The place of computed tomography as a guidance modality in percutaneous nephrostomy: analysis of a 10-year single-center experience

2007 ◽  
Vol 48 (7) ◽  
pp. 806-813 ◽  
Author(s):  
H. Egilmez ◽  
I. Oztoprak ◽  
M. Atalar ◽  
A. Cetin ◽  
C. Gumus ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Percutaneous Nephrostomy ◽  
Complication Rates ◽  
Safe Procedure ◽  
Single Center ◽  
Macroscopic Hematuria ◽  
Ct Guided ◽  
Single Center Experience ◽  
Major Complications ◽  
Inpatient Settings

Background: Percutaneous nephrostomy (PCN) has been established as an effective technique for urinary decompression or diversion. This procedure may be performed with the guidance of fluoroscopy, ultrasonography, a combination of fluoroscopy and ultrasonography, computed tomography (CT), or magnetic resonance imaging. Purpose: To retrospectively review experience with CT-guided PCN over a 10-year period in a single center. Material and Methods: All CT-guided PCN procedures performed in adults at our institution between 1995 and 2005 were evaluated. In 882 patients, 1113 nephrostomy catheters were inserted. Interventional radiologists or radiology residents under direct attending supervision inserted all catheters. During the PCN procedure, bleeding, sepsis, and injuries to adjacent organs were regarded as major complications. Clinical events requiring nominal therapy with no sequelae were regarded as minor complications. Results: PCN procedures were performed via 1–3 punctures in patients with grades 0–1 and 2 hydronephrosis, and via 1–2 punctures in patients with grade 3 hydronephrosis. They were carried out with a procedure time ranging from 9 to 26 min. All PCNs were considered as technically successful, and no major complications were observed. There were minor complications including transient macroscopic hematuria (28.6%, 19.9%, and 4.9% in patients with hydronephrosis grades 0–1, 2, and 3, respectively) and perirenal hematomas in a total of eight patients. No patient required additional intervention secondary to complications of the PCN procedure. Conclusion: CT-guided PCN is an efficient and safe procedure with major and minor complication rates below the accepted thresholds. It can be used for the management of patients requiring nephrostomy insertion in inpatient settings, and might be a preferable procedure in patients with minimal or no dilatation of the renal pelvis.

scholarly journals Retrospective analysis of computed tomography-guided percutaneous nephrostomies in cancer patients

2019 ◽  
Vol 52 (3) ◽  
pp. 148-154 ◽  
Author(s):  
Marcio dos Santos Meira ◽  
Paula Nicole Vieira Pinto Barbosa ◽  
Almir Galvão Vieira Bitencourt ◽  
Maria Fernanda Arruda Almeida ◽  
Chiang Jeng Tyng ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cancer Patients ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Malignant Neoplasm ◽  
Percutaneous Nephrostomy ◽  
Complication Rates ◽  
Success Rates ◽  
Ct Guided ◽  
Referral Center

Abstract Objective: To establish an overview of computed tomography (CT)-guided percutaneous nephrostomy performed at a referral center for cancer, addressing the characteristics of patients submitted to this intervention, as well as the indications for it, the technical specificities of it, and its main complications. Materials and Methods: This was a retrospective study involving a review of the electronic medical records and images of patients submitted to CT-guided percutaneous nephrostomy at a referral center for cancer between 2014 and 2016. Results: A total of 201 procedures were evaluated. In most cases, the obstruction was caused by a malignant neoplasm. Complications occurred in 9.5% of the cases, and an additional intervention was required (typically for catheter repositioning) in 36.6%. Post-procedure complications were not found to be significantly associated with the type of previous cancer treatment, the technique used, the caliber of the drain used in the procedure, or the degree of dilatation of the collection system prior to the procedure. Conclusion: In cancer patients, CT-guided percutaneous nephrostomy is an effective treatment, with success rates and complication rates similar to those reported in the general population.

scholarly journals Is total femoral replacement for non-oncologic and oncologic indications a safe procedure in limb preservation surgery? A single center experience of 22 cases

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Andreas Toepfer ◽  
Norbert Harrasser ◽  
Isabel Petzschner ◽  
Florian Pohlig ◽  
Ulrich Lenze ◽  
...  
Keyword(s):  
Safe Procedure ◽  
Single Center ◽  
Single Center Experience ◽  
Limb Preservation ◽  
Total Femoral Replacement

scholarly journals Preoperative biliary drainage does not increase major complications in pancreaticoduodenectomy: a large single center experience from the Massachusetts General Hospital

2016 ◽  
Vol 23 (3) ◽  
pp. 181-187 ◽  
Author(s):  
Klaus Sahora ◽  
Vicente Morales-Oyarvide ◽  
Cristina Ferrone ◽  
Zhi Ven Fong ◽  
Andrew L. Warshaw ◽  
...  
Keyword(s):  
General Hospital ◽  
Biliary Drainage ◽  
Massachusetts General Hospital ◽  
Preoperative Biliary Drainage ◽  
Single Center ◽  
Single Center Experience ◽  
Major Complications

CT-guided cryoablation for management of bone metastases: a single center experience and review of the literature

2021 ◽  
Author(s):  
Francesco Arrigoni ◽  
Giampaolo Bianchi ◽  
Francesco Formiconi ◽  
Pierpaolo Palumbo ◽  
Luigi Zugaro ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Review Of The Literature ◽  
Single Center ◽  
Ct Guided ◽  
Single Center Experience

Computed Tomography-Guided Radiofrequency Thermocoagulation of the Gasserian Ganglion Using an Alternative to Hartel Anterior Approach: A Bicentral Study

