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Erschienen in: CardioVascular and Interventional Radiology 1/2018

13.07.2017 | Clinical Investigation

Primary and Secondary Percutaneous Ureteral Stent Placement: Comparison of Stent Patency and Clinical Outcome

verfasst von: Seo Yeon Youn, Jung Suk Oh, Hae Giu Lee, Byung Gil Choi, Ho Jong Chun, Eu Hyun Kim

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2018

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Abstract

Objectives

To compare early double J ureteral stent (DJUS) dysfunction rate and long-term patency between two percutaneous ureteral stent placement methods: single-stage (primary) or two-stage (secondary) procedures.

Methods

A total of 250 (176 primary and 74 secondary) DJUS placements performed on interventional unit were retrospectively reviewed between February 2008 and March 2014. Early DJUS dysfunction was defined as no passage of contrast media into the urinary bladder in 2–3 days after placement. Long-term patency was considered if the ureteral stent functioned for 3 months (time point for a first routine DJUS change). Amount of blood retained in the collecting system was scored on nephrostogram immediately after DJUS placement with three levels of score.

Results

The overall early DJUS dysfunction rate and long-term patency rate were 30.8 and 96.7%. The early DJUS dysfunction rates were similar in primary and secondary DJUS placements (30.7 and 31.1%, P = 0.950). The long-term patency rates were similar in primary and secondary groups (96.2 and 97.9%, P = 0.928). The amount of blood retained in the collecting system between primary and secondary groups was not significantly different. The early DJUS dysfunction rate significantly increased with increasing blood retention.

Conclusions

The early DJUS dysfunction rates and long-term patency are similar in primary and secondary DJUS placement. However, the early DJUS dysfunction rate can be increased by increasing the blood retention in the collecting system.
Literatur
1.
Zurück zum Zitat Gasparini M, Carroll P, Stoller M. Palliative percutaneous and endoscopic urinary diversion for malignant ureteral obstruction. Urology. 1991;38:408–12.CrossRefPubMed Gasparini M, Carroll P, Stoller M. Palliative percutaneous and endoscopic urinary diversion for malignant ureteral obstruction. Urology. 1991;38:408–12.CrossRefPubMed
2.
Zurück zum Zitat Carrafiello G, Laganà D, Lumia D, et al. Direct primary or secondary percutaneous ureteral stenting: what is the most compliant option in patients with malignant ureteral obstructions? Cardiovasc Intervent Radiol. 2007;30:974–80.CrossRefPubMed Carrafiello G, Laganà D, Lumia D, et al. Direct primary or secondary percutaneous ureteral stenting: what is the most compliant option in patients with malignant ureteral obstructions? Cardiovasc Intervent Radiol. 2007;30:974–80.CrossRefPubMed
3.
Zurück zum Zitat Watson GM, Patel U. Primary antegrade ureteric stenting: prospective experience and cost-effectiveness analysis in 50 ureters. Clin Radiol. 2001;56:568–74.CrossRefPubMed Watson GM, Patel U. Primary antegrade ureteric stenting: prospective experience and cost-effectiveness analysis in 50 ureters. Clin Radiol. 2001;56:568–74.CrossRefPubMed
4.
Zurück zum Zitat Chye RW, Lickiss JN. Palliative care in bilateral malignant ureteric obstruction. Ann Acad Med Singap. 1994;23:197–203.PubMed Chye RW, Lickiss JN. Palliative care in bilateral malignant ureteric obstruction. Ann Acad Med Singap. 1994;23:197–203.PubMed
5.
Zurück zum Zitat Uthappa MC, Cowan NC. Retrograde or antegrade double-pigtail stent placement for malignant ureteric obstruction? Clin Radiol. 2005;60:608–12.CrossRefPubMed Uthappa MC, Cowan NC. Retrograde or antegrade double-pigtail stent placement for malignant ureteric obstruction? Clin Radiol. 2005;60:608–12.CrossRefPubMed
6.
7.
Zurück zum Zitat Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 2006;16:2016–30.CrossRefPubMed Hausegger KA, Portugaller HR. Percutaneous nephrostomy and antegrade ureteral stenting: technique-indications-complications. Eur Radiol. 2006;16:2016–30.CrossRefPubMed
8.
Zurück zum Zitat Patel U, Abubacker MZ. Ureteral stent placement without postprocedural nephrostomy tube: experience in 41 patients. Radiology. 2004;230:435–42.CrossRefPubMed Patel U, Abubacker MZ. Ureteral stent placement without postprocedural nephrostomy tube: experience in 41 patients. Radiology. 2004;230:435–42.CrossRefPubMed
9.
Zurück zum Zitat Soh KC, Tay KH, Tan BS, Mm Htoo A, Hg Lo R, Lin SE. Is the routine check nephrostogram following percutaneous antegrade ureteric stent placement necessary? Cardiovasc Intervent Radiol. 2008;31:604–9.CrossRefPubMed Soh KC, Tay KH, Tan BS, Mm Htoo A, Hg Lo R, Lin SE. Is the routine check nephrostogram following percutaneous antegrade ureteric stent placement necessary? Cardiovasc Intervent Radiol. 2008;31:604–9.CrossRefPubMed
10.
Zurück zum Zitat Tolley D. Ureteric stents, far from ideal. The Lancet. 2000;356:872–3.CrossRef Tolley D. Ureteric stents, far from ideal. The Lancet. 2000;356:872–3.CrossRef
11.
Zurück zum Zitat Dyer RB, Chen MY, Zagoria RJ, Regan JD, Hood CG, Kavanagh PV. Complications of ureteral stent placement. Radiographics. 2002;22:1005–22.CrossRefPubMed Dyer RB, Chen MY, Zagoria RJ, Regan JD, Hood CG, Kavanagh PV. Complications of ureteral stent placement. Radiographics. 2002;22:1005–22.CrossRefPubMed
12.
Zurück zum Zitat Dyer RB, Assimos DG, Regan JD. Update on interventional uroradiology. Urol Clin North Am. 1997;24:623–52.CrossRefPubMed Dyer RB, Assimos DG, Regan JD. Update on interventional uroradiology. Urol Clin North Am. 1997;24:623–52.CrossRefPubMed
13.
Zurück zum Zitat Spies JB, Bakal CW, Burke DR, et al. Standards for interventional radiology. Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology. J Vasc Interv Radiol. 1991;2:59–65.CrossRefPubMed Spies JB, Bakal CW, Burke DR, et al. Standards for interventional radiology. Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology. J Vasc Interv Radiol. 1991;2:59–65.CrossRefPubMed
Metadaten
Titel
Primary and Secondary Percutaneous Ureteral Stent Placement: Comparison of Stent Patency and Clinical Outcome
verfasst von
Seo Yeon Youn
Jung Suk Oh
Hae Giu Lee
Byung Gil Choi
Ho Jong Chun
Eu Hyun Kim
Publikationsdatum
13.07.2017
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 1/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1744-8

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