 2001;  12 1247-1251
  • 5 Pearle M S, Pierce H L, Miller G L et al.. Optimal method of urgent decompression of the collecting system for obstruction and infection due to ureteral calculi.  J Urol. 1998;  160 1260-1264
  • 6 Maher M M, Fotheringham T, Lee M J. Percutaneous nephrostomy.  Semin Intervent Radiol. 2000;  17 329-339
  • 7 Farrell T A, Hicks M E. A review of radiologically guided percutaneous nephrostomies in 303 patients.  J Vasc Interv Radiol. 1997;  8 769-774
  • 8 Funaki B, Vatakencherry G. Comparison of single-stick and double-stick techniques for percutaneous nephrostomy.  Cardiovasc Intervent Radiol. 2004;  27 35-37
  • 9 ACR .American College of Radiology Manual on Contrast Media. 4th ed. Reston, VA; American College of Radiology 1998
  • 10 Zarrinpar A, Kerlan R K. A guide to antibiotics for the interventional radiologist.  Semin Intervent Radiol. 2005;  22 69-79
  • 11 Munver R, Delvecchio F C, Newman G E, Preminger G M. Critical analysis of supracostal access for percutaneous renal surgery.  J Urol. 2001;  166 1242-1246
  • 12 Dyer R B, Regan J D, Kavanagh P V, Khatod E G, Chen M Y, Zagoria R J. Percutaneous nephrostomy with extensions of the technique: step by step.  Radiographics. 2002;  22 503-525
  • 13 Tuttle D N, Yeh B M, Meng M V, Breiman R S, Stoller M L, Coakley F V. Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT.  J Vasc Interv Radiol. 2005;  16 1489-1492
  • 14 Zagoria R J, Dyer B B. Do's and don't's of percutaneous nephrostomy.  Acad Radiol. 1999;  6 370-377
  • 15 Gupta S, Gulati M, Uday S K, Rungta U, Suri S. Percutaneous nephrostomy with real-time sonographic guidance.  Acta Radiol. 1997;  38 454-457
  • 16 Barbaric Z L, Hal T, Cochran S T et al.. Percutaneous nephrostomy: placement under CT and fluoroscopic guidance.  AJR Am J Roentgenol. 1997;  169 151-155
  • 17 Agostini S, Dedola G L, Gabbrielli S, Masi A. A new percutaneous nephrostomy technique in the treatment of obstructive uropathy.  Radiol Med (Torino). 2003;  105 454-461
  • 18 Funaki B, Tepper J A. Percutaneous nephrostomy.  Semin Intervent Radiol. 2006;  23 205-208
  • 19 Patel U, Hussain F F. Percutaneous nephrostomy of nondilated renal collecting system with fluoroscopic guidance: technique and results.  Radiology. 2004;  233 226-233
  • 20 Millward S F. Percutaneous nephrostomy: a practical approach.  J Vasc Interv Radiol. 2000;  11 955-964
  • 21 Lee W J, Patel U, Patel S, Pillari G P. Emergency percutaneous nephrostomy: results and complications.  J Vasc Interv Radiol. 1994;  5 135-139
  • 22 Lewis S, Patel U. Major complications after percutaneous nephrostomy: lessons from a department audit.  Clin Radiol. 2004;  59 171-179

Sidney P RegaladoM.D. 

Assistant Professor of Radiology, Department of Diagnostic Radiology, Section of Vascular and Interventional Radiology, University of Chicago Hospitals

5840 S. Maryland Avenue, MC 2026, Chicago, IL 60637

    >