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Use of a tamponade catheter in the bleeding nephrostolithotomy track
C Henriksson1, K Geterud, S Pettersson
1Department of Urology, Sahlgrenska Hospital University of Göteborg, Sweden.
Insights
Bleeding after kidney stone removal is common. A Kaye double-lumen nephrostomy tamponade catheter effectively treated this complication in all patients, avoiding surgery.
Area of Science:
- Urology
- Nephrology
- Interventional Radiology
Background:
- Percutaneous nephrolithotomy is a common procedure for kidney stone removal.
- Bleeding from the nephrostomy tract is the most frequent major complication.
- Alternative treatments like embolization or open surgery can lead to loss of renal function.
Purpose of the Study:
- To evaluate the efficacy of the Kaye double-lumen nephrostomy tamponade catheter in managing nephrostomy tract bleeding.
- To present a less invasive treatment option for post-nephrolithotomy hemorrhage.
Main Methods:
- A Kaye double-lumen nephrostomy tamponade catheter was used to treat bleeding in 5 patients.
- The catheter was inserted into the nephrostomy tract to apply tamponade.
Main Results:
- The Kaye catheter effectively controlled bleeding in all 5 treated patients.
- No further interventions such as embolization or surgery were required.
- Preservation of functioning renal parenchyma was achieved.
Conclusions:
- The Kaye double-lumen nephrostomy tamponade catheter is a highly effective minimally invasive treatment for post-percutaneous nephrolithotomy bleeding.
- This method offers a valuable alternative to more invasive procedures, preserving renal function.
Abstract:
Bleeding from the nephrostomy track, which is the most common major complication of percutaneous extraction of renal stones, was treated in 5 patients with the Kaye double-lumen nephrostomy tamponade catheter. This treatment was effective in all cases. The procedure eliminates the need for more invasive measures like embolisation and open surgery with renal resection, both of which cause loss of functioning renal parenchyma.