Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement

Alicia Lopez-Fernandez; Dario Vazquez-Martul; Daniel Fraga-Manteiga; Daniel Gulias-Soidan; Venancio Chantada-Abal

doi:doi:10.11648/j.ijcu.20210502.16

| Peer-Reviewed

Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement

Alicia Lopez-Fernandez, Dario Vazquez-Martul, Daniel Fraga-Manteiga, Daniel Gulias-Soidan, Venancio Chantada-Abal

Published in International Journal of Clinical Urology (Volume 5, Issue 2)

Received: 2 August 2021 Accepted: 23 August 2021 Published: 31 August 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Minimally invasive percutaneous treatment of urological diseases is daily increasing. Puncture, access to renal cavities and dilation the percutaneous tract is not a simple maneuver not free of complications. Percutaneous access of the kidney is sometimes mandatory such as drainage of distally obstructed kidneys in several situations like advanced tumors, stone-related situations and so others. Although the number of surgeries and the grade of specialization are rising, several complications like injuries to in-neighborhood organs, secondary sepsis or kidney bleeding may happen. The kidney is an extremely vascularized organ and this can facilitate vascular damage if some considerations are no taken into account previously. Major vessels (aorta artery and vena cava) damage is exceptional and generally require urgent surgery as in most penetrating injuries. A full endovascular treatment and repair in these situations is uncommon but possible. Initial misplacement of percutaneous nephrostomy tube (PNT) is not a frequent situation and when involving vessels, the small number of publications in literature mainly report catheter misplacement into the renal vessels or inferior vena cava, none affecting the aorta. This article presents two cases of misposition of PNT involving major vessels affecting vena cava and aorta artery. Both of them were successfully managed exclusively with endovascular treatment via femoral access.

Published in	International Journal of Clinical Urology (Volume 5, Issue 2)
DOI	10.11648/j.ijcu.20210502.16
Page(s)	84-87
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Percutaneous, Nephrostomy, Major Vessels, Kidney

