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Flat detector cone beam CT-guided nephrostomy using virtual navigation in patients with iatrogenic ureteral injury

  • ABDOMINAL RADIOLOGY
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Abstract

Purpose

To evaluate the feasibility of flat detector cone beam computed tomography (CBCT)-guided nephrostomy using virtual navigation in patients with iatrogenic ureteral injury.

Materials and methods

A retrospective review of percutaneous nephrostomy (PN) revealed the use of CBCT with 3D virtual navigation guidance in 42 procedures (40 patients) for patients with iatrogenic ureteral injury. All procedures were shown as second-line interventions after failed ultrasound-guided nephrostomy. Data on technical success rate, procedure time, puncture performance, radiation exposure, complications, and clinical success were collected.

Results

The technical success rate was 95.2% (40/42). The mean puncture performance score was 4.4 ± 1.0, and the procedure time was 25.2 ± 3.1 min, resulting in a mean effective exposure dose of 5.9 ± 2.3 mSv. There were no serious complications. During the mean follow-up periods of 11.4 months (range 6–19), clinical success rates following drainage were 72.5% (29/40), and ten cases (25%) had secondary surgical treatments.

Conclusion

CBCT with 3D virtual navigation is a feasible technique for PN with reasonable exposure dose and can serve as a second-line intervention after failed ultrasound guidance.

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Acknowledgements

This study was funded by The National High Tech Research and Development Program (863 Program) (Grant number: 2015AA020301).

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Authors and Affiliations

  1. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, People’s Republic of China

    Dechao Jiao, Zongming Li, Zhiguo Li, Shaofeng Shui & Xin-wei Han

Authors
  1. Dechao Jiao
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  2. Zongming Li
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  3. Zhiguo Li
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  4. Shaofeng Shui
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  5. Xin-wei Han
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Corresponding author

Correspondence to Xin-wei Han.

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The authors declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional and/or National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Jiao, D., Li, Z., Li, Z. et al. Flat detector cone beam CT-guided nephrostomy using virtual navigation in patients with iatrogenic ureteral injury. Radiol med 122, 557–563 (2017). https://doi.org/10.1007/s11547-017-0751-9

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  • DOI: https://doi.org/10.1007/s11547-017-0751-9

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