Keywords:
Performed at one institution, Observational, Retrospective, Obstruction / Occlusion, Stents, Removal, Pyelography, Fluoroscopy, Urinary Tract / Bladder, Kidney, Interventional Radiology
Authors:
M. Curti1, A. Coppola2, G. Vinacci2, A. Beneventi2, M. Calvi2, C. Tagliaferri2, F. Fontana2, E. Genovese2, F. Piacentino2; 1Varese, Italy/IT, 2Varese/IT
DOI:
10.26044/ecr2020/C-14572
Methods and materials
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Causes and Indications
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Neoplasia: 83,8% (Urologic: 47,7% - gynaecological 24,7% - others: 27,6%)
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Fibrotic obstructions: 16,2% (Ureteroileal anastomosis: 76,7% - kidney graft: 16,9% - others: 6%)
- Technique:
- Disinfection and bladder catheterization with vascular introducer
7F 15 cm ♀; 23 cm ♂; Cordis, Miami, FL, USA
- Bladder distension with iodine solution
Iobitridol 300 mgI / mL; dilution 3: 1 (Fig.1 B)
- External displacement of the distal end of the DJ stent via goose-neck catheter (Fig.1 C)
5F; 30-mm loop; Hooker, Meditalia, Biomedica, Modena, Italy
-Recanalization of the DJ stent through hydrophilic guide up to the renal pelvis (Fig.1 D)
0.035-in; Glidewire, Terumo, Tokyo, Japan
-Removal of the DJ stent and replacement of the hydrophilic guide with rigid guide
Amplatz, Boston Scientific, Ratingen, Germany; Amplatz, Cordis, Miami, FL, USA
5F Cobra C1, Cordis, Miami, FL, USA
-Placement of the new DJ stent Flexima Ureteral Stent,
Boston Scientific Ratingen, Germany C-Flex, Cook Urological, Spencer, Indiana, USA (Fig.1 E)