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Emergency percutaneous nephrostomy: results and complications
1Department of Radiology, Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, NY 11042.
Journal of Vascular and Interventional Radiology : JVIR
|January 1, 1994
Summary
Emergency percutaneous nephrostomy is a safe and effective procedure for urologic issues. Fluoroscopic guidance ensures high success rates with manageable complications in urgent situations.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Percutaneous nephrostomy is a standard procedure for urologic conditions.
- Emergency indications require evaluation of its efficacy and safety.
Purpose of the Study:
- To assess the effectiveness and safety of emergency percutaneous nephrostomy.
- To determine complication rates and identify high-risk patient groups.
Main Methods:
- 160 patients (ages 2-89) underwent emergency percutaneous nephrostomy.
- C-arm fluoroscopic guidance was utilized for kidney access.
Main Results:
- Technical success rate was 98%.
- Overall complication rate was 34% (6% major, 28% minor).
- Major complications included sepsis (6%); minor issues like catheter displacement were more common.
Conclusions:
- Emergency percutaneous nephrostomy with fluoroscopic guidance is simple, safe, and effective.
- This procedure should be available in equipped radiology departments for urgent urologic cases.