Balloon rupture and stenting for pelviureteric junction obstruction: abolition of waisting is a prognostic marker.
Endoballoon rupture and stenting was performed on 26 patients with pelviureteric junction obstruction. Follow-up was for a mean of 21.4 months (range 3 to 44 months), during which 16 patients (64%) were asymptomatic and the symptoms of eight (30%) recurred; two were lost to follow-up. When waisting of the balloon was observed and seen to resolve during the balloon inflation, the outcome was successful in 75% of patients, compared to only 43% if this was not observed. Balloon rupture and stenting is a useful alternative to pyeloplasty, but has a lower success rate. Major complications were rare. The abolition of waisting is an important prognostic sign.
Snow
T M
TM
Department of Radiology, Derriford Hospital, Plymouth.
Wells
I P
IP
Hammonds
J C
JC
D000293:Adolescent; D000328:Adult; D000368:Aged; D002404:Catheterization / Q000009:adverse effects; D003251:Constriction, Pathologic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D015641:Radiography, Interventional; D015607:Stents; D014513:Ureter / Q000000981:diagnostic imaging; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*