References

[1]	Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. JAMA 1955; 157: 891–894.
[2]	Dyer RB, Assimos DG, Regan JD. Update on interventional uroradiology. Urol Clin North Am 1997; 24: 623– 652.
[3]	Zagoria RJ, Dyer RB. Do’s and don’t’s of percutaneous nephrostomy. Acad Radiol 1999; 6: 370–377.
[4]	Stables DP, Ginsberg NJ, Johnson ML. Percutaneous nephrostomy: a series and review of the literature. AJR Am J Roentgenol 1978; 130:75–82.
[5]	Srivastava A, Singh KJ, Suri A. Vascular complications after percutaneous nephrolithotomy: Are there any predictive factors? Urology 2005; 66: 38-40.
[6]	Richstone L, Reggio E, Ost MC, et al. First Prize (tie): Hemorrhage following percutaneous renal surgery: characterization of angiographic findings. J Endourol. 2008 Jun; 22 (6): 1129-35.
[7]	Breyer BN, McAninch JW, Elliott SP, et al. Minimally invasive endovascular techniques to treat acute renal hemorrhage. J Urol 2008 Jun; 179 (6): 2248-52.
[8]	Ierardi AM, Floridi C, Fontana F, et al. Transcatheter embolisation of iatrogenic renal vascular injuries. Radiol Med. 2014 Apr; 119 (4): 261-8.
[9]	Semins MJ, Bartik L, Chew BH, et al. Multicenter analysis of postoperative CT findings after percutaneous nephrolithotomy: defining complication rates. Urology. 2011 Aug; 78 (2): 291–4.
[10]	Jinga V, Dorobat B, Youssef S, et al. Transarterial embolization of renal vascular lesions after percutaneous nephrolithotomy. Chirurgia (Bucur). 2013 Jul-Aug; 108 (4): 521-9.
[11]	ACR-SIR-SRP Practice parameter for the Performance of Percutaneous. Iowa Medical Society and Iowa Society of Anesthesiologists v. Iowa Board of Nursing. (Iowa 2013)
[12]	Krukreja R, Desai M, Patel S, et al. Factors affecting blood loss during percutaneous nephrolithotomy: prospective study. J Endourol. 2004 Oct; 18 (8): 715-22
[13]	Turna B, Nazli O, Demiryoguran S, et al. Percutaneous nephrolithotomy: variables that influence hemorrhage. Urology 2007; 69 (4): 603-7.
[14]	Papanicolaou N. Renal anatomy relevant to percuaneous interventions. Semin Intervent Radiol 1995; 12: 163–172.
[15]	Beiko D, Razvi H, Bhojani N, et al. Techniques -Ultrasound- guided percutaneous nephrolitotomy: How we do it. Can Urol Assoc J 2020; 14 (3): 104-10.
[16]	Chen XF, Chen SQ, Xu LY, et al. Intravenous misplacement of nephrostomy tube following percutaneous nephrolithotomy: Three new cases and review of seven cases in the literature. J Urol. Sep-Oct 2014; 40 (5): 690-6.
[17]	Dias-Filho AC, Coaracy GA, Borges W: Right atrial migration of nephrostomy catheter. Int Braz J Urol. 2005; 31: 470-1.
[18]	Shaw G, Wah TM, Kellett MJ, Choong SK. Management of renal-vein perforation during a challenging percutaneous nephrolithotomy. J Endourol. 2005; 19: 722-3.
[19]	Skolarikos A, Alivizatos G, Papatsoris A, Constantinides K, Zerbas A, Deliveliotis C: Ultrasound-guided percutaneous nephrostomy performed by urologists: 10-year experience. Urology. 2006; 68: 495-9.
[20]	Kotb AF, Elabbady A, Mohamed KR, Atta MA: Percutaneous silicon catheter insertion into the inferior vena cava, following percutaneous nephrostomy exchange. Can Urol Assoc J. 2013; 7: E505-7.
[21]	Voellinger DC, Saddakni S, Melton SM, et al. Endovascular repair of a traumatic infrarenal aortic transection: a case report and review. Vasc Surg. 2001; 35: 385-389.
[22]	Shalhub S, Starnes BW, Tran NT, Hatsukami TS, Lundgren RS, Davis CW, et al. Blunt abdominal aortic injury. J Vasc Surg. 2012; 55: 1277-1285.
[23]	Demetriades D, Theodorou d, Murray J, et al. Mortality and prognostic factors in penetrating injuries of the aorta. J Trauma 1996; 40: 761-3.

Cite This Article

Plain Text BibTeX RIS

APA Style

Alicia Lopez-Fernandez, Dario Vazquez-Martul, Daniel Fraga-Manteiga, Daniel Gulias-Soidan, Venancio Chantada-Abal. (2021). Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. International Journal of Clinical Urology, 5(2), 84-87. https://doi.org/10.11648/j.ijcu.20210502.16

Copy | Download

ACS Style

Alicia Lopez-Fernandez; Dario Vazquez-Martul; Daniel Fraga-Manteiga; Daniel Gulias-Soidan; Venancio Chantada-Abal. Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. Int. J. Clin. Urol. 2021, 5(2), 84-87. doi: 10.11648/j.ijcu.20210502.16

Copy | Download

AMA Style

Alicia Lopez-Fernandez, Dario Vazquez-Martul, Daniel Fraga-Manteiga, Daniel Gulias-Soidan, Venancio Chantada-Abal. Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. Int J Clin Urol. 2021;5(2):84-87. doi: 10.11648/j.ijcu.20210502.16

