Subscribe to RSS
DOI: 10.1055/s-0031-1296083
Pediatric Urologic Interventional Radiology
Publication History
Publication Date:
03 January 2012 (online)
![](https://www.thieme-connect.de/media/sir/201104/lookinside/thumbnails/10.1055-s-0031-1296083-1.jpg)
ABSTRACT
Interventional radiologists are playing an increasingly important role in pediatric urologic intervention, working closely with the pediatric urologist. Interventional radiologists are frequently asked to establish percutaneous access to the renal collecting system prior to nephrolithotomy. Additionally, procedures such as percutaneous nephrostomy, ureteral stent placement and exchange, and renal parenchymal biopsy are frequently encountered requests. This article will review these common procedures and highlight techniques and pathology that are unique to the pediatric population.
KEYWORDS
Pediatric - urologic - interventional radiology - percutaneous nephrostomy - renal biopsy
REFERENCES
- 1 Ball Jr W S, Towbin R, Strife J L, Spencer R. Interventional genitourinary radiology in children: a review of 61 procedures. AJR Am J Roentgenol. 1986; 147 (4) 791-796
- 2 Barnacle A M, Wilkinson A G, Roebuck D J. Paediatric interventional uroradiology. Cardiovasc Intervent Radiol. 2011; 34 (2) 227-240
- 3 Yavascan O, Aksu N, Erdogan H et al.. Percutaneous nephrostomy in children: diagnostic and therapeutic importance. Pediatr Nephrol. 2005; 20 (6) 768-772
- 4 Laurin S, Sandström S, Ivarsson H. Percutaneous nephrostomy in infants and children. Acad Radiol. 2000; 7 (7) 526-529
- 5 Stanley P, Diament M J. Pediatric percutaneous nephrostomy: experience with 50 patients. J Urol. 1986; 135 (6) 1223-1226
- 6 O'Brien W M, Matsumoto A H, Grant E G, Gibbons M D. Percutaneous nephrostomy in infants. Urology. 1990; 36 (3) 269-272
- 7 Stanley P, Bear J W, Reid B S. Percutaneous nephrostomy in infants and children. AJR Am J Roentgenol. 1983; 141 (3) 473-477
- 8 Winfield A C, Kirchner S G, Brun M E, Mazer M J, Braren H V. Percutaneous nephrostomy in neonates, infants, and children. Radiology. 1984; 151 (3) 617-619
- 9 Kim Y S, Do S H, Hong C H, Kim M J, Choi S K, Han S W. Does every patient with ureteropelvic junction obstruction need voiding cystourethrography?. J Urol. 2001; 165 (6 Pt 2) 2305-2307
- 10 Houben C H, Wischermann A, Börner G, Slany E. Outcome analysis of pyeloplasty in infants. Pediatr Surg Int. 2000; 16 (3) 189-193
- 11 Perez-Brayfield M R, Kirsch A J, Jones R A, Grattan-Smith J D. A prospective study comparing ultrasound, nuclear scintigraphy and dynamic contrast enhanced magnetic resonance imaging in the evaluation of hydronephrosis. J Urol. 2003; 170 (4 Pt 1) 1330-1334
- 12 Hogan M J, Coley B D, Jayanthi V R, Shiels W E, Koff S A. Percutaneous nephrostomy in children and adolescents: outpatient management. Radiology. 2001; 218 (1) 207-210
- 13 Zeren S, Satar N, Bayazit Y, Bayazit A K, Payasli K, Ozkeçeli R. Percutaneous nephrolithotomy in the management of pediatric renal calculi. J Endourol. 2002; 16 (2) 75-78
- 14 Cameron M A, Sakhaee K, Moe O W. Nephrolithiasis in children. Pediatr Nephrol. 2005; 20 (11) 1587-1592 Review
- 15 Zilberman D E, Lipkin M E, de la Rosette J J et al.. Tubeless percutaneous nephrolithotomy–the new standard of care?. J Urol. 2010; 184 (4) 1261-1266
- 16 Bilen C Y, Gunay M, Ozden E, Inci K, Sarikaya S, Tekgul S. Tubeless mini percutaneous nephrolithotomy in infants and preschool children: a preliminary report. J Urol. 2010; 184 (6) 2498-2502
- 17 Patel U, Abubacker M Z. Ureteral stent placement without postprocedural nephrostomy tube: experience in 41 patients. Radiology. 2004; 230 (2) 435-442
- 18 Aubert D, Rigaud P, Zoupanos G. Double pigtail ureteral stent in pediatric urology. Eur J Pediatr Surg. 1993; 3 (5) 281-283
- 19 Wilkinson A G, Azmy A. Balloon dilatation of the pelviureteric junction in children: early experience and pitfalls. Pediatr Radiol. 1996; 26 (12) 882-886
- 20 Sweeney C, Geary D F, Hebert D, Robinson L, Langlois V. Outpatient pediatric renal transplant biopsy—is it safe?. Pediatr Transplant. 2006; 10 (2) 159-161 Erratum in: Pediatr Transplant. 2006 May;10(3):400
- 21 Sinha M D, Lewis M A, Bradbury M G, Webb N J. Percutaneous real-time ultrasound-guided renal biopsy by automated biopsy gun in children: safety and complications. J Nephrol. 2006; 19 (1) 41-44
- 22 Nyman R S, Cappelen-Smith J, al Suhaibani H et al.. Yield and complications in percutaneous renal biopsy. A comparison between ultrasound-guided gun-biopsy and manual techniques in native and transplant kidneys. Acta Radiol. 1997; 38 (3) 431-436
- 23 Webb N J, Pereira J K, Chait P G, Geary D F. Renal biopsy in children: comparison of two techniques. Pediatr Nephrol. 1994; 8 (4) 486-488
- 24 Nahas W C, Mazzucchi E, Henrique A et al.. Percutaneous needle biopsy of the renal allograft using the automated needle system: evaluation of 87 procedures. J Urol. 1993; 150 (2 Pt 1) 313-315
- 25 Feneberg R, Schaefer F, Zieger B, Waldherr R, Mehls O, Schärer K. Percutaneous renal biopsy in children: a 27-year experience. Nephron. 1998; 79 (4) 438-446
- 26 Davis I D, Oehlenschlager W, O'Riordan M A, Avner E D. Pediatric renal biopsy: should this procedure be performed in an outpatient setting?. Pediatr Nephrol. 1998; 12 (2) 96-100
- 27 Vidhun J, Masciandro J, Varich L, Salvatierra Jr O, Sarwal M. Safety and risk stratification of percutaneous biopsies of adult-sized renal allografts in infant and older pediatric recipients. Transplantation. 2003; 76 (3) 552-557
- 28 Sweeney C, Geary D F, Hebert D, Robinson L, Langlois V. Outpatient pediatric renal transplant biopsy—is it safe?. Pediatr Transplant. 2006; 10 (2) 159-161 Erratum in: Pediatr Transplant 2006;10(3):400
- 29 Birk P E, Blydt-Hansen T D, Dart A B, Kaita L M, Proulx C, Taylor G. Low incidence of adverse events in outpatient pediatric renal allograft biopsies. Pediatr Transplant. 2007; 11 (2) 196-200
Luke LinscottM.D.
Mallinckrodt Institute of Radiology, Section of Vascular and Interventional Radiology
510 S. Kingshighway Blvd., Campus box 8131, St. Louis, MO 63110
Email: linscottl@mir.wustl.edu