Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems
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 establis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2018-01-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-nephrolithotripsy-c-arm-ct-with-3d-vi/55178
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| _version_ | 1827823360327811072 |
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| author | Dechao Jiao Zhanli Zhang Zhanguo Sun Yanli Wang Xinwei Han |
| author_facet | Dechao Jiao Zhanli Zhang Zhanguo Sun Yanli Wang Xinwei Han |
| author_sort | Dechao Jiao |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T02:10:58Z |
| format | Article |
| id | doaj.art-44ffc07d54244b159757e6b51d336b98 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:10:58Z |
| publishDate | 2018-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-44ffc07d54244b159757e6b51d336b982023-09-06T13:23:37ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122018-01-01241172210.5152/dir.2017.1707913049054Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systemsDechao Jiao0Zhanli Zhang1Zhanguo Sun2Yanli Wang3Xinwei Han4 Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China. Department of Interventional Radiology, The People’s First Hospital of Xinxiang, Henan, People’s Republic of China. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China. Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China. 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. http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-nephrolithotripsy-c-arm-ct-with-3d-vi/55178 |
| spellingShingle | Dechao Jiao Zhanli Zhang Zhanguo Sun Yanli Wang Xinwei Han Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems Diagnostic and Interventional Radiology |
| title | Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems |
| title_full | Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems |
| title_fullStr | Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems |
| title_full_unstemmed | Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems |
| title_short | Percutaneous nephrolithotripsy: C-arm CT with 3D virtual navigation in non-dilated renal collecting systems |
| title_sort | percutaneous nephrolithotripsy c arm ct with 3d virtual navigation in non dilated renal collecting systems |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-nephrolithotripsy-c-arm-ct-with-3d-vi/55178
|
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