Abstract
Background
To evaluate the efficacy of antegrade insertion of the ureteric stent using pull-through technique in tight ureteric stricture that a guide-wire traversed, but a 5-F catheter could not.
Materials and methods
Seven patients (M:F = 2:5, mean age 56 years) who underwent antegrade ureteric stent insertion using pull-through technique due to tight ureteric stricture were retrospectively evaluated. The strictures were due to impacted ureter stone (n = 3), metastasis from rectal cancer (n = 1), and idiopathic ureter stricture (n = 3). After failing to traverse a 5-F catheter through the stricture along the guide-wire, a 7-F introducer sheath was inserted through the urethra. The distal end of the guide-wire was snared and retrieved through the urethral introducer sheath. Then using pull-through technique, antegrade ureteric stent insertion was performed.
Results
Double-J ureteric stent was successfully placed in all seven patients using the pull-through technique. Complications included abdominal/flank pain (n = 7), gross hematuria (n = 5) and elevated blood pressure (n = 1). All complications were relieved within 3 days after the procedure with conservative treatment.
Conclusions
Antegrade double-J ureteric stent insertion using the pull-through technique is a safe and useful method, which can be used in tight ureteric strictures, where a ureteric stent cannot follow the passed guide wire.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Jenkins AD, Tegtmeyer CJ (1981) Percutaneous transrenal placement of indwelling ureteral catheters. J Urol 126:730–733
Ball AJ, Gingell JC, Carter SS, Smith PJ (1983) The indwelling ureteric stent-the Bristol experience. Br J Urol 55:622–625
Smedley FH, Rimmer J, Taube M, Edwards L (1988) 168 double J (pigtail) ureteric catheter insertions: a retrospective review. Ann R Coll Surg Engl 70:377–379
Mygind T, Dorph S, Nielsen H, Nielsen L (1985) New techniques for stenting severely strictured or occluded ureters. Eur J Radiol 5:321–324
Edwards RD, Cockburn JF (1994) Antegrade ureteric stenting using a ‘pull-through’ technique. Br J Urol 73:593–595
Asch MR, Jaffer NM (1995) Antegrade placement of a ureteric stent by a pull-through technique. Can Assoc Radiol J 46:465–467
Gray RJ, Intriere L, Dolmatch BL, Edson M, Fischer J (1992) Combined retrograde-antegrade ureteral stent passage: salvage procedure for a ureteral leak. J Vasc Interv Radiol 3:557–558
Pingoud EG, Bagley DH, Zeman RK, Glancy KE, Pais OS (1980) Percutaneous antegrade bilateral ureteric dilatation and stent placement for internal drainage. Radiology 134:780
Smith AD (1984) Percutaneous ureteric surgery and stenting. Urology 23:37–42
Hackethorn JC, Boren SR, Dotter CT, Rosch J (1985) Antegrade internal ureteric stenting: a technical refinement. Radiology 156:827–828
Mitty HA, Dan SJ, Train JS (1987) Antegrade ureteric stents: technical and catheter related problems with polyethylene and polyurethane. Radiology 165:439–443
Kwok PC, Cheung YL (1996) A radiological approach to the through and through technique for percutaneous passage of ureteric strictures. Clin Radiology 51:879–881
Mitty HA (1984) Ureteral stenting facilitated by antegrade transurethral passage of guide wire. AJR 142:831–832
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, B.M., Park, S. Placement of double-J ureteric stent using the pull-through technique in patients with tight ureteric stenosis. Abdom Imaging 33, 237–240 (2008). https://doi.org/10.1007/s00261-007-9233-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-007-9233-1