Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems

1.

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China.

2.

Department of Interventional Radiology, The People’s First Hospital of Xinxiang, Henan, People’s Republic of China.

Diagn Interv Radiol 2018; 24: 17-22
DOI: 10.5152/dir.2017.17079
Read: 314 Downloads: 51 Published: 03 September 2019

Abstract

PURPOSE: We aimed to evaluate the clinical superiority of using C-arm computed tomography (CT) to establish percutaneous nephrolithotripsy (PCNL) access for patients with non-dilated renal collecting systems.

 

METHODS: From May 2014 to May 2015, 33 patients underwent C-arm CT-guided puncture to establish PCNL access after failed attempts of ultrasonography-guided nephrostomy. Technical success, procedure details, radiation exposure, complications, and stone-free rate were recorded.

 

RESULTS: The technical success rate was 97% (32/33) with a mean puncture score of 4.5/5. Mean puncture, dilation, and fragmentation times were 17.9±6.0, 12.6±3.9, and 33.1±8.8 minutes, respectively. Mean radiation exposure was 4.8±2.1 mSv without serious complications. Stone-free rate was 93.8%.

 

CONCLUSION: C-arm CT is a useful tool to establish PCNL access, particularly in cases of upper pole access or complicated anatomy. 

 

You may cite this article as: Jiao D, Zhang Z, Sun Z, Wang Y, Han X. Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems. Diagn Interv Radiol 2018; 24: 17–22.

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