Use of cone-beam CT and live 3-D needle guidance to facilitate percutaneous nephrostomy and nephrolithotripsy access in children and adolescents.

Abstract:

BACKGROUND:Gaining access into non-dilated renal collecting systems for percutaneous nephrolithotripsy, particularly in patients with prohibitive body habitus and/or scoliosis, is often challenging using conventional techniques. OBJECTIVE:To evaluate the feasibility of cone-beam CT for percutaneous nephrostomy placement for subsequent percutaneous nephrolithotripsy in children and adolescents. MATERIALS AND METHODS:A retrospective review of percutaneous nephrostomy revealed use of cone-beam CT and 3-D guidance in 12 percutaneous nephrostomy procedures for 9 patients between 2006 and 2015. All cone-beam CT-guided percutaneous nephrostomies were for pre-lithotripsy access and all 12 were placed in non-dilated collecting systems. RESULTS:Technical success was 100%. There were no complications. CONCLUSION:Cone-beam CT with 3-D guidance is a technically feasible technique for percutaneous nephrostomy in children and adolescents, specifically for nephrolithotripsy access in non-dilated collecting systems.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Hawkins CM,Kukreja K,Singewald T,Minevich E,Johnson ND,Reddy P,Racadio JM

doi

10.1007/s00247-015-3499-1

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

570-4

issue

4

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-015-3499-1

journal_volume

46

pub_type

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