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Updated: Nov 19, 2025

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Using alteplase nephrostomy tube installation for thrombolysis of ureter tract clot obstruction
Paoyan Lin1, Tomasz Fiutowski1, Christoph Ansorge1
1Nyköping Lasarett, Department of Surgery and Urology, Sweden.
Abstract:
In literature, few cases have been reported regarding the use of alteplase installation in a nephrostomy as anticoagulant treatment of blood clots in the upper urinary tract. Our case -report provides a unique case of alteplase installation in the nephrostomy tube for thrombolysis of a blood clot formation in the upper ureter. The blood clot formation emerged as acute obstruction following a planned endoscopic lithotripsy. A new protocol for alteplase installation for percutaneous nephrostomy is presented in this article.
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