Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

İlhan Nahit Mutlu; Ali Dablan; Mehmet Cingöz; Tuğçe Arslanoğlu; Özgür Kılıçkesmez

Makale detayları

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Yazarlar:

İlhan Nahit Mutlu | Ali Dablan | Mehmet Cingöz | Tuğçe Arslanoğlu | Özgür Kılıçkesmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 21, pp.843-853

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001308773

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrostomy PCN placement in pregnancy. Method: Medical records of 26 pregnant patients who were inserted with a total of 27 PCN catheters between June 2020 to June 2023 were retrospectively analyzed to assess imaging findings, procedural parameters, technical success, delivery outcomes, and procedural complications. Results: At the time of placement of the PCN, the mean gestational age was 29.047.01 weeks range 7 - 36 weeks. The indications for insertion of the PCN catheter included: 1 obstructing calculi 46.2, 2 pyelonephritis 34.6, and 3 symptomatic hydronephrosis without calculi 19.2. Successful catheter placement was achieved in 2527 procedures, yielding a success rate of 92.59, and no major complications. Minor instances of transient hematuria were encountered in three cases. The mean duration of catheter retention was 72.58 days. All patients exhibited significant clinical and symptomatic improvement. Among these patients, 22 patients 84.6 delivered their babies at full-term, 3 patients 11.5 delivered prematurely, and 1 patient 3.8 experienced a miscarriage. Conclusion: Ultrasound-guided PCN placement is a reliable method with high success and efficacy that can be applied during pregnancy. This procedure avoids the use of ionizing radiation, ensuring safety for both the fetus and the mother.

 Aim: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrostomy PCN placement in pregnancy. Method: Medical records of 26 pregnant patients who were inserted with a total of 27 PCN catheters between June 2020 to June 2023 were retrospectively analyzed to assess imaging findings, procedural parameters, technical success, delivery outcomes, and procedural complications. Results: At the time of placement of the PCN, the mean gestational age was 29.047.01 weeks range 7 - 36 weeks. The indications for insertion of the PCN catheter included: 1 obstructing calculi 46.2, 2 pyelonephritis 34.6, and 3 symptomatic hydronephrosis without calculi 19.2. Successful catheter placement was achieved in 2527 procedures, yielding a success rate of 92.59, and no major complications. Minor instances of transient hematuria were encountered in three cases. The mean duration of catheter retention was 72.58 days. All patients exhibited significant clinical and symptomatic improvement. Among these patients, 22 patients 84.6 delivered their babies at full-term, 3 patients 11.5 delivered prematurely, and 1 patient 3.8 experienced a miscarriage. Conclusion: Ultrasound-guided PCN placement is a reliable method with high success and efficacy that can be applied during pregnancy. This procedure avoids the use of ionizing radiation, ensuring safety for both the fetus and the mother.

 Aim: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrostomy PCN placement in pregnancy. Method: Medical records of 26 pregnant patients who were inserted with a total of 27 PCN catheters between June 2020 to June 2023 were retrospectively analyzed to assess imaging findings, procedural parameters, technical success, delivery outcomes, and procedural complications. Results: At the time of placement of the PCN, the mean gestational age was 29.047.01 weeks range 7 - 36 weeks. The indications for insertion of the PCN catheter included: 1 obstructing calculi 46.2, 2 pyelonephritis 34.6, and 3 symptomatic hydronephrosis without calculi 19.2. Successful catheter placement was achieved in 2527 procedures, yielding a success rate of 92.59, and no major complications. Minor instances of transient hematuria were encountered in three cases. The mean duration of catheter retention was 72.58 days. All patients exhibited significant clinical and symptomatic improvement. Among these patients, 22 patients 84.6 delivered their babies at full-term, 3 patients 11.5 delivered prematurely, and 1 patient 3.8 experienced a miscarriage. Conclusion: Ultrasound-guided PCN placement is a reliable method with high success and efficacy that can be applied during pregnancy. This procedure avoids the use of ionizing radiation, ensuring safety for both the fetus and the mother.

 Amaç: Çalışmanın amacı gebelikte uygulanan ultrason eşliğinde perkütan nefrostomi PN yerleştirilmesi işleminin etkinlik ve güvenilirliğini ortaya koymaktır. Yöntem: Haziran 2020 ile Haziran 2023 tarihleri arasında merkezimizde gebe hastalarda uygulanan PN yerleştirilmesi işlemleri retrospektif olarak taranarak işlem parametreleri, görüntüleme bulguları, teknik başarı, işlem komplikasyonları ve gebelik sonuçları değerlendirilmiştir. Bulgular: PN yerleştirilmesi uygulanan hastalarda ortalama gebelik yaşı 29,047,01 hafta olup 7 ile 36 hafta arasında değişmekteydi. PN endikasyonları sırasıyla taş 46,2, piyelonefrit 34,6 ve gebeliğe bağlı taşsız semptomatik hidronefroz 19,2 idi. 27 işlemden 25inde 92,59 PN işlemi başarılı şekilde gerçekleştirilmiş olup major komplikasyon saptanmamıştır. Üç vakada geçici hematüri şeklinde minor komplikasyon saptanmıştır. Kataterin ortalama takılı kalma süresi 72,58 gündür. İşlem yapılan tüm hastalarda semptomatik ve klinik iyileşme sağlanmıştır. PN uygulanan 22 gebede 84,6 zamanında doğum, 3 gebede 11,5 erken doğum ve 1 gebede 3,8 düşük saptanmıştır. Sonuç: Ultrason eşliğinde PN yerleştirilmesi işlemi gebelikte obstrüktif hidronefroz varlığında yüksek başarı oranı ile uygulanabilen etkin ve güvenilir bir yöntemdir. Bu prosedür, iyonlaştırıcı radyasyonun kullanılmasını önleyerek hem fetusun hem de annenin güvenliğini sağlar.

Makale detayları

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Yazarlar:

İlhan Nahit Mutlu | Ali Dablan | Mehmet Cingöz | Tuğçe Arslanoğlu | Özgür Kılıçkesmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 21, pp.843-853

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001308773

pISSN:

2536-4499

Hydronephrosis

nephrostomy

percutaneous

pregnancyHidronefroz

nefrostomi

perkütan

gebelik

Sayı

Makale detayları

Yazarlar: İlhan Nahit Mutlu | Ali Dablan | Mehmet Cingöz | Tuğçe Arslanoğlu | Özgür Kılıçkesmez

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Radyoloji ve Organ Görüntüleme

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 21, pp.843-853

Belge Tipi: Makale

Yayın Tarihi: 5/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001308773

pISSN: 2536-4499

Sayı

Yazarlar:

İlhan Nahit Mutlu | Ali Dablan | Mehmet Cingöz | Tuğçe Arslanoğlu | Özgür Kılıçkesmez

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Radyoloji ve Organ Görüntüleme

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 21, pp.843-853

Belge Tipi:

Makale

Yayın Tarihi:

5/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001308773

pISSN:

2536-4499