title: Endovascular snare kit in the combined antegrade and retrograde management of ureteral avulsion: report of two cases.
abstract: We report the feasible and safe use of the Amplatz Goose Neck Snare kit for avulsed ureter retrieval during ureteroscopy. A 49-year-old lady and a 61-year-old man complaining of urolithiasis underwent ureteroscopy; following stone fragmentation, and basketing avulsion of the ureter occurred. Using the Amplatz Goose Neck Snare kit it was possible to place an indwelling ureteral catheter in both cases aiming at restoring the urinary upper tract continuity. The snare-assisted endovascular technique may be an interesting tool even in endourology for the management of ureteral avulsion. This endoscopic mini-invasive procedure makes it possible to avoid an immediate invasive surgical approach often resulting in nephrectomy, having time for planning a possible durable conservative treatment.
authors.affiliation: Department of Biomedical and Surgical Sciences, Urology Clinic, University of Verona, Piazzale L. Scuro 10, 37134, Verona, Italy.
authors.forename: Filiberto
authors.initials: F
authors.lastname: Zattoni
authors.forename: Daniele
authors.initials: D
authors.lastname: Gasparini
authors.forename: Massimo
authors.initials: M
authors.lastname: Sponza
authors.forename: Claudio
authors.initials: C
authors.lastname: Valotto
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Ruggera
authors.forename: Maria Angela
authors.initials: MA
authors.lastname: Cerruto
mesh_terms: D004724:Endoscopy / Q000379:methods*; D004869:Equipment Safety; D004864:Equipment and Supplies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects* / Q000379:methods; D052878:Urolithiasis / Q000628:therapy