Ultrasound-guided percutaneous nephrostomy in non-dilated pelvicaliceal system.
Percutaneous placement of nephrostomy catheters in patients with non-dilated pelvicaliceal systems remains problematic. We successfully performed ultrasound-guided percutaneous nephrostomies in 5 such patients after intravenous administration of a diuretic agent. Diuresis resulted in transient dilatation of the calyces, facilitating the procedures, which were performed under real-time sonographic guidance using the Seldinger technique. No complications were encountered.
Gupta
S
S
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Gulati
M
M
Suri
S
S
D002648:Child; D003251:Constriction, Pathologic / Q000628:therapy; D004106:Dilatation; D004232:Diuretics / Q000008:administration & dosage / Q000627:therapeutic use; D005665:Furosemide / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007275:Injections, Intravenous; D007670:Kidney Calices / Q000000981:diagnostic imaging*; D007682:Kidney Pelvis / Q000000981:diagnostic imaging*; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation / Q000379:methods*; D010386:Pelvic Neoplasms / Q000150:complications; D011183:Postoperative Complications; D018233:Rhabdomyosarcoma, Embryonal / Q000150:complications; D018084:Ultrasonography, Interventional; D014513:Ureter / Q000293:injuries; D014515:Ureteral Diseases / Q000628:therapy; D014548:Urinary Fistula / Q000628:therapy
D004232:Diuretics; D005665:Furosemide