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Semin intervent Radiol 2011; 28(4): 367-379
DOI: 10.1055/s-0031-1296079
© Thieme Medical Publishers

Nephroureteral Stents: Principles and Techniques

Abouelmagd Makramalla1 , Darryl A. Zuckerman1
  • 1Section of Vascular and Interventional Radiology, Mallinckrodt Institute of Radiology, St. Louis, Missouri
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Publication History

Publication Date:
03 January 2012 (online)

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ABSTRACT

Nephroureteral stents including antegrade, retrograde, or internal (double-J) stents are routinely placed by interventional radiologists. The purpose of this review is to provide a detailed and comprehensive description of indications, contraindications, technique, and various technical challenges of these procedures. Also pre- and postprocedure management of patients will be discussed including routine follow-up and dealing with potential complications.

KEYWORDS

Antegrade - retrograde - nephroureteral stent - double J stent

REFERENCES

  • 1 Pappas P, Stravodimos K G, Kapetanakis T et al.. Ureterointestinal strictures following Bricker ileal conduit: management via a percutaneous approach.  Int Urol Nephrol. 2008;  40 (3) 621-627
    Search in Google Scholar
  • 2 Alago Jr W, Sofocleous C T, Covey A M et al.. Placement of transileal conduit retrograde nephroureteral stents in patients with ureteral obstruction after cystectomy: technique and outcome.  AJR Am J Roentgenol. 2008;  191 (5) 1536-1539
    Search in Google Scholar
  • 3 Tal R, Bachar G N, Baniel J, Belenky A. External-internal nephro-uretero-ileal stents in patients with an ileal conduit: long-term results.  Urology. 2004;  63 (3) 438-441
    Search in Google Scholar
  • 4 Zaleski G X, Funaki B, Newmark G. Placement of retrograde nephroureteral stents through ileal conduits.  AJR Am J Roentgenol. 1998;  170 (5) 1275-1278
    Search in Google Scholar
  • 5 Drake M J, Cowan N C. Fluoroscopy guided retrograde ureteral stent insertion in patients with a ureteroileal urinary conduit: method and results.  J Urol. 2002;  167 (5) 2049-2051
    Search in Google Scholar
  • 6 Adamo R, Saad WEA, Brown D B. Management of nephrostomy drains and ureteral stents.  Tech Vasc Interv Radiol. 2009;  12 (3) 193-204
    Search in Google Scholar
  • 7 Hausegger K A, Portugaller H R. Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications.  Eur Radiol. 2006;  16 (9) 2016-2030
    Search in Google Scholar
  • 8 Dyer R B, Chen M Y, Zagoria R J, Regan J D, Hood C G, Kavanagh P V. Complications of ureteral stent placement.  Radiographics. 2002;  22 (5) 1005-1022
    Search in Google Scholar
  • 9 Lang E. Antegrade ureteral stenting for dehiscence, strictures, and fistulae.  AJR Am J Roentgenol. 1984;  143 (4) 795-801
    Search in Google Scholar
  • 10 Philiip W, Chao S G, Gordon D H, Glassberg K I. Percutaneous ureteroneocystotomy for treatment of postoperative distal-ureteral stricture.  J Endourol. 1987;  1 (1) 55-59
    Search in Google Scholar
  • 11 Rackson M E, Mitty H A, Dan S J, Train J S. Elevated bladder pressure: a cause of apparent ureteral stent failure.  AJR Am J Roentgenol. 1988;  151 (2) 335-336
    Search in Google Scholar
  • 12 Patel U, Abubacker M Z. Ureteral stent placement without postprocedural nephrostomy tube: experience in 41 patients.  Radiology. 2004;  230 (2) 435-442
    Search in Google Scholar
  • 13 Ho CH, Tai HC, Chang HC et al.. Predictive factors for ureteral double-J-stent-related symptoms: a prospective, multivariate analysis.  J Formos Med Assoc. 2010;  109 (11) 848-856
    Search in Google Scholar
  • 14 Lennon G M, Thornhill J A, Sweeney P A, Grainger R, McDermott T E, Butler M R. ‘Firm’ versus ‘soft' double pigtail ureteric stents: a randomised blind comparative trial.  Eur Urol. 1995;  28 (1) 1-5
    Search in Google Scholar
  • 15 Joshi H B, Stainthorpe A, MacDonagh R P, Keeley Jr F X, Timoney A G, Barry M J. Indwelling ureteral stents: evaluation of symptoms, quality of life and utility.  J Urol. 2003;  169 (3) 1065-1069 discussion 1069
    Search in Google Scholar
  • 16 Joshi H B, Chitale S V, Nagarajan M et al.. A prospective randomized single-blind comparison of ureteral stents composed of firm and soft polymer.  J Urol. 2005;  174 (6) 2303-2306
    Search in Google Scholar
  • 17 Gallo F, Gastaldi E, Spirito G, Barile A, Kosir C, Giberti C. A case of iliac-artery-ureteral fistula managed with a combined endoscopic approach.  Nat Clin Pract Urol. 2008;  5 (4) 225-228
    Search in Google Scholar
  • 18 Darcy M. Uretro-arterial fistulas.  Tech Vasc Interv Radiol. 2009;  12 (3) 216-221
    Search in Google Scholar
  • 19 Bergqvist D, Pärsson H, Sherif A. Arterio-ureteral fistula—a systematic review.  Eur J Vasc Endovasc Surg. 2001;  22 (3) 191-196
    Search in Google Scholar
  • 20 Rana A M, Sabooh A. Management strategies and results for severely encrusted retained ureteral stents.  J Endourol. 2007;  21 (6) 628-632
    Search in Google Scholar
  • 21 Chang RS, Liang HL, Huang JS et al.. Fluoroscopic guidance of retrograde exchange of ureteral stents in women.  AJR Am J Roentgenol. 2008;  190 (6) 1665-1670
    Search in Google Scholar

Abouelmagd MakramallaM.D. 

Section of Vascular and Interventional Radiology, Mallinckrodt Institute of Radiology

510 South Kingshighway Blvd., St. Louis, MO 63110

Email: abouelmagdazab@gmail.com