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Digital subtraction angiography assisted ultrasound puncture in a pelvic kidney

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Abstract

A new technique for percutaneous nephrostomyneedle guidance is presented. It wasapplied in a patient with a solitary pelvickidney, where ultrasound guidance was notfeasible because of a very narrow puncturewindow. Typical intravenous urographywas not useful, owing to poor opacification ofthe collecting system. We describehow the use of digital subtraction imagingeventually permitted us to establish a percutaneous nephrostomy tube safely, avoidingthe intestine and blood vessels.

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Authors and Affiliations

  1. Department of Urology, Democritus University of Thrace, Alexandroupolis, Greece

    Stavros Touloupidis, Christos Kalaitzis & Pelagia Chloropoulou

  2. Orestiados 19, 68100, Alexandroupolis, Greece

    Vasileios Rombis & Nikolaos Vougiouklis

  3. Department of Radiology, Northwestern Medical School, Chicago, IL, USA

    Paul Nikolaidis

Authors
  1. Stavros Touloupidis
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  2. Vasileios Rombis
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  3. Nikolaos Vougiouklis
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  4. Paul Nikolaidis
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  5. Christos Kalaitzis
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  6. Pelagia Chloropoulou
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Corresponding author

Correspondence to Stavros Touloupidis.

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Touloupidis, S., Rombis, V., Vougiouklis, N. et al. Digital subtraction angiography assisted ultrasound puncture in a pelvic kidney. Int Urol Nephrol 35, 467–470 (2003). https://doi.org/10.1023/B:UROL.0000025635.37462.7f

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  • DOI: https://doi.org/10.1023/B:UROL.0000025635.37462.7f

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