Digital subtraction angiography assisted ultrasound puncture in a pelvic kidney

A new technique for percutaneous nephrostomy needle guidance is presented. It was applied in a patient with a solitary pelvic kidney, where ultrasound guidance was not feasible because of a very narrow puncture window. Typical intravenous urography was not useful, owing to poor opacification of the...

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Bibliographic Details
Published in:International urology and nephrology 2003, Vol.35 (4), p.467-470
Main Authors: Touloupidis, Stavros, Rombis, Vasileios, Vougiouklis, Nikolaos, Nikolaidis, Paul, Kalaitzis, Christos, Chloropoulou, Pelagia
Format: Article
Language:English
Subjects:
Aged
Angiography, Digital Subtraction - methods
Humans
Kidney - abnormalities
Kidney - surgery
Male
Nephrostomy, Percutaneous - methods
Ultrasonography, Interventional - methods
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Summary:A new technique for percutaneous nephrostomy needle guidance is presented. It was applied in a patient with a solitary pelvic kidney, where ultrasound guidance was not feasible because of a very narrow puncture window. Typical intravenous urography was not useful, owing to poor opacification of the collecting system. We describe how the use of digital subtraction imaging eventually permitted us to establish a percutaneous nephrostomy tube safely, avoiding the intestine and blood vessels.
ISSN:0301-1623
1573-2584
DOI:10.1023/B:UROL.0000025635.37462.7f