Deepti Venkatraman, Presenter: Nothing to Disclose

Michael Stanley Gee MD, PhD, Abstract Co-Author: Nothing to Disclose

Debra Ann Gervais MD, Abstract Co-Author: Research Grant, Covidien AG

1. Indications for percutaneous nephrostomy tube placement in infants and young children include congenital (ureteropelvic junction obstruction, primary megaureter, ureteropelvic duplication) and acquired (stones) causes of urinary tract obstruction. 2. Percutaneous nephrostomy is also indicated in children with post-operative stricture or urinary leak following urologic surgery such as pyeloplasty or ureteral reimplantation. 3. Technical considerations for nephrostomy include selection of calyceal access route, selection of image modality for guidance, utilization of one vs two stick approach, and selection of catheter size. 4. Measures of success include technical success (access and drainage of the urinary system) and clinical success (resolution of urinary obstruction or leak without need for surgical intervention.  

1. Indications for pediatric nephrostomy tube placement. 2. Technical considerations of nephrostomy catheter placement in children. 3. Considerations in choice of access point for tube placement with respect to vascular and calyceal anatomy. 4. Indwelling nephrostomy tube management. 5. Multidisciplinary approach to congenital and acquired obstruction. 6. Review technical and clinical measures of nephrostomy success.  

http://abstract.rsna.org/uploads/2014/14011994/14011994_tx78.pdf

Venkatraman, D, Gee, M, Gervais, D, Percutaneous Nephrostomy Tube Placement in Children: Indications, Technique, and Measures of Success.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011994.html