TY - JOUR T1 - Radiologically guided percutaneous nephrostomy: A 6-year single-center experience TT - Görüntüleme kılavuzluğunda perkütan nefrostomi: 6 yıllık tek merkez deneyimi AU - Şeker, Mehmet AU - Çiftçi, Türkmen Turan AU - Akıncı, Devrim AU - Akhan, Okan PY - 2019 DA - December DO - 10.25000/acem.605006 JF - Archives of Clinical and Experimental Medicine JO - Arch Clin Exp Med PB - Mustafa HASBAHÇECİ WT - DergiPark SN - 2564-6567 SP - 142 EP - 147 VL - 4 IS - 3 LA - en AB - Aim: To retrospectively analyze theindications, underlying pathologies, technical success rate, complications andbenefit of percutaneous nephrostomies in a single centre.Materials and Methods: Data of 578 patientswho underwent radiologically guided percutaneous nephrostomy between January 1999 and December 2004 were retrospectively reviewed. The mean ageof the patients was 42.5 years (range, 6 days–90 years). The indications were urinary obstruction without urinary infection(77.9%), urinary obstruction withurinary infection (13.1%), urinary diversion (6.9%) and diagnostic testing(2.1%). Results: The technical success rate was99.4%. There was no procedure related mortality. Majorhemorrhage or sepsis were not observed in children. Major hemorrhage occurred in 1.55% and sepsis occured in 2.65% of adult patients. Catheter dislodgement was the commonestcomplication with an overall rate of 11.4%. In 7.2% patients, percutaneousnephrostomy was successful in managing patients without further intervention. 36.5% of patients had surgery and 14.7% had ureteral stenting as definitivetreatment. Conclusion: Radiologically guided percutaneousnephrostomy, can be used effectively, and safely in a wide variety ofindications with high technical success and low complications rates. KW - Percutaneous nephrostomy KW - urinary system obstruction KW - urinary leakage KW - urinary fistula KW - interventional radiology N2 - Amaç: Perkütan nefrostomilerin,endikasyonlarını, altta yatan patolojileri, teknik başarı oranını, komplikasyonlarıve genel faydalarını retrospektif olarak incelemek.Materyal ve Metod: Ocak 1999 ile Aralık 2004tarihleri arasında görüntüleme kılavuzluğunda perkütan nefrostomi yapılan 578hastanın verileri retrospektif olarak incelenmiştir. Hastaların ortalama yaşı42,5 yıl idi (6 gün–90 yıl). İşlemendikasyonları üriner enfeksiyon olmadan obstrüksiyon varlığı (% 77,9), ürinerenfeksiyon ile beraber obstrüksiyon varlığı (%13,1), üriner diversiyon (%6,9)ve böbrek fonksiyonları değerlendirme (%2,1) idi. Bulgular: Teknik başarı oranı % 99,4 idi.İşlemle ilişkili mortalite izlenmedi. Çocuklarda major hemoraji ya da sepsisgörülmemişti. Erişkin hastalarda major kanama oranı % 1,55, sepsis oranı ise %2,65idi. Kateter dislokasyonu en sık ortaya çıkan komplikasyondu ve oranı toplamda%11,4 idi. Hastaların %7,2'sinde başka girişim yapılmadan perkütan nefrostomiile başarılı tedavi sağlandı. Hastaların %36,5'inde cerrahi ile ve %14,7'sindeise üreteral stent yerleştirilerek kesin tedavi sağlandı.Sonuç: Radyoloji kılavuzluğunda yapılan perkütannefrostomi, yüksek teknik başarı ve düşük komplikasyon oranları ile çok çeşitliendikasyonlarda etkili ve güvenli bir şekilde kullanılabilir. CR - 1. Dagli M, Ramchandani P. Percutaneous nephrostomy: technical aspects and indications. Semin Interv Radiol. 2011;28:424–37. CR - 2. Pabon-Ramos WM, Dariushnia SR, Walker TG, d’Othée BJ, Ganguli S, Midia M, et al. Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol. 2016;27:410–4. CR - 3. Ramchandani P, Cardella JF, Grassi CJ, Roberts A.C, Sacks D, Schwartzberg M.S, et al. Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol. 2003;14:277–81. CR - 4. 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