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Erschienen in: CardioVascular and Interventional Radiology 6/2007

01.11.2007 | Clinical Investigation

Percutaneous Therapy of Ureteral Obstructions and Leak After Renal Transplantation: Long-Term Results

verfasst von: Cüneyt Aytekin, Fatih Boyvat, Ali Harman, Umut Özyer, Turan Colak, Mehmet Haberal

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 6/2007

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Abstract

The purpose of this study was to evaluate the long-term outcome of percutaneous therapy of ureteral complications after renal transplantation. Between January 2000 and June 2006 we percutaneously treated 26 renal transplant patients with ureteral obstruction (n=19) and leak (n=7). Obstructions were classified as early (<2 months after transplantation) or late (>2 months). Patients with leak were treated with nephro-ureteral catheter placement and subsequent double-J stenting. Balloon dilatation, stent placement, and basket extraction were used to treat ureteral obstructions. Patients were followed with ultrasonography. No major procedure-related complication occurred. The mean follow-up time was 34.3 months (range: 6 to 74 months). Initial clinical success was achieved in all 19 patients with obstruction and 6 of 7 patients with leak. Four of 9 early obstructions and 4 of 10 late obstructions recurred during the follow-up. All recurrences were initially managed again with percutaneous methods, including cutting balloon technique and metallic stent placement. Although there was no recurrence in patients with successfully treated leak, stricture was seen at the previous leak site in two patients. These strictures were also successfully managed percutaneously. We conclude that in the treatment of ureteral obstruction and leak following renal transplantation, percutaneous therapy is an effective alternative to surgery. However, further interventions are usually needed to maintain long-term patency.
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Metadaten
Titel
Percutaneous Therapy of Ureteral Obstructions and Leak After Renal Transplantation: Long-Term Results
verfasst von
Cüneyt Aytekin
Fatih Boyvat
Ali Harman
Umut Özyer
Turan Colak
Mehmet Haberal
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 6/2007
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-007-9031-8

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