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CardioVascular and Interventional Radiology

, Volume 37, Issue 2, pp 458–462 | Cite as

Nephrostomy in Early Posttransplantation Period in Patients with Nonfunctional Graft and Nondilated Collecting System

  • Jan H. PeregrinEmail author
  • Vladimír Hanzal
  • Marcela Bürgelová
  • Ondřej Viklický
Clinical Investigation

Abstract

Background

The purpose of our study was to determine whether renal function can be restored by early nephrostomy in patients who fail to develop renal function immediately after transplantation.

Methods

Between 2001 and 2010, we have performed external/internal nephrostomy in 13 patients during the early posttransplant period. The reason for the procedure was graft nonfunction with oliguria/anuria in the presence of normal renal perfusion, absence of signs of rejection, and/or renal collecting system dilation. The nephrostomy was created under ultrasound/fluoroscopic guidance.

Results

Nephrostomy was technically successful in all cases. On days 1–3 following nephrostomy creation, 10 of 13 patients showed an increase in diuresis and subsequent graft function development. Once the obstruction had been removed, the graft remained functional for months up to years posttransplantation. Three patients failed to respond to nephrostomy. There were no nephrostomy-related complications.

Conclusions

Our study documents that, in patients who failed to develop graft function posttransplant for unknown reasons, nephrostomy may result in graft function development.

Keywords

Transplanted kidney Percutaneous nephrostomy Renal graft early failure Renal graft ureter dilatation 

Notes

Acknowledgments

Supported by the project (Ministry of Health, Czech Republic) for development of research organization 00023001 (IKEM, Prague, Czech Republic).

Conflict of interest

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Jan H. Peregrin
    • 1
    Email author
  • Vladimír Hanzal
    • 2
  • Marcela Bürgelová
    • 2
  • Ondřej Viklický
    • 2
  1. 1.Department of Diagnostic and Interventional RadiologyInstitute for Clinical and Experimental MedicinePrague 4Czech Republic
  2. 2.Clinic of NephrologyInstitute for Clinical and Experimental MedicinePrague 4Czech Republic

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