Malignant ureteral obstruction: treatment with metal stents--technique, results, and observations with percutaneous intraluminal US.

Abstract:

PURPOSE:To test the technical feasibility and results of placement of metal stents into ureters obstructed by extensive tumor. MATERIALS AND METHODS:Six consecutive patients (two men and four women, aged 35-66 years and with incurable malignancies) underwent insertion of metallic endoprostheses in nine obstructed ureters through percutaneous tracts. RESULTS:Metal stents were inserted without technical difficulty in all obstructed ureters. The stents functioned well in four