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- Title
Complications associated with percutaneous nephrostomies. A retrospective study.
- Authors
Radecka, E.; Magnusson, A.
- Abstract
<bold>Purpose: </bold>To determine the morbidity and mortality associated with radiologically guided percutaneous nephrostomy (PCN).<bold>Material and Methods: </bold>A retrospective analysis of 401 patients treated with 569 PCN over a 5-year period was performed. Using the Seldinger technique, the catheters (6-10 F) were placed under fluoroscopic, ultrasonographic, or CT guidance. Data on underlying disease, complications, subsequent management, and long-term management were collected.<bold>Results: </bold>PCN was successful in 558 of the 569 attempts (98%). There were 22 major complications (4%) in 569 procedures, including cardiac arrest, bleeding requiring transfusion or embolization, septicemia, hydrothorax or pneumothorax. There were 38% minor complications, including urinary tract infection, catheter dislodgement, catheter obstruction by debris, urinary leakage, and inflammation of the skin at the site of insertion of the percutaneous catheter. Seventy-seven (14%) of the procedures were followed by urinary tract infection during the PCN treatment. Seventy-nine (14%) catheters slipped out unintentionally.<bold>Conclusion: </bold>Percutaneous nephrostomy is a gentle procedure associated with high technical success and low morbidity. However, the risk of the procedure has to be weighed against the expected benefit.
- Subjects
NEPHROSTOMY; KIDNEY surgery; MORTALITY; TOMOGRAPHY; HEMORRHAGE; URINARY tract infections; CATHETERS; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; INTERVENTIONAL radiology; RESEARCH; SURGICAL complications; ULTRASONIC imaging; URINARY diversion; EVALUATION research; RETROSPECTIVE studies
- Publication
Acta Radiologica, 2004, Vol 45, Issue 2, p184
- ISSN
0284-1851
- Publication type
journal article
- DOI
10.1080/02841850410003671