Percutaneous infundibuloplasty: management of calyceal diverticula and infundibular stenosis
| Autor: | E K Lang |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous medicine.medical_treatment Constriction Pathologic Radiography Interventional Kidney Calices Kidney Calculi Infundibular Stenosis Visual guidance Humans Medicine Stone extraction Radiology Nuclear Medicine and imaging Nephrostomy Percutaneous business.industry Balloon catheter Stent Middle Aged medicine.disease digestive system diseases Surgery Diverticulum medicine.anatomical_structure Female Kidney Diseases Radiology business Renal pelvis |
| Zdroj: | Radiology. 181:871-877 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.181.3.1947113 |
| Popis: | Calculi in calyceal diverticula or behind stenotic renal infundibula are generally managed with percutaneous extraction. Percutaneous infundibuloplasty, a relatively noninvasive technique, is advocated to drain and eradicate the potentially infected space and can be performed at the same time as stone extraction. A communication between the diverticulum and renal pelvis is created by passing a transjugular cholangiographic needle under fluoroscopic or visual guidance, dilating the tract with a balloon catheter, and placing a stent until uroepithelial coverage has occurred. Stenotic infundibula are dilated in a like fashion. During 7 years, six (60%) of 10 patients with such "neoinfundibula" draining calyceal diverticula remained patent for at least 2 years. In two more patients (20%), both the calyceal diverticular cavity and neoinfundibulum were obliterated; in only one patient (10%) was there a residual cavity after the neoinfundibulum became obstructed. One patient was lost to follow-up. Long-term correction of infundibular stenoses was achieved with this technique in four (67%) of six patients, and there were no renal or perirenal abscesses. |
| Databáze: | OpenAIRE |
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