Nephrostomy catheter following percutaneous nephrostolithotomy entering the inferior vena cava
10.3969/j.issn.1009-8291.2023.03.013
- VernacularTitle:经皮肾穿刺造瘘管误入下腔静脉2例报道并文献复习
- Author:
Hui GUO
1
;
Rong CHEN
1
;
Ranxing YANG
1
;
Ying WANG
1
;
Hongbin LI
1
;
Jianwen HUANG
1
;
Jiong ZHANG
1
;
Qiang FU
1
Author Information
1. Department of Urology, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
- Publication Type:Journal Article
- Keywords:
percutaneous nephrostolithotomy;
renal vein;
inferior vena cava;
iatrogenic vascular injury;
complication
- From:
Journal of Modern Urology
2023;28(3):238-241
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the causes and management of nephrostomy catheter following percutaneous nephrostolithotomy (PCNL) entering the inferior vena cava. 【Methods】 A retrospective analysis was performed on the management of two cases of nephrostomy catheter entering the inferior vena cava. The causes, changes of minimally invasive treatment and prevention plans were discussed. 【Results】 Two patients underwent digital subtraction angiography (DSA) to restore the nephrostomy tube to the renal pelvis collecting system. No renal vein rupture or bleeding occurred during the operation, and the patients’ vital signs were stable. Nephrostomy tube was removed successfully after operation. The wound healing was good, and there was no secondary hemorrhage such as perirenal hematoma. The prognosis was good. 【Conclusion】 Although intravenous nephrostomy tube misplacement is an uncommon PCNL complication, the consequences are serous. One-step retraction displacement of nephrostomy tube to the renal collecting system can effectively manage nephrostomy catheter entering the inferior vena cava.
