Zl. Barbaric et al., PERCUTANEOUS NEPHROSTOMY - PLACEMENT UNDER CT AND FLUOROSCOPY GUIDANCE, American journal of roentgenology, 169(1), 1997, pp. 151-155
OBJECTIVE. The purpose of this paper is to present our experience with
CT- and fluoroscopy-guided percutaneous nephrostomy tube (PNT) placem
ent and to describe the technique of placement with patients in the su
pine-oblique position. MATERIALS AND METHODS. A CT scanner was coupled
with a ceiling-mounted C-arm for fluoroscopy at the CT table. PNT was
done with CT localization and fluoroscopic control. We attempted 148
placements in 129 patients, with most patients in the supine or the su
pine-oblique position. RESULTS. Successful PNT placement was achieved
in 144 (97%) of 148 kidneys. In the native kidney group, 101 (81%) of
124 PNTs were placed with the patients in the supine-oblique position.
We experienced no major complications, three (2%) minor complications
, and two (1%) catheter dislodgments. CONCLUSION. CT-fluoroscopy contr
ol allows routine PNT placement with patients in the supine or the sup
ine-oblique position and is associated with the lowest complication ra
te to our knowledge.