Download PDF
Semin intervent Radiol 2012; 29(03): 218-225
DOI: 10.1055/s-0032-1326932
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Emergent Percutaneous Nephrostomy for the Diagnosis and Management of Pyonephrosis

Albert C. Li
1   Department of Diagnostic Radiology, Section of Vascular and Interventional Radiology, Robert Wood Johnson University Hospital, New Brunswick, New Jersey
,
Sidney P. Regalado
2   Department of Radiology, Northshore University HealthSystem, Evanston, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
16 October 2012 (online)

Also available at
    Permissions and Reprints

Abstract

Emergent percutaneous nephrostomy is a potentially lifesaving procedure with a high technical success rate, minimal morbidity, and long safety record that is often used in the setting of an obstructed and infected renal collecting system (i.e., pyonephrosis). This article discusses all aspects of the emergent placement of nephrostomy catheters including indications, techniques, results, and complications. Differences between emergent and nonemergent placement of percutaneous nephrostomy catheters are also addressed.

Keywords

percutaneous nephrostomy - pyonephrosis - obstructive uropathy - acute renal failure
 

  • References

  • 1 Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc 1955; 157 (11) 891-894
    CrossrefPubMedGoogle Scholar
  • 2 Reznek RH, Talner LB. Percutaneous nephrostomy. Radiol Clin North Am 1984; 22 (2) 393-406
    PubMedGoogle Scholar
  • 3 Yoder IC, Lindfors KK, Pfister RC. Diagnosis and treatment of pyonephrosis. Radiol Clin North Am 1984; 22 (2) 407-414
    PubMedGoogle Scholar
  • 4 Ramchandani P, Cardella JF, Grassi CJ , et al; Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol 2003; 14 (9 Pt 2) S277-S281
    PubMedGoogle Scholar
  • 5 Pearle MS, Pierce HL, Miller GL , et al. Optimal method of urgent decompression of the collecting system for obstruction and infection due to ureteral calculi. J Urol 1998; 160 (4) 1260-1264
    CrossrefPubMedGoogle Scholar
  • 6 Malloy PC, Grassi CJ, Kundu S , et al; Standards of Practice Committee with Cardiovascular and Interventional Radiological Society of Europe (CIRSE) Endorsement. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol 2009; 20 (7, Suppl) S240-S249
    CrossrefPubMedGoogle Scholar
  • 7 Funaki B, Vatakencherry G. Comparison of single-stick and double-stick techniques for percutaneous nephrostomy. Cardiovasc Intervent Radiol 2004; 27 (1) 35-37
    PubMedGoogle Scholar
  • 8 Venkatesan AM, Kundu S, Sacks D , et al. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association. J Vasc Interv Radiol 2010; 21: 1611-1630
    CrossrefPubMedGoogle Scholar
  • 9 Maher MM, Fotheringham T, Lee MJ. Percutaneous nephrostomy. Semin Intervent Radiol 2000; 17: 329-339
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 ACR Committee on Drugs and Contrast Media. American College of Radiology Manual on Contrast Media. 7th ed. Reston, VA: American College of Radiology; 2010
    Google Scholar
  • 11 Munver R, Delvecchio FC, Newman GE, Preminger GM. Critical analysis of supracostal access for percutaneous renal surgery. J Urol 2001; 166 (4) 1242-1246
    CrossrefPubMedGoogle Scholar
  • 12 Dyer RB, Regan JD, Kavanagh PV, Khatod EG, Chen MY, Zagoria RJ. Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics 2002; 22 (3) 503-525
    CrossrefPubMedGoogle Scholar
  • 13 Tuttle DN, Yeh BM, Meng MV, Breiman RS, Stoller ML, Coakley FV. Risk of injury to adjacent organs with lower-pole fluoroscopically guided percutaneous nephrostomy: evaluation with prone, supine, and multiplanar reformatted CT. J Vasc Interv Radiol 2005; 16 (11) 1489-1492
    CrossrefPubMedGoogle Scholar
  • 14 Zagoria RJ, Dyer RB. Do's and don't's of percutaneous nephrostomy. Acad Radiol 1999; 6 (6) 370-377
    CrossrefPubMedGoogle Scholar
  • 15 Agostini S, Dedola GL, Gabbrielli S, Masi A. A new percutaneous nephrostomy technique in the treatment of obstructive uropathy. Radiol Med (Torino) 2003; 105 (5–6) 454-461
    PubMedGoogle Scholar
  • 16 Funaki B, Tepper JA. Percutaneous nephrostomy. Semin Intervent Radiol 2006; 23 (2) 205-208
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Patel U, Hussain FF. Percutaneous nephrostomy of nondilated renal collecting systems with fluoroscopic guidance: technique and results. Radiology 2004; 233 (1) 226-233
    CrossrefPubMedGoogle Scholar
  • 18 Millward SF. Percutaneous nephrostomy: a practical approach. J Vasc Interv Radiol 2000; 11 (8) 955-964
    CrossrefPubMedGoogle Scholar
  • 19 Lee WJ, Patel U, Patel S, Pillari GP. Emergency percutaneous nephrostomy: results and complications. J Vasc Interv Radiol 1994; 5 (1) 135-139
    CrossrefPubMedGoogle Scholar
  • 20 Lewis S, Patel U. Major complications after percutaneous nephrostomy—lessons from a department audit. Clin Radiol 2004; 59 (2) 171-179
    CrossrefPubMedGoogle Scholar