Upper and midureteral calculi: Percutaneous extraction with an occlusion balloon catheter
In 44 patients with one or more calculi in the upper two-thirds of the ureter, single-stage percutaneous nephrolithotomy was performed through a middle or upper calyceal nephrostomy after cystoscopic placement of an occlusion balloon catheter distal to the calculus; in 42, the procedure was successful. The occlusion balloon catheter permitted retrograde opacification of all systems for enhanced renal puncture. In the last 30 patients an attempt was made either to push the calculus upward mechanically or to flush it upward into the renal pelvis with carbon dioxide or dilute contrast material. This was successful in 24 of these patients. Prior overnight occlusion of the ureter by means of ureteral dilatation further facilitates dislodgement of the calculus, which was successful in 12 of 13 patients.
- Research Organization:
- Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805
- OSTI ID:
- 6698036
- Report Number(s):
- CONF-861136-
- Journal Information:
- Radiology; (United States), Vol. 159:3; Conference: 72. scientific assembly and annual meeting of RSNA, Chicago, IL, USA, 30 Nov 1986
- Country of Publication:
- United States
- Language:
- English
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