title: Combined retrograde-antegrade ureteral stent passage: salvage procedure for a ureteral leak.
abstract: The authors describe a stent placement procedure for treatment of an infected ureteral leak after failure of traditional antegrade and retrograde approaches. In this procedure, a guide wire was placed across the distal ureteral segment into a urinoma with use of cystoscopic guidance. Thereafter, an antegrade approach was used to pass a wire loop snare, capture the guide wire, and withdraw it through the proximal ureter for subsequent stent passage. This approach allowed percutaneous stabilization of a ureteral leak in a patient who would have otherwise required immediate surgical repair.
authors.affiliation: Department of Radiology, Washington Hospital Center, Washington, DC 20010.
authors.forename: R J
authors.initials: RJ
authors.lastname: Gray
authors.forename: L
authors.initials: L
authors.lastname: Intriere
authors.forename: B L
authors.initials: BL
authors.lastname: Dolmatch
authors.forename: M
authors.initials: M
authors.lastname: Edson
authors.forename: J
authors.initials: J
authors.lastname: Fischer
mesh_terms: D000368:Aged; D004927:Escherichia coli Infections / Q000150:complications; D005260:Female; D006801:Humans; D016879:Salvage Therapy; D015607:Stents; D014515:Ureteral Diseases / Q000150:complications / Q000628:therapy*