Complications of percutaneous nephrostomy, percutaneous insertion of ureteral endoprosthesis, and replacement procedures

Citation
Is. Kaskarelis et al., Complications of percutaneous nephrostomy, percutaneous insertion of ureteral endoprosthesis, and replacement procedures, CARDIO IN R, 24(4), 2001, pp. 224-228
Citations number
19
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
ISSN journal
01741551 → ACNP
Volume
24
Issue
4
Year of publication
2001
Pages
224 - 228
Database
ISI
SICI code
0174-1551(200107/08)24:4<224:COPNPI>2.0.ZU;2-U
Abstract
Purpose: The aim of the present study was to record and identify the freque ncy of complications following percutaneous nephrostomy, replacement of nep hrostomy drains and percutaneous insertion of ureteral endoprostheses. Methods: During a 10-year period 341 patients were referred to our departme nt with indications for percutaneous nephrostomy and/or percutaneous insert ion of a ureteral endoprosthesis, and a total of 1036 interventional. proce dures were performed (nephrostomy, catheter change, stenting). Results: There were three major complications (0.29%): two patients died du ring, the first 30 days after the procedure, due to aggravation of their co ndition caused by the procedure, and one patient had retroperitoneal bleedi ng requiring surgery. There were 76 complications of intermediate severity (7.33%): catheter or stent displacement (n = 37, 3.57%) catheter occlusion (n = 18, 1.73%), hematuria (n = 12, 1.16%), and urinary tract infection (n = 9, 0.87%). The 55 minor complications (5.3%),comprised inflammation of th e skin at the site of insertion of the percutaneous catheter. Conclusion: The small number of complications observed during acts of inter ventional uroradiology prove transcutaneous manipulations to be safe medica l procedures.