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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Inferior Vena Cava Catheterization During Percutaneous Nephrolithotomy.

Dor Golomb1, Michael Doberman2, Sergey Litvin2

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|September 8, 2025
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Summary

Percutaneous nephrolithotomy (PCNL) requires careful imaging to avoid rare Inferior Vena Cava (IVC) penetration. Prompt management and catheter repositioning successfully treated this vascular injury, ensuring a positive patient outcome.

Keywords:
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Area of Science:

  • Urology
  • Surgical Complications
  • Medical Imaging

Background:

  • Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
  • Rare but serious complications can occur during PCNL, including vascular injuries.
  • Inferior Vena Cava (IVC) penetration is an infrequent but significant risk.

Purpose of the Study:

  • To highlight a rare complication of PCNL: IVC penetration.
  • To emphasize the importance of imaging and procedural vigilance in preventing such events.
  • To present a case demonstrating successful management of IVC injury during PCNL.

Main Methods:

  • A case report detailing a patient who experienced IVC penetration during PCNL.
  • Review of imaging techniques used for diagnosis and monitoring.
  • Description of the multidisciplinary response and interventional techniques employed for management.

Main Results:

  • The case successfully demonstrates the occurrence of IVC penetration during PCNL.
  • Prompt identification via imaging was crucial.
  • Catheter repositioning and multidisciplinary care led to a favorable outcome without long-term sequelae.

Conclusions:

  • Meticulous imaging and procedural vigilance are essential during PCNL to minimize risks like IVC penetration.
  • Unexpected vascular injuries can be safely managed with a prompt, coordinated approach.
  • This case provides insights into strategies for managing rare vascular complications in urological surgery.