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Antegrade jj stenting after percutaneous renal procedures: The 'pull and push' technique.

Ratkal JM, Sharma E - Arab J Urol (2014)

Bottom Line: A JJ stent is inserted antegradely after percutaneous renal procedures like percutaneous nephrolithotomy (PCNL) for renal calculus disease, and for endopyelotomy for pelvi-ureteric junction obstruction.We describe a technique for antegrade stent insertion after PCNL.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Karnataka Institute of Medical Sciences, India.

ABSTRACT
A JJ stent is inserted antegradely after percutaneous renal procedures like percutaneous nephrolithotomy (PCNL) for renal calculus disease, and for endopyelotomy for pelvi-ureteric junction obstruction. We describe a technique for antegrade stent insertion after PCNL.

No MeSH data available.


Related in: MedlinePlus

The guidewire being passed through the ureteric catheter allowing it to curl.
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f0020: The guidewire being passed through the ureteric catheter allowing it to curl.

Mentions: At the end of the procedure, with the fluoroscope positioned over the bladder, the renal end of the ureteric catheter is grasped and brought out of the Amplatz sheath (Figs. 1 and 2). Under fluoroscopic guidance the ureteric catheter is gradually pulled until the lower end of the ureteric catheter is seen just above the symphysis on fluoroscopy (Fig. 3). A zebra or any other suitable guidewire is passed through the ureteric catheter in an antegrade fashion, until the floppy end of the guidewire is seen to curl in the bladder (Fig. 4). The ureteric catheter is withdrawn as the guidewire is being passed. The JJ stent is passed antegradely over the guidewire under fluoroscopic guidance, using the nephroscope (Figs. 5 and 6). We normally do not keep the nephrostomy tube unless indicated.


Antegrade jj stenting after percutaneous renal procedures: The 'pull and push' technique.

Ratkal JM, Sharma E - Arab J Urol (2014)

The guidewire being passed through the ureteric catheter allowing it to curl.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4561932&req=5

f0020: The guidewire being passed through the ureteric catheter allowing it to curl.
Mentions: At the end of the procedure, with the fluoroscope positioned over the bladder, the renal end of the ureteric catheter is grasped and brought out of the Amplatz sheath (Figs. 1 and 2). Under fluoroscopic guidance the ureteric catheter is gradually pulled until the lower end of the ureteric catheter is seen just above the symphysis on fluoroscopy (Fig. 3). A zebra or any other suitable guidewire is passed through the ureteric catheter in an antegrade fashion, until the floppy end of the guidewire is seen to curl in the bladder (Fig. 4). The ureteric catheter is withdrawn as the guidewire is being passed. The JJ stent is passed antegradely over the guidewire under fluoroscopic guidance, using the nephroscope (Figs. 5 and 6). We normally do not keep the nephrostomy tube unless indicated.

Bottom Line: A JJ stent is inserted antegradely after percutaneous renal procedures like percutaneous nephrolithotomy (PCNL) for renal calculus disease, and for endopyelotomy for pelvi-ureteric junction obstruction.We describe a technique for antegrade stent insertion after PCNL.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Karnataka Institute of Medical Sciences, India.

ABSTRACT
A JJ stent is inserted antegradely after percutaneous renal procedures like percutaneous nephrolithotomy (PCNL) for renal calculus disease, and for endopyelotomy for pelvi-ureteric junction obstruction. We describe a technique for antegrade stent insertion after PCNL.

No MeSH data available.


Related in: MedlinePlus