Complications of ultrasound-guided nephrostomy. A 5-year experience.
In a 5-year period (January 1987 to December 1991) a total of 285 US-guided nephrostomy procedures were performed in 159 patients. All nephrostomies were performed with a 2.3 mm one-step trochar catheter without internal fixation. The hospital case records were reviewed retrospectively, and complications were registered. The overall success rate was 92%. The catheters were maintained for a median of 17 days (range 1-150 days). Thirty-three catheters slipped out unintentionally in the first 10 days. Haematuria through the catheter for more than 3 days occurred in 14 cases. Complications occurred in 19 (6.7%) of the procedures. One uraemic patient had cardiac arrest but was resuscitated. Two patients had severe haematuria and one of them had a nephrectomy. Seven patients developed septicaemia, and 6 had perirenal bleeding or urinary leakage. Three patients developed skin infection. Ultrasound-guided nephrostomy is a gentle procedure with only few major complications, but the risk of the procedure should still be weighed against the expected benefit.
von der Recke
P
P
Department of Radiology, Glostrup Hospital, University of Copenhagen, Denmark.
Nielsen
M B
MB
Pedersen
J F
JF
D005260:Female; D006417:Hematuria / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007682:Kidney Pelvis; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000295:instrumentation; D012189:Retrospective Studies; D018805:Sepsis / Q000209:etiology; D018084:Ultrasonography, Interventional / Q000009:adverse effects; D014546:Urinary Catheterization / Q000295:instrumentation; D014556:Urine