Download PDF

CardioVascular and Interventional Radiology

, Volume 14, Issue 5, pp 267–284 | Cite as

Interventional procedures in the upper urinary tract

  • Marc P. Banner
  • Parvati Ramchandani
  • Howard M. Pollack
State-of-the-Art

Abstract

The introduction and acceptance of percutaneous nephrostomy as a safe and effective alternative to surgical nephrostomy served as the impetus for the development and expansion of an ever-increasing number of techniques that are encompassed by the term “interventional uroradiology.” This article reviews many of the non-vascular interventional techniques that have proliferated during the past decade and that are currently used in the kidney, ureter, and perinephric space. The authors emphasize those procedures that are most frequently employed, as well as their own preferences and perspectives on these procedures.

Key words

Interventional procedures, genitourinary system, kidney, ureter Abscess, kidney Biopsy, kidney, ureter 
Download to read the full article text

References

  1. 1.
    Sandler CM, Houston GK, Hall JT, Morettin LB (1986) Guided cyst puncture and aspiration. Radiol Clin North Am 24:527–537PubMedGoogle Scholar
  2. 2.
    Goldman SM, Hartman DS (1990) The simple renal cyst. In Pollack HM (ed) Clinical Urography. WB Saunders, Philadelphia, pp 1063–1091Google Scholar
  3. 3.
    Evans DD, Manco LG, Costello P (1983) Renal cyst wall thickening following percutaneous aspiration. JCAT 7:154–155Google Scholar
  4. 4.
    Lang EK (1977) Renal cyst puncture and aspiration: A survey of complications. AJR 128:723–727PubMedGoogle Scholar
  5. 5.
    Bean WJ (1981) Renal cysts: Treatment with alcohol. Radiology 138:329–331PubMedGoogle Scholar
  6. 6.
    Chehval MJ, Nepute JQ, Purcell MH (1990) Nephroscopic obliteration of obstructing peripelvic renal cyst in conjunction with stone removal. J Endourol 4:259–263Google Scholar
  7. 7.
    Hubner W, Pfab R, Porpaczy P, Hartung R (1990) Renal cysts: Percutaneous resection with standard urologic instruments. J Endourol 4:61–65Google Scholar
  8. 8.
    Hulbert JC, Hunter D, Young AT, Castaneda-Zuniga W (1988) Percutaneous intrarenal marsupialization of a perirenal cystic collection: Endocystolysis. J Urol 139:1039–1041PubMedGoogle Scholar
  9. 9.
    Cronan JJ, Horn DL, Marcello A, Robinson A, Paolella LP, Lambiase RE (1989) Antibiotics and nephrostomy tube care: Preliminary observations. II. Bacteremia. Radiology 172:1043–1045Google Scholar
  10. 10.
    Lang EK, Price ET (1983) Redefinitions of indications for percutaneous nephrostomy. Radiology 147:419–426PubMedGoogle Scholar
  11. 11.
    Leroy AJ (1990) Percutaneous nephrostomy: Techniques and instrumentation. In Pollack HM (ed) Clinical urography. WB Saunders, Philadelphia, pp 2725–2738Google Scholar
  12. 12.
    Stanley PS, Diament MJ (1986) Pediatric percutaneous nephrostomy: Experience with 50 patients. J Urol 135:1223–1226PubMedGoogle Scholar
  13. 13.
    Athanasoulis CA, Pfister RC, Greene RE, Roberson GH (eds) (1982) Interventional Radiology. WB Saunders, PhiladelphiaGoogle Scholar
  14. 14.
    Pollack HM (1990) Clinical urography. WB Saunders, Philadelphia, pp 2701–3051Google Scholar
  15. 15.
    Hunter PT, Hawkins IF, Finlayson B, Nanni G, Senior D (1983) Hawkins-Hunter retrograde transcutaneous nephrostomy: A new technique. Urology 22:583–586PubMedCrossRefGoogle Scholar
  16. 16.
    Lawson RK, Murphy JB, Taylor AJ, Jacobs SC (1983) Retrograde method for access to kidney. Urology 22:580–582PubMedCrossRefGoogle Scholar
  17. 17.
    Stables DP, Ginsberg NJ, Johnson ML (1978) Percutaneous nephrostomy: A series and review of the literature. AJR 130:75–82PubMedGoogle Scholar
  18. 18.
    Cronan JJ, Dorfman GS, Amis ES, Denny DF Jr (1985) Retroperitoneal hemorrhage after percutaneous nephrostomy. AJR 144:801–803PubMedGoogle Scholar
  19. 19.
