Percutaneous nephrostomy: comparison of sonographic and fluoroscopic guidance

AJR. American Journal of Roentgenology
H G ZegelH Koolpe

Abstract

Both sonography and fluoroscopy have been recommended for renal localization and needle guidance for percutaneous nephrostomy. The respective efficacies of both methods have been compared in a prospective study of 88 patients undergoing percutaneous nephrostomy by the catheter over guide wire technique. Fifty-five patients had initial puncture using either an A-mode (42 patients) or real time (13 patients) sonographic aspiration transducer, while 33 patients had a single plane vertical beam fluoroscopy for puncture guidance. The use of either sonographic method for the initial needle puncture significantly reduced the number of puncture attempts (p = 0.000004) and potential iatrogenic risk, eliminated the need for intravenous administration of contrast material, allowed initial safe introduction of a large caliber needle, and decreased the length of time needed to perform the procedure.

Citations

Jan 1, 1989·International Urology and Nephrology·A Kovács, G Szolnoki
Jan 1, 1983·Urologic Radiology·R L Lebowitz, T Ben-Ami
Dec 17, 2010·Cardiovascular and Interventional Radiology·Frank FischbachJens Ricke
Nov 27, 2008·European Radiology·Juho KariniemiOsmo Tervonen
Dec 1, 1986·Current Problems in Cancer·C H CarrascoS Wallace
May 24, 2013·Surgical and Radiologic Anatomy : SRA·Hakan ÖnderMehmet Bulut
Aug 25, 2000·Journal of Endourology·P PappasA Giannopoulos
Dec 10, 1999·Journal of Vascular and Interventional Radiology : JVIR·C C Nolte-ErnstingR W Günther
May 8, 2001·Journal of Vascular and Interventional Radiology : JVIR·G A KrombachR W Günther
Aug 1, 1997·The Urologic Clinics of North America·R B DyerJ D Regan
Mar 21, 1998·Journal of Clinical Ultrasound : JCU·S GuptaS Suri
Jul 28, 2012·Journal of Endourology·Sero AndonianUNKNOWN CROES PCNL Study Group
Sep 15, 2009·Journal of Endourology·Tamer El-HusseinyNiels-Peter Noor Buchholz
Apr 2, 2009·Journal of Endourology·Mohammad Mehdi HosseiniMohammad Amin Afrasiabi
Aug 12, 2008·Journal of Endourology·Abbas BasiriMehdi Abedinzadeh
Mar 15, 2011·Journal of Endourology·Wael M GamalAbdelmonem Abuzeid
May 10, 1990·The New England Journal of Medicine·P R Mueller, E vanSonnenberg
Sep 1, 1989·Journal of Clinical Ultrasound : JCU·M PeryJ K Kaftori

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.