[Complications of percutaneous nephrostomy. Apropos of 481 procedures: the value of puncture of the median calices].
The authors report on a series of 481 percutaneous nephrostomy procedures, and describe the complications encountered. 163 percutaneous nephrostomies for drainage and 318 percutaneous stone removals, were performed between 1985 and 1995 in the Radiology Department of Hôtel-Dieu de France Hospital under fluoroscopy. One tract was needed for PN but more than one was sometimes necessary for percutaneous stone removal. Complication rate was identical to the results reported in the literature. Complications were more frequently encountered when the upper calyx was punctured (intercostal approach), mostly pleural lesions. Puncture of the middle and inferior calyx were associated with the same rate of complications, but with different degrees of severity. Major complications (80% of cases of hemorrhage, including all arteriovenous fistulae and pseudoaneurysms) were encountered with the puncture of the lower calyx while those associated with the puncture of the middle calyx were minimal. Thus, puncture of the middle calyx is the least morbid. It is recommended by the authors, whenever possible.
Centre d'explorations diagnostiques et d'imagerie médicale (CEDIM), Beyrouth, Liban. cedim@inco.com.lb
N
N
Atallah
S
S
Slaba
R
R
Karam
C
C
Salem
S
S
Merhej
D000293:Adolescent; D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000209:etiology; D001164:Arteriovenous Fistula / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects; D005260:Female; D005471:Fluoroscopy; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D007668:Kidney / Q000098:blood supply; D007669:Kidney Calculi / Q000628:therapy; D007670:Kidney Calices / Q000473:pathology; D007674:Kidney Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D011677:Punctures / Q000009:adverse effects
Complications des nephrostomies percutanees. A propos de 481 procédures: intérêt de ponctionner le calice moyen.