| Diuretic Agent and Normal Saline Infusion Technique for Ultrasound-Guided Percutaneous Nephrostomies in Nondilated Pelvicaliceal Systems. | |
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MedLine Citation:
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PMID: 22893420 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Percutaneous nephrostomy (PCN) in a nondilated pelvicaliceal system is technically challenging. We describe an effective method to achieve transient dilatation of the pelvicaliceal system via induction of diuresis using infusion of a diuretic agent in normal saline, therefore allowing easier access to the pelvicaliceal system. METHODS: Under real-time ultrasound guidance, the technique had been tested in 22 nephrostomies with nondilated system (a total of 20 patients with 2 patients having bilateral nephrostomies) during a 5-year period. Patients were given 40 mg of furosemide in 250 ml of normal saline solution intravenously by rapid infusion. As soon as maximum calyceal dilatation of more than 5 mm was observed, which is usually 15 min later after the end of rapid infusion, patients were positioned obliquely, and PCN procedure under ultrasound guidance was performed. RESULTS: The procedure was successful in 19 of the nephrostomies in 17 patients with a success rate of 86.36 % per procedure and 85 % per patient in nondilated pelvicaliceal systems. No major nephrostomy-, drug-, or technique-related complications were encountered. The technique failed to work in three patients due to the presence of double J catheters and preexisting calyceal perforation which avoided transient dilation of the pelvicaliceal system with diuresis. CONCLUSIONS: Diuretic infusion in saline is a feasible and effective method for PCN in nondilated pelvicaliceal systems. |
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Authors:
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Cemil Yagci; Evren Ustuner; Ebru Dusunceli Atman; Sumer Baltaci; Caglar Uzun; Serdar Akyar |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-8-15 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: - ISSN: 1432-086X ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-8-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Radiology, School of Medicine, Ankara University, Ankara, Turkey, cemil.yagci@medicine.ankara.edu.tr. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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