2020 ◽  
Vol 3;23 (6;3) ◽  
pp. 293-298 ◽  
Author(s):  
Dimitrios K. Filippiadis
Keyword(s):  
Computed Tomography ◽  
Pain Relief ◽  
Anterior Approach ◽  
Anatomic Variation ◽  
Control Group ◽  
Complication Rates ◽  
Gasserian Ganglion ◽  
Ct Guided ◽  
Radiofrequency Thermocoagulation ◽  
Number Of Patients

Background: Trigeminal neuralgia (TN) is associated with multiple mechanisms involving peripheral and central nervous system pathologies. Among percutaneous treatments offered, radiofrequency thermocoagulation (RFT) is associated with longer duration of pain relief. Mostly due to anatomic variation, cannulation of the foramen ovale using the Hartel approach has a failure rate of 5.17%. Objectives: To report safety and efficacy of continuous RFT with an alternative to Hartel anterior approach under computed tomography (CT) guidance in patients with classic TN. Study Design: Retrospective institutional database review; bicentral study. Setting: Although this was a retrospective database research, institutional review board approval was obtained. Methods: Institutional database review identified 10 patients (men 8, women 2) who underwent CT-guided RFT of the Gasserian ganglion. Preoperational evaluation included physical examination and magnetic resonance imaging. Under anesthesiology control and local sterility measures, a radiofrequency needle was advanced, and its approach was evaluated with sequential CT scans. Motor and sensory electrostimulation tests evaluated correct electrode location. Pain prior, 1 week, 1, 3, and 6 months after were compared by means of a numeric visual scale (NVS) questionnaire. Results: Mean self-reported pain NVS score prior to RFT was 9.2 ± 0.919 units. One week after the RFT mean NVS score was 1.10 ± 1.287 units (pain reduction mean value of 8.1 units). At 3 and 6 months after thermocoagulation the mean NVS score was 2.80 ± 1.549 units and 2.90 ± 1.370 units, respectively. There were no postoperative complications. Three patients experienced facial numbness, which gradually resolved over a period of 1 month. Limitations: Retrospective nature; small number of patients; lack of a control group undergoing a different treatment of TN. Conclusions: Percutaneous CT-guided RFT of the Gasserian ganglion constitutes a safe and efficacious technique for the treatment of TN, with significant pain relief and minimal complication rates improving life quality in this group of patients. Key words: Trigeminal nerve, neuralgia, pain, radiofrequency, ablation, percutaneous, computed tomography, imaging

64-multislice computed tomography in consecutive patients with suspected or proven coronary artery disease: Initial single center experience

2007 ◽  
Vol 114 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Carmine Musto ◽  
Padley Simon ◽  
Edward Nicol ◽  
Jun Tanigawa ◽  
Simon W. Davies ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Multislice Computed Tomography ◽  
Single Center ◽  
Single Center Experience ◽  
Artery Disease

FNA and CNB in the Diagnosis of Pulmonary Lesions: A Single-center Experience on 665 Patients, Comparison between Two Periods

2017 ◽  
Vol 103 (4) ◽  
pp. 360-366 ◽  
Author(s):  
Alfonso Vittorio Marchianò ◽  
Maria Cosentino ◽  
Giuseppe Di Tolla ◽  
Francesca Gabriella Greco ◽  
Mario Silva ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Diagnostic Yield ◽  
Needle Aspiration ◽  
Complication Rates ◽  
Multivariate Logistic Regression ◽  
Ct Guided ◽  
Fine Needle ◽  
Pulmonary Lesions ◽  
Single Center Experience ◽  
Lung Biopsies

Purpose To evaluate the diagnostic yield and complication rate of 2 different biopsy techniques (fine-needle aspiration, FNA, and core-needle biopsy, CNB) in the diagnosis of pulmonary lesions in 2 distinct periods, 2010-2012 and 2013-2015. Methods We retrospectively analyzed the results of 691 CT-guided lung biopsies in 665 patients who were divided into 2 groups: cohort 1 (January 2010 to December 2012) was composed of 271 consecutive patients with 284 procedures either by FNA or CNB; cohort 2 (January 2013 to December 2015) was composed of 394 patients with 407 CNBs. Univariate and multivariate logistic regression modeling was used for selected outcomes including diagnostic yield, bleeding and pneumothorax. Results Cohort 1 comprised 165 men and 106 women (mean age 68.5 years) with 180 FNAs and 104 CNBs; cohort 2 comprised 229 men and 165 women (mean age 66.4 years) with 407 CNBs. The diagnostic yield increased in cohort 2 with respect to cohort 1. There was a slight increase in CT procedure complications (pneumothorax and bleeding) from cohort 1 to cohort 2. The overall risk of complications was greater for lesions <20 mm and for lesions at >20 mm distance from the pleura. Conclusions CT-guided CNB had a higher diagnostic yield than discretional use of either FNA or CNB; there was a slight but acceptable increase in complication rates.

Major complications of ultrasound-guided percutaneous radiofrequency ablations for liver malignancies: Single center experience

2008 ◽  
Vol 23 (8pt2) ◽  
pp. e445-e450 ◽  
Author(s):  
Tsung-Ming Chen ◽  
Pi-Teh Huang ◽  
Lien-Fu Lin ◽  
Jai-Nien Tung
Keyword(s):  
Single Center ◽  
Ultrasound Guided ◽  
Liver Malignancies ◽  
Single Center Experience ◽  
Major Complications

scholarly journals Computed tomography-guided pericardiocentesis – A single-center experience

2016 ◽  
Vol 35 (5) ◽  
pp. 285-290 ◽  
Author(s):  
David Neves ◽  
Guida Silva ◽  
Gustavo Morais ◽  
Nuno Ferreira ◽  
Mónica Carvalho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Single Center ◽  
Single Center Experience
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