Image-guided pediatric ureteric stent insertions: an 11-year experience
| Autor: | Michael Temple, Joao G. Amaral, Bairbre Connolly, Dimitri A. Parra, Madeleine Sertic |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent Patient demographics medicine.medical_treatment Technical success Nephrostomy tube Prosthesis Design Radiography Interventional Prosthesis Implantation medicine Effective treatment Humans Radiology Nuclear Medicine and imaging Ureteric stent Child Retrospective Studies Patient Care Team business.industry Age Factors Infant Newborn Infant Mean age Surgery Urethra medicine.anatomical_structure Treatment Outcome Child Preschool Female Stents Ureter Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Journal of vascular and interventional radiology : JVIR. 25(8) |
| ISSN: | 1535-7732 |
| Popis: | Purpose To report the technical success and complication rates for double J ureteric stent placements by interventional radiologists in children. Materials and Methods A retrospective analysis of double J ureteric stents placed between January 2001 and December 2011 was conducted. Data collected included patient demographics, procedural details (indication, double J stent size, access approach, concurrent procedures), technical and functional success, tube dwell time, and procedure-related complications. Descriptive statistics were employed. Placement of 59 double J ureteric stents was attempted in 49 procedures performed on 35 pediatric patients (26 boys and 9 girls) with a mean age of 7.3 years (range, 22 d–17.9 y; median age, 4 y) and a mean weight of 22 kg (range, 2.5–70 kg). Results There were 44 de novo double J stent insertion attempts: 20 one-stage procedures (17 anterograde, 3 retrograde through the urethra) and 24 two-stage anterograde procedures through an existing nephrostomy tube. There were 15 exchanges; 11 were anterograde, and 4 were retrograde (2 urethral, 2 Mitrofanoff). Of 49 procedures, 15 were performed as combined procedures with a urologist. Technical success was 95% (56 of 59), and primary functional success was 95% (53 of 56). Complications included two minor complications occurring during the procedure and four complications occurring after the procedure. Conclusions Image-guided insertion of a double J ureteric stent is an effective treatment for pediatric urologic obstructive conditions. The procedure is both technically and functionally successful in a high percentage of pediatric patients. |
| Databáze: | OpenAIRE |
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