Percutaneous nephrostomy utilizing B-mode and real-time ultrasound guidance: The lateral approach and puncture facilitation with furosemide
✍ Scribed by Keith R. Burnett; Stephen J. Handler; Robert M. Conroy; Fred Khonsari; Carl Nelson
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 370 KB
- Volume
- 10
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
✦ Synopsis
Percutaneous nephrostomy is becoming a wellestablished technique for permanent or temporary urinary diversion. la2 The procedure is usually accomplished by a posterior approach under fluoroscopic guidance after contrast injection. However, in the interest of patient comfort and ease of catheter management, we elect to puncture obstructed urinary systems using a lateral (or near-lateral) approach under ultrasound guidance. This approach is not commonly used in this country, as several structures (bowel, liver, etc.) are to be avoided, but with ultrasound guidance the safe passage of the catheter is relatively assured. The following is our initial experience with this technique using B-mode and real-time ultrasound guidance and furosemide (Lasix) augmentation of renal pelvic size, when appropriate.