دورية أكاديمية
Antegrade double-J stenting as an alternative to the retrograde approach: experience of the first 150 cases at a single center in Brazil.
| العنوان: | Antegrade double-J stenting as an alternative to the retrograde approach: experience of the first 150 cases at a single center in Brazil. |
|---|---|
| المؤلفون: | Grubert RM; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil., do Carmo CEF; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil., Morais Neto RS; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil., Tibana TK; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil., Santos RFT; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil., Marchiori E; Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil., Nunes TF; Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil. |
| المصدر: | Radiologia brasileira [Radiol Bras] 2021 Nov-Dec; Vol. 54 (6), pp. 353-359. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Colegio Brasileiro De Radiologia Country of Publication: Brazil NLM ID: 1305000 Publication Model: Print Cited Medium: Print ISSN: 0100-3984 (Print) Linking ISSN: 01003984 NLM ISO Abbreviation: Radiol Bras Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio De Janeiro : Colegio Brasileiro De Radiologia |
| مستخلص: | Objective: To present our clinical experience with percutaneous antegrade ureteral stenting. Materials and Methods: This was a single-center retrospective study in which we reviewed the electronic medical records of patients who underwent percutaneous image-guided antegrade ureteral stenting between January 2016 and August 2020. We evaluated 90 patients (48 men). The mean age was 61.4 ± 15 years (range, 30-94 years). Patients were divided into two main groups: those with malignant neoplasms; and those with non-neoplastic disease. Technical and clinical success of the procedure were defined, respectively, as maintenance of the patency of the urinary tract, with a reduction in the degree of hydronephrosis, and as a reduction in the level of nitrogenous waste. Postprocedural complications were categorized as major or minor according to the CIRSE classification. Results: The study sample comprised 150 antegrade stenting procedures performed in 90 patients, most of whom had previously undergone retrograde stenting that was unsuccessful. The stenting was bilateral in 60 patients and unilateral in 30. Technical success was achieved in 143 (95.3%) of the procedures, whereas seven procedures (4.6%) were unsuccessful. Failed procedures were characterized by inability to place a stent or migration of a stent after its placement. Complications occurred in 12 (8.0%) of the procedures. Of those 12 complications, two were classified as major (bleeding) and 10 were classified as minor (lumbar pain or infection). The most common techniques used were the over-the-wire technique and the modified technique (in 58.0% and 42.0% of the cases, respectively). In seven cases (4.7%), a nephrostomy tube was inserted. Conclusion: Percutaneous antegrade ureteral stenting is a safe, effective method for the management of ureteral injuries and obstructions, due to malignant or benign causes, when the retrograde approach has failed. |
| References: | Radiol Bras. 2019 Mar-Apr;52(2):104-105. (PMID: 31019339) J Urol. 2005 Dec;174(6):2125-8. (PMID: 16280741) Clin Radiol. 2002 Dec;57(12):1118-21. (PMID: 12475538) Radiol Bras. 2019 Sep-Oct;52(5):305-311. (PMID: 31656347) J Urol. 2001 Nov;166(5):1746-9. (PMID: 11586215) Radiol Bras. 2019 Sep-Oct;52(5):331-336. (PMID: 31656352) Cardiovasc Intervent Radiol. 2001 Jul-Aug;24(4):224-8. (PMID: 11779010) J R Soc Med. 1993 Sep;86(9):511-3. (PMID: 8410885) Indian J Urol. 2011 Jan;27(1):19-24. (PMID: 21716883) Radiol Bras. 2020 May-Jun;53(3):155-160. (PMID: 32587422) Radiol Bras. 2020 Sep-Oct;53(5):345-348. (PMID: 33071379) Cardiovasc Intervent Radiol. 2017 Aug;40(8):1141-1146. (PMID: 28584945) J Endourol. 2008 Feb;22(2):295-9. (PMID: 18294036) Clin Radiol. 2005 May;60(5):608-12. (PMID: 15851050) Oncol Lett. 2016 Jan;11(1):879-883. (PMID: 26870299) Urology. 2007 Nov;70(5):846-50. (PMID: 18068437) Int J Urol. 2011 May;18(5):379-82. (PMID: 21518020) Radiology. 1987 Nov;165(2):439-43. (PMID: 3659366) J Urol. 2013 Jan;189(1):130-5. (PMID: 23164390) Diagn Interv Radiol. 2019 Mar;25(2):127-133. (PMID: 30860076) Int J Urol. 2007 Aug;14(8):689-92. (PMID: 17681056) |
| فهرسة مساهمة: | Keywords: Radiology; Stents; Ureteral obstruction; Urinary catheterization/instrumentation; Urologic neoplasms; interventional Local Abstract: [Publisher, Portuguese] Apresentar os resultados clínicos de 150 casos de inserção anterógrada de cateter duplo J.Materiais e Métodos: Foram revisados os prontuários eletrônicos de pacientes submetidos a inserção percutânea de cateter duplo J guiada por imagem entre janeiro de 2016 e agosto de 2020. Um total de 90 pacientes (48 homens e 42 mulheres; faixa etária, 30-94 anos; idade média, 61,4 ± 15 anos) foi incluído no estudo. Os pacientes foram classificados em dois grupos principais: neoplasia maligna e doença não neoplásica. O sucesso técnico e clínico do procedimento foi definido como a manutenção da perviedade da via urinária com redução do grau de hidronefrose e redução dos níveis das escórias nitrogenadas. As complicações pós-procedimento foram classificadas em maiores e menores, de acordo com o sistema de classificação CIRSE. [Publisher, Portuguese] Foram realizados 150 procedimentos (90 pacientes) no período, sendo bilateral em 60 pacientes e unilateral em 30. Houve sucesso técnico em 143 casos (95,3%) e falhas em sete (4,7%), caracterizadas por migração e não progressão do cateter. Nossas taxas de complicações foram de 8,0% (12 casos), sendo dois maiores (sangramento) e 10 menores (principalmente dor lombar). As técnicas mais utilizadas para a inserção foram over the wire (58,0%) e modificada (42,0%). Em sete pacientes (4,7%) foi realizada nefrostomia percutânea. [Publisher, Portuguese] A inserção anterógrada do cateter duplo J é um método seguro e eficaz para o tratamento de obstruções uretéricas devidas a causas e lesões malignas e benignas, quando há uma falha na abordagem cistoscópica (retrógrada). |
| تواريخ الأحداث: | Date Created: 20211206 Latest Revision: 20220428 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8630954 |
| DOI: | 10.1590/0100-3984.2020.0131 |
| PMID: | 34866694 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0100-3984 |
|---|---|
| DOI: | 10.1590/0100-3984.2020.0131 |