    Bernardino ME, Baumgartner BR (1986) Abscess drainage in the genitourinary tract. Radiol Clin North Am 24:539–549PubMedGoogle Scholar
  20. 20.
    Lang EK (1990) Renal, perirenal and pararenal abscesses: Percutaneous drainage. Radiology 174:109–113PubMedGoogle Scholar
  21. 21.
    Sacks D, Banner MP, Meranze SG, Burke DB, Robinson M, McLean GK (1988) Renal and related retroperitoneal abscess: Percutaneous drainage. Radiology 167:447–451PubMedGoogle Scholar
  22. 22.
    vanSonnenberg E, Mueller PR, Ferrucci JT Jr (1984) Percutaneous drainage of 250 abdominal abscesses and fluid collections. I. Results, failures, and complications. Radiology 151:337–341PubMedGoogle Scholar
  23. 23.
    Gold RM, McClennan BL (1990) Bacterial renal infection: Role of CT (Letter). Radiology 174:283–284PubMedGoogle Scholar
  24. 24.
    Soulen MC, Fishman EK, Goldman SM, Gatewood OMB (1989) Bacterial renal infection: Role of CT. Radiology 171:703–707PubMedGoogle Scholar
  25. 25.
    Deyoe LA, Cronan JJ, Lambiase RE, Dorfman GS (1990) Percutaneous drainage of renal and perirenal abscesses: Results in 30 patients. AJR 155:81–83PubMedGoogle Scholar
  26. 26.
    Gilliland JD, Spies JB, Brown SB, Yrizarry JM, Greenwood LH (1989) Lymphoceles: Percutaneous treatment with Povidone-iodine sclerosis. Radiology 171:227–229PubMedGoogle Scholar
  27. 27.
    vanSonnenberg E, Wittich GR, Casola G, Wing VW, Halasz NA, Lee AS, Withers C (1986) Lymphoceles: Imaging characteristics and percutaneous management. Radiology 161:593–596PubMedGoogle Scholar
  28. 28.
    White M, Mueller PR, Ferrucci JT Jr, Butch RJ, Simeone JF, Neff CC, Yoder I, Papanicolaou N, Pfister RC (1985) Percutaneous drainage of post-operative abdominal and pelvic lymphoceles. AJR 145:1065–1069PubMedGoogle Scholar
  29. 29.
    Cohan RH, Saeed M, Schwab SJ, Perlmutt LM, Dunnick NR (1988) Povidone-iodine sclerosis of pelvic lymphoceles: A prospective study. Urol Radiol 10:203–206PubMedGoogle Scholar
  30. 30.
    Lingeman JE, Newman D, Mertz JH, Mosbaugh PG, Steele RE, Kahnoski RJ, Coury TA, Woods JR (1986) Extracorporeal shock wave lithotripsy: The Methodist Hospital of Indiana experience. J Urol 135:1134–1137PubMedGoogle Scholar
  31. 31.
    Preminger GM, Kettelhut MC, Elkins SL, Seger J, Fetner CD (1989) Ureteral stenting during extracorporeal shock wave lithotripsy: Help or hinderance? J Urol 142:32–36PubMedGoogle Scholar
  32. 32.
    LeRoy AJ, Williams HJ Jr, Segura JW, Patterson DE, Benson RC Jr (1986) Indwelling ureteral stents: Percutaneous management of complications. Radiology 158:219–222PubMedGoogle Scholar
  33. 33.
    Bregg K, Riehle RA Jr (1989) Morbidity associated with indwelling internal ureteral stents after shock wave lithotripsy. J Urol 141:510–512PubMedGoogle Scholar
  34. 34.
    Pollard SG, MacFarlane R (1988) Symptoms arising from double-J ureteral stents. J Urol 139:37–38PubMedGoogle Scholar
  35. 35.
    McDougall EM, Denstedt JD, Clayman RV (1990) Comparison of patient acceptance of polyurethane vs. silicone indwelling ureteral stents. J Endourol 4:79–81Google Scholar
  36. 36.
    Docimo SG, DeWolf WC (1989) High failure rate of indwelling ureteral stents in patients with extrinsic obstruction: Experience at 2 institutions. J Urol 142:277–279PubMedGoogle Scholar
  37. 37.
    Mitty HA, Train JS, Dan SJ (1986) Placement of ureteral stents by antegrade and retrograde techniques. Radiol Clin North Am 24:587–600PubMedGoogle Scholar
  38. 38.
    Weinstein D, Saltzman B (1990) Predicting patency of double-pigtail ureteral stents using cystography. J Endourol 4:279–281Google Scholar
  39. 39.
    Puppo P, Germinale F, Bottino P, Caviglia C, Rocciotti G, Durand F (1990) Vesicoureteral reflux in the stented ureter. J Endourol 4:241–245CrossRefGoogle Scholar
  40. 40.
    Walther PJ, Robertson CN, Paulson DF (1985) Lethal complications of standard self-retaining ureteral stents in patients with ileal conduit urinary diversion. J Urol 133:851–853PubMedGoogle Scholar
  41. 41.
    Amendola MA, Banner MP, Pollack HM, Gordon RL (1989) Fluoroscopically guided pyeloureteral interventions by using a perurethral transvesical approach. AJR 152:97–102PubMedGoogle Scholar
  42. 42.
    Banner MP, Amendola MA, Pollack HM (1989) Anastomosed ureters: Fluoroscopically guided transconduit retrograde catheterization. Radiology 170:45–49PubMedGoogle Scholar
  43. 43.
    Castaneda F, Moradian GP, Epstein DH, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1989) A new technique for complete temporary occlusion of the ureter. AJR 153:81–82PubMedGoogle Scholar
  44. 44.
    Gunther R, Marberger M, Klose K (1979) Transrenal ureteral embolization. Radiology 132:317–319PubMedGoogle Scholar
  45. 45.
    Gunther R, Klose K, Alken P (1982) Transrenal ureteral occlusion with a detachable balloon. Radiology 142:521–523PubMedGoogle Scholar
  46. 46.
    Papanicolaou N, Pfister RC, Yoder IC (1985) Percutaneous occlusion of ureteral leaks and fistulae using nondetachable balloons. Urol Radiol 7:28–31PubMedGoogle Scholar
  47. 47.
    Kinn AC, Ohlsen H, Brehmer-Andersson E, Brundin J (1986) Therapeutic ureteral occlusion in advanced pelvic malignant tumors. J Urol 135:29–32PubMedGoogle Scholar
  48. 48.
    Gaylord GM, Johnsrude IS (1989) Transrenal ureteral occlusion with Gianturco coils and gelatin sponge. Radiology 172:1047–1048PubMedGoogle Scholar
  49. 49.
    Darey MD, Lund GB, Smith TP, Hunter TP, Castaneda-Zuniga WR, Amplatz K (1987) Percutaneous applied ureteral clips: Treatment of vesicovaginal fistula. Radiology 163:819–821Google Scholar
  50. 50.
    Kopecky KK, Sutton GP, Bihrle R, Becker GJ (1989) Percutaneous transrenal endoureteral radio-frequency electrocautery for occlusion: Case report. Radiology 170:1047–1048PubMedGoogle Scholar
  51. 51.
    Reddy PK, Moore I, Hunter D, Amplatz K (1987) Percutaneous ureteral fulguration: A nonsurgical technique for ureteral occlusion. J Urol 138:724–726PubMedGoogle Scholar
  52. 52.
    Shapiro MJ, Banner MP, Amendola MA, Gordon RL, Pollack HM, Wein AJ (1988) Balloon catheter dilation of ureteroenteric strictures: Long-term results. Radiology 168:385–387PubMedGoogle Scholar
  53. 53.
    Banner MP, Pollack HM (1984) Dilatation of ureteral stenoses: Techniques and experience in 44 patients. AJR 143:789–793PubMedGoogle Scholar
  54. 54.
    Beckmann CF, Roth RA, Bihrle W (1989) Dilation of benign ureteral strictures. Radiology 172:437–441PubMedGoogle Scholar
  55. 55.
    O'Brien WM, Maxted WC, Pahira JJ (1988) Ureteral stricture: Experience with 31 cases. J Urol 140:737–740PubMedGoogle Scholar
  56. 56.
    Maldonado JR Jr, Matas AJ, Sprayragan S, Bakal CW, Melman A, Weinberg JJ (1990) Percutaneous balloon dilatation of uretral strictures in renal transplant patients. J Endourol 4(S):S114Google Scholar
  57. 57.
    Streem SB, Novick AC, Steinmuller DR, Zelch MG, Risius B, Geisinger MA (1988) Long-term efficacy of ureteral dilation for transplant ureteral stenosis. J Urol 140:32–35PubMedGoogle Scholar
  58. 58.
    Kramolowsky EV, Clayman RV, Weyman PJ (1988) Management of ureterointestinal anastomotic strictures: Comparison of open surgical and endourological repair. J Urol 139:1195–1198PubMedGoogle Scholar
  59. 59.
    Lang EK, Glorioso LW (1988) Antegrade transluminal dilatation of benign ureteral strictures: Long-term results. AJR 150:131–134PubMedGoogle Scholar
  60. 60.
    Chang R, Marshall FF, Mitchell S (1987) Percutaneous management of benign ureteral strictures and fistulas. J Urol 137:1126–1131PubMedGoogle Scholar
  61. 61.
    Kramolowsky EV, Tucker RD, Nelson CMK (1989) Management of benign ureteral strictures: Open surgical repair or endoscopic dilation? J Urol 141:285–286PubMedGoogle Scholar
  62. 62.
    Kramolowsky EV, Meretyk S, Clayman RV, Kavoussi LR, Picus DD (1990) Endourological treatment of uretero-enteric anastomotic strictures: Long term follow-up. J Endourol 4(S):S112Google Scholar
  63. 63.
    Lee WJ, Badlani GH, Karlin GS, Smith AD (1988) Treatment of ureteropelvic strictures with percutaneous pyelotomy: Experience in 62 patients. AJR 151:515–518PubMedGoogle Scholar
  64. 64.
    Lee WJ, Pillari G, Smith AD (1990) Percutaneous endopyelotomy: Role of radiology. Radiology 177(P):205Google Scholar
  65. 65.
    Gort HBW, Mali WPTM, van Waes PFGM, Kloet AG (1990) Metallic self-expandible stenting of a ureteroileal stricture. AJR 155:422PubMedGoogle Scholar
  66. 66.
    Lang EK (1988) Percutaneous ureterocystostomy and ureteroneocystostomy. AJR 150:1065–1068PubMedGoogle Scholar
  67. 67.
    Chaussy CG, Fuchs GJ (1989) Current state and future developments of noninvasive treatment of human urinary stones with extracorporeal shock wave lithotripsy. J Urol 141:782–789PubMedGoogle Scholar
  68. 68.
    LeRoy AJ, May GR, Bender CE, Williams HJ Jr, McGough PF, Segura JW, Patterson DE (1984) Percutaneous nephrostomy for stone removal. Radiology 151:607–612PubMedGoogle Scholar
  69. 69.
    Banner MP (1989) Interventional procedures in urolithiasis. Categorical Course Syllabus, 89th Annual Meeting, American Roentgen Ray Society, May 7–12, 1989, pp 145–153Google Scholar
  70. 70.
    Motola JA, Smith AD (1990) Therapeutic options for the management of upper tract calculi. Urol Clin North Am 17:191–206PubMedGoogle Scholar
  71. 71.
    Segura JW (1990) Role of percutaneous procedures in the management of renal calculi. Urol Clin North Am 17:207–216PubMedGoogle Scholar
  72. 72.
    Fedullo LM, Pollack HM, Banner MP, Amendola MA, vanArsdalen KN (1988) The development of steinstrassen after ESWL: Frequency, natural history, and radiologic management. AJR 151:1145–1147PubMedGoogle Scholar
  73. 73.
    Knelson M, Haaga J, Lazarus H, Ghosh C, Abdul-Karim F, Sorenson K (1989) Computed tomography guided retroperitoneal biopsies. J Clin Oncol 7:1169–1173PubMedGoogle Scholar
  74. 74.
    Zornoza J, Jonsson K, Wallace S, Lukeman JM (1977) Fine needle aspiration biopsy of retroperitoneal lymph nodes and abdominal masses: An updated report. Radiology 125:87–88PubMedGoogle Scholar
  75. 75.
    Bernardino ME (1990) Automated biopsy devices: Significance and safety. Radiology 176:615–616PubMedGoogle Scholar
  76. 76.
    Haaga JR, LiPuma JP, Bryan PJ, Balsara VJ, Cohen AM (1983) Clinical comparison of small and large caliber cutting needles for biopsy. Radiology 146:665–667PubMedGoogle Scholar
  77. 77.
    McNamara MP (1989) Percutaneous procedures guided by color-flow Doppler sonography. AJR 152:1123–1125PubMedGoogle Scholar
  78. 78.
    Livraghi T, Damascelli B, Lombardi C, Spagnoli I (1983) Risk in fine-needle abdominal biopsy. JCU 11:77–81PubMedGoogle Scholar
  79. 79.
    Smith EH (1984) The hazards of fine needle aspiration biopsy. Ultrasound Med Biol 10:629–634PubMedCrossRefGoogle Scholar
  80. 80.
    Bush WH, Burnett LL, Gibbons RP (1977) Needle track seeding of renal cell carcinoma. AJR 129:725–727PubMedGoogle Scholar
  81. 81.
    Pollack HM (1990) Brush biopsy of the upper urinary tract. In Pollack HM (ed) Clinical urography. WB Saunders, Philadelphia, pp 2845–2853Google Scholar
  82. 82.
    Zornoza J (1990) Fine-needle biopsy of lymph nodes, adrenal glands, and periureteral tissues. In Pollack HM (ed) Clinical urography, WB Saunders, Philadelphia, pp 2854–2860Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1991

Authors and Affiliations

  • Marc P. Banner
    • 1
  • Parvati Ramchandani
    • 1
  • Howard M. Pollack
    • 1
  1. 1.Section of Uroradiology, Department of RadiologyUniversity of Pennsylvania School of Medicine and HospitalPhiladelphiaUSA

Personalised recommendations