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Percutaneous antegrade ureteral stent placement: single center experience
Güven Kahriman1, Nevzat Özcan1, Aytaç Doğan1
1Departments of Radiology, Erciyes University School of Medicine, Gevher Nesibe Hospital, Kayseri, Turkey.
Diagnostic and Interventional Radiology (Ankara, Turkey)
|March 13, 2019
Summary
Percutaneous antegrade ureteral stent placement is a safe and effective treatment for ureteral obstructions when other methods fail. This study shows high success rates and low complication rates in managing both cancerous and non-cancerous conditions.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Ureteral obstructions require effective management to prevent kidney damage.
- Percutaneous antegrade ureteral stent placement offers an alternative when retrograde approaches are unsuccessful.
Purpose of the Study:
- To evaluate the clinical experience and outcomes of percutaneous antegrade ureteral stent placement.
- To assess the safety and efficacy of this procedure in a single center.
Main Methods:
- Retrospective review of 461 patients undergoing percutaneous image-guided ureteral stent placement (September 2005 - April 2017).
- Patients categorized into neoplastic and non-neoplastic disease groups.
- Analysis of technical success, failure definitions, and complication rates.
Main Results:
- 727 procedures performed in 461 patients; 90% in the neoplastic group.
- High technical success rates: 97.7% (neoplastic) and 100% (non-neoplastic).
- Low complication rates: 3.1% (neoplastic) and 4.1% (non-neoplastic).
Conclusions:
- Percutaneous antegrade ureteral stent placement is a safe and effective option for ureteral injuries and obstructions.
- This method is suitable for managing both malignant and benign causes when retrograde approaches fail.
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