Copy | Download

@article{10.11648/j.ijcu.20210502.16,
  author = {Alicia Lopez-Fernandez and Dario Vazquez-Martul and Daniel Fraga-Manteiga and Daniel Gulias-Soidan and Venancio Chantada-Abal},
  title = {Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement},
  journal = {International Journal of Clinical Urology},
  volume = {5},
  number = {2},
  pages = {84-87},
  doi = {10.11648/j.ijcu.20210502.16},
  url = {https://doi.org/10.11648/j.ijcu.20210502.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210502.16},
  abstract = {Minimally invasive percutaneous treatment of urological diseases is daily increasing. Puncture, access to renal cavities and dilation the percutaneous tract is not a simple maneuver not free of complications. Percutaneous access of the kidney is sometimes mandatory such as drainage of distally obstructed kidneys in several situations like advanced tumors, stone-related situations and so others. Although the number of surgeries and the grade of specialization are rising, several complications like injuries to in-neighborhood organs, secondary sepsis or kidney bleeding may happen. The kidney is an extremely vascularized organ and this can facilitate vascular damage if some considerations are no taken into account previously. Major vessels (aorta artery and vena cava) damage is exceptional and generally require urgent surgery as in most penetrating injuries. A full endovascular treatment and repair in these situations is uncommon but possible. Initial misplacement of percutaneous nephrostomy tube (PNT) is not a frequent situation and when involving vessels, the small number of publications in literature mainly report catheter misplacement into the renal vessels or inferior vena cava, none affecting the aorta. This article presents two cases of misposition of PNT involving major vessels affecting vena cava and aorta artery. Both of them were successfully managed exclusively with endovascular treatment via femoral access.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement
AU  - Alicia Lopez-Fernandez
AU  - Dario Vazquez-Martul
AU  - Daniel Fraga-Manteiga
AU  - Daniel Gulias-Soidan
AU  - Venancio Chantada-Abal
Y1  - 2021/08/31
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcu.20210502.16
DO  - 10.11648/j.ijcu.20210502.16
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 84
EP  - 87
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20210502.16
AB  - Minimally invasive percutaneous treatment of urological diseases is daily increasing. Puncture, access to renal cavities and dilation the percutaneous tract is not a simple maneuver not free of complications. Percutaneous access of the kidney is sometimes mandatory such as drainage of distally obstructed kidneys in several situations like advanced tumors, stone-related situations and so others. Although the number of surgeries and the grade of specialization are rising, several complications like injuries to in-neighborhood organs, secondary sepsis or kidney bleeding may happen. The kidney is an extremely vascularized organ and this can facilitate vascular damage if some considerations are no taken into account previously. Major vessels (aorta artery and vena cava) damage is exceptional and generally require urgent surgery as in most penetrating injuries. A full endovascular treatment and repair in these situations is uncommon but possible. Initial misplacement of percutaneous nephrostomy tube (PNT) is not a frequent situation and when involving vessels, the small number of publications in literature mainly report catheter misplacement into the renal vessels or inferior vena cava, none affecting the aorta. This article presents two cases of misposition of PNT involving major vessels affecting vena cava and aorta artery. Both of them were successfully managed exclusively with endovascular treatment via femoral access.
VL  - 5
IS  - 2
ER  -

Copy | Download

Author Information

Alicia Lopez-Fernandez

Urology Department, Urology Department, A Coruna University Hospital, A Coruna, Spain
Dario Vazquez-Martul

Urology Department, Urology Department, A Coruna University Hospital, A Coruna, Spain
Daniel Fraga-Manteiga

Interventional Radiology Unit, A Coruna University Hospital, A Coruna, Spain
Daniel Gulias-Soidan

Interventional Radiology Unit, A Coruna University Hospital, A Coruna, Spain
Venancio Chantada-Abal

Urology Department, Urology Department, A Coruna University Hospital, A Coruna, Spain

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Alicia Lopez-Fernandez, Dario Vazquez-Martul, Daniel Fraga-Manteiga, Daniel Gulias-Soidan, Venancio Chantada-Abal. (2021). Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. International Journal of Clinical Urology, 5(2), 84-87. https://doi.org/10.11648/j.ijcu.20210502.16

Copy | Download

ACS Style

Alicia Lopez-Fernandez; Dario Vazquez-Martul; Daniel Fraga-Manteiga; Daniel Gulias-Soidan; Venancio Chantada-Abal. Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. Int. J. Clin. Urol. 2021, 5(2), 84-87. doi: 10.11648/j.ijcu.20210502.16

Copy | Download

AMA Style

Alicia Lopez-Fernandez, Dario Vazquez-Martul, Daniel Fraga-Manteiga, Daniel Gulias-Soidan, Venancio Chantada-Abal. Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement. Int J Clin Urol. 2021;5(2):84-87. doi: 10.11648/j.ijcu.20210502.16

Copy | Download

@article{10.11648/j.ijcu.20210502.16,
  author = {Alicia Lopez-Fernandez and Dario Vazquez-Martul and Daniel Fraga-Manteiga and Daniel Gulias-Soidan and Venancio Chantada-Abal},
  title = {Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement},
  journal = {International Journal of Clinical Urology},
  volume = {5},
  number = {2},
  pages = {84-87},
  doi = {10.11648/j.ijcu.20210502.16},
  url = {https://doi.org/10.11648/j.ijcu.20210502.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210502.16},
  abstract = {Minimally invasive percutaneous treatment of urological diseases is daily increasing. Puncture, access to renal cavities and dilation the percutaneous tract is not a simple maneuver not free of complications. Percutaneous access of the kidney is sometimes mandatory such as drainage of distally obstructed kidneys in several situations like advanced tumors, stone-related situations and so others. Although the number of surgeries and the grade of specialization are rising, several complications like injuries to in-neighborhood organs, secondary sepsis or kidney bleeding may happen. The kidney is an extremely vascularized organ and this can facilitate vascular damage if some considerations are no taken into account previously. Major vessels (aorta artery and vena cava) damage is exceptional and generally require urgent surgery as in most penetrating injuries. A full endovascular treatment and repair in these situations is uncommon but possible. Initial misplacement of percutaneous nephrostomy tube (PNT) is not a frequent situation and when involving vessels, the small number of publications in literature mainly report catheter misplacement into the renal vessels or inferior vena cava, none affecting the aorta. This article presents two cases of misposition of PNT involving major vessels affecting vena cava and aorta artery. Both of them were successfully managed exclusively with endovascular treatment via femoral access.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Endovascular Treatment of Major Vessels Percutaneous Nephrostomy Misplacement
AU  - Alicia Lopez-Fernandez
AU  - Dario Vazquez-Martul
AU  - Daniel Fraga-Manteiga
AU  - Daniel Gulias-Soidan
AU  - Venancio Chantada-Abal
Y1  - 2021/08/31
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcu.20210502.16
DO  - 10.11648/j.ijcu.20210502.16
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 84
EP  - 87
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20210502.16
AB  - Minimally invasive percutaneous treatment of urological diseases is daily increasing. Puncture, access to renal cavities and dilation the percutaneous tract is not a simple maneuver not free of complications. Percutaneous access of the kidney is sometimes mandatory such as drainage of distally obstructed kidneys in several situations like advanced tumors, stone-related situations and so others. Although the number of surgeries and the grade of specialization are rising, several complications like injuries to in-neighborhood organs, secondary sepsis or kidney bleeding may happen. The kidney is an extremely vascularized organ and this can facilitate vascular damage if some considerations are no taken into account previously. Major vessels (aorta artery and vena cava) damage is exceptional and generally require urgent surgery as in most penetrating injuries. A full endovascular treatment and repair in these situations is uncommon but possible. Initial misplacement of percutaneous nephrostomy tube (PNT) is not a frequent situation and when involving vessels, the small number of publications in literature mainly report catheter misplacement into the renal vessels or inferior vena cava, none affecting the aorta. This article presents two cases of misposition of PNT involving major vessels affecting vena cava and aorta artery. Both of them were successfully managed exclusively with endovascular treatment via femoral access.
VL  - 5
IS  - 2
ER  -

Copy | Download