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Retrograde ureteral sheathed forceps technique to retrieve a proximally migrated stent in a young infant

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Abstract

Ureteral stents are commonly externalised retrogradely by cystoscopy and exchanged under imaging guidance. When a ureteral stent has migrated proximally into the ureter, it may be snared by ureteroscopy or antegrade percutaneous access; however, ureteroscopy can be challenging in young infants where there is difficulty visualizing the ureteral orifice or a small-calibre ureter. The presented case describes a radiologic technique for retrieval of a proximally migrated ureteral stent in a young infant using a 0.025-in. hydrophilic wire, 4-Fr angiographic catheter, 8-Fr vascular sheath and cystoscopic forceps, without requiring transrenal antegrade access or surgical ureteral meatotomy.

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Contributions

S.C. and N.K.L. conceived, supervised and supported the study. M.W.L. collated and analysed the data, performed the statistical analysis, and drafted the initial manuscript. M.W.L. and L.Y.O. interpreted the images. All authors reviewed and approved the final manuscript.

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Correspondence to Matthew W. Lukies.

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Lukies, M.W., Ong, L.Y., Lakshmi, N.K. et al. Retrograde ureteral sheathed forceps technique to retrieve a proximally migrated stent in a young infant. Pediatr Radiol 53, 2134–2136 (2023). https://doi.org/10.1007/s00247-023-05711-9

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  • DOI: https://doi.org/10.1007/s00247-023-05711-9

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