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Updated: Jun 25, 2026

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
Published on: March 30, 2015
Determining site of skin puncture for percutaneous renal access using fluoroscopy-guided triangulation technique
Gyanendra Sharma1, Anshu Sharma
1Urology Department, Chitale Clinic Pvt. Ltd., Solapur, Maharashtra, India. drgrsharma@aol.com
Purpose:
The purpose of this study is to describe a technique to determine the site of skin puncture for sub-costal percutaneous renal access using a fluoroscopy-guided triangulation technique.
Materials And Methods:
Using the bull's-eye technique under fluoroscopy guidance, the distance of skin puncture from the targeted calyx is determined. Then this distance is utilized in the triangulation technique to determine the site of skin puncture. Since July 2007 to February 2008, 30 cases were done using this technique.
Results:
Successful access was accomplished in all cases in alignment with the infundibulum. Lower pole access was achieved in 21 cases and midpole access was achieved in 9 cases.
Conclusion:
This technique helps to determine the correct site of skin puncture in the fluoroscopy-guided triangulation technique. It leads to a tract that is of optimum length, proper direction, and is in alignment with the infundibulum.
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