1985
DOI: 10.1016/s0022-5347(17)48981-6
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Retrograde Nephrostomy and Percutaneous Calculus Removal in 30 Patients

Abstract: We used a new technique, retrograde nephrostomy, to provide intrarenal access for percutaneous calculus removal in 30 consecutive patients. Under fluoroscopic control, we maneuvered cystoscopically a 5F and 9F coaxial catheter pair over a guide wire into the calix selected for nephrostomy. Then, a sheathed 20 to 21 gauge needle was passed through the 9F catheter into the flank to create the nephrostomy. Eight patients were given general and 22 intravenous sedation and local anesthesia for nephrostomy placement… Show more

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Cited by 28 publications
(13 citation statements)
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“…In UARN, after the needle has exited through the skin, no further steps are required in the preparation for dilation [15,16]. UARN is a promising procedure allowing accurate puncture for the desired calyx, and is expected to contribute to creating optimal nephrostomy in the upper calyx for PCNL in horseshoe kidney.…”
Section: Discussionmentioning
confidence: 99%
“…In UARN, after the needle has exited through the skin, no further steps are required in the preparation for dilation [15,16]. UARN is a promising procedure allowing accurate puncture for the desired calyx, and is expected to contribute to creating optimal nephrostomy in the upper calyx for PCNL in horseshoe kidney.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, it is now easier to approach the desired renal calyx using a flexible URS than was previously possible using the fluoroscopic approach [4,6]. In our experience with UARN, the URS can be applied to continuously obtain the ideal angle.…”
Section: Discussionmentioning
confidence: 99%
“…Major advances have made the observation of the renal pelvis easier, making it possible to perform a wide variety of intrarenal procedures using an URS [16]. Therefore, it is easier to approach the desired renal calyx using a flexible URS than was possible using previous fluoroscopic approaches [17, 18]. …”
Section: Discussionmentioning
confidence: 99%