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Semin intervent Radiol 2000; 17(4): 329-340
DOI: 10.1055/s-2000-13146
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Percutaneous Nephrostomy

Michael M. Maher, Timothy Fotheringham, Michael J. Lee
  • Department of Radiology, Beaumont Hospital and the Royal College of Surgeons Medical School, Dublin, Ireland
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Percutaneous nephrostomy (PCN) is now established as a safe and effective early treatment for patients with urinary tract obstruction. In experienced hands, PCN is usually successful and is associated with low complication rates. This article discusses all aspects of PCN, including the indications and contraindications to PCN, patient preparation, the techniques employed for gaining access to the urinary tract, and placement of the PCN tube. In addition, we discuss the complications of PCN and possible ways of avoiding them, as well as the care of patients following PCN.

KEYWORD

Percutaneous nephrostomy - renal failure - pyonephrosis

REFERENCES

  • 1 Ferral H, Stackhouse D J, Bjarnason H, Hunter D W, Castaneda-Zuniga W R. Complications of percutaneous nephrostomy tube placement.  Semin Intervent Radiol . 1994;  11 198-206
    PubMedGoogle Scholar
  • 2 Stables D P. Percutaneous nephrostomy: techniques, indications and results.  Urol Clin North Am . 1982;  915-929
    PubMedGoogle Scholar
  • 3 Lee W J, Patel U, Patel S, Pillari G P. Emergency percutaneous nephrostomy: results and complications.  J Vasc Interv Radiol . 1994;  5 135-139
    CrossrefPubMedGoogle Scholar
  • 4 Cochran S T, Barbaric Z L, Lee J J, Kashfian P. Percutaneous nephrostomy tube placement: an outpatient procedure?.  Radiology . 1999;  179 843-847
    PubMedGoogle Scholar
  • 5 Gray R R, So C B, McLoughlin R F, Pugash R A, Saliken J C, Macklin N I. Outpatient percutaneous nephrostomy.  Radiology . 1996;  198 85-88
    PubMedGoogle Scholar
  • 6 Barbaric Z L, Hall T, Cochran S T. Percutaneous nephrostomy: placement under CT and fluoroscopy guidance.  AJR Am J Roentgenol . 1997;  169 151-155
    PubMedGoogle Scholar
  • 7 Haaga J R, Zelch M G, Alfidi R J, Steward B H, Daugherty J D. CT-guided antegrade pyelography and percutaneous nephrostomy.  AJR Am J Roentgenol . 1997;  128 621-624
    PubMedGoogle Scholar
  • 8 Merkle E M, Hashim M, Wendt M, Lewin J S. MR guided percutaneous nephrostomy of the non-dilated upper urinary tract in a procine model.  AJR Am J Roentgenol . 1999;  172 1221-1225
    PubMedGoogle Scholar
  • 9 Murphy T P, Dorfman G S, Becker J. Use of preprocedural tests by interventional radiologists.  Radiology . 1993;  186 213-220
    PubMedGoogle Scholar
  • 10 Silverman S G, Mueller P R, Pfiser R C. Hemostatic evaluation before abdominal interventions: an overview and proposal.  AJR Am J Roentgenol . 1990;  154 233-238
    PubMedGoogle Scholar
  • 11 Lee W J, Smith A D, Cubelli V. Complications of percutaneous nephrolithotomy.  AJR Am J Roentgenol . 1987;  148 177-180
    PubMedGoogle Scholar
  • 12 Fritzche P. Antegrade pyelography: therapeutic applications.  Radiol Clin North Am . 1986;  4 573-586
    PubMedGoogle Scholar
  • 13 Lang E K, Price E T. Redefinitions of indications for percutaneous nephrostomy.  Radiology . 1983;  147 419-426
    CrossrefPubMedGoogle Scholar
  • 14 Fowler Jr E J, Meares Jr M E, Goldin A R. Percutaneous nephrostomy: techniques, indications and results.  Urology . 1975;  6 428-434
    CrossrefPubMedGoogle Scholar
  • 15 Ho P C, Talner L B, Parsons C L, Schmidt J D. Percutaneous nephrostomy: experience in 107 kidneys.  Urology . 1980;  16 532-535
    PubMedGoogle Scholar