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Percutaneous Nephrostomy in Neonates and Young Infants
Eric Cyphers1, Marian Gaballah2, Michael Acord2
1Division of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Percutaneous nephrostomy (PCN) placement in infants has a high success rate. However, challenges include catheter malfunction and urinary tract infections (UTIs).
Area of Science:
- Pediatric Urology
- Interventional Radiology
- Nephrology
Background:
- Percutaneous nephrostomy (PCN) is a crucial intervention for urinary tract obstruction in infants.
- Understanding the safety and efficacy of PCN in neonates and young infants is essential for optimizing patient care.
Purpose of the Study:
- To evaluate the single-center experience with percutaneous nephrostomy (PCN) tube placement in neonates and young infants (≤3 months).
- To analyze indications, procedural outcomes, and adverse events associated with PCN in this vulnerable population.
Main Methods:
- Retrospective review of medical records for 29 children undergoing 45 primary PCN insertions over 19 years.
- Data collected included demographics, indications (e.g., ureteropelvic junction obstruction), procedure details, and complications.
Main Results:
- High technical success rate (95.6%) for primary PCN placements.
- Mechanical adverse events occurred in 20.9% of primary and 53.8% of secondary catheters.
- Urinary tract infections (UTIs) and urosepsis were observed, with rates of 18.6% and 2.3% for primary catheters, respectively.
Conclusions:
- Percutaneous nephrostomy placement in neonates and young infants demonstrates a high technical success rate.
- Challenges remain, including catheter malfunction and the management of urinary tract infections (UTIs) in this age group.
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