Sonography Guided Percutaneous Nephrostomy: Success Rates According to the Grade of the Hydronephrosis

Özden, Eriz

doi:10.1501/jms_0000000017

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…Besides, the use of an intravenous contrast medium in the obstructed system increased the intrapelvic pressure and hence the possibility of hemorrhage and sepsis. Finally, the interventional radiology staff and the patient were exposed to a considerable amount of radiation (5,6,13).…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonography (US) has been a widely accepted alternative over fluoroscopy in PCN placement (14). It is an ideal method during pregnancy and childhood due to its radiation-and contrast-free nature (13). However, it has a lower success rate in non-dilated calyces than CT guidance (13).…”

Section: Discussionmentioning

confidence: 99%

“…It is an ideal method during pregnancy and childhood due to its radiation-and contrast-free nature (13). However, it has a lower success rate in non-dilated calyces than CT guidance (13). Additionally, it is inadequate in obese and dysmorphic patients (1).…”

Section: Discussionmentioning

confidence: 99%

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Bilgisayarlı tomografi ve floroskopi kılavuzluğunda perkütan nefrostomi işlemlerindeki radyasyon maruziyeti için bir retrospektif kıyaslama

Türk

Devecioğlu

2021

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Aim:The study aimed to compare the radiation doses absorbed by the patient in first-time percutaneous nephrostomy under computed tomography (CT) and nephrostomy replacement under fluoroscopy.Material and Methods: Eighty-nine hydronephrotic patients referred for nephrostomy were included in this retrospective study. Seventy-five of these patients had the nephrostomy for the first-time under CTguidance. Fourteen patients had the nephrostomy replacement operation under fluoroscopy guidance. Absorbed radiation doses were compared between these operations. Results:The groups showed no statistically significant differences in means of demography (age, sex, and pathology) and operational parameters (intervention side and complications) except the absorbed radiation dose. The median effective radiation doses were 1.18 mSv and 1.68 mSv for CT and fluoroscopy, respectively. The first-time nephrostomy operations under CT were completed with radiation doses significantly lower than those in nephrostomy replacement under fluoroscopy (p < 0.001). Conclusion:Ultra-low-dose and fast-acting CT-guided nephrostomy is a safe, user-friendly procedure that leads patients to less radiation exposure than expected.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bilgisayarlı tomografi ve floroskopi kılavuzluğunda perkütan nefrostomi işlemlerindeki radyasyon maruziyeti için bir retrospektif kıyaslama

Türk

Devecioğlu

2021

Batı Karadeniz Tıp Dergisi

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“…Percutaneous nephrostomy performed using only ultrasound guidance has been described with good success rates (Gupta, Gulati et al 1997;Ozden, Yaman et al 2002), with Gupta reporting an overall success rate of 98.5%. However minimum radiation exposure should always be borne in mind even in non-pregnant patients in accordance with ALARA (As Low As Reasonably Achievable) principle.…”

Section: Contraindicationsmentioning

confidence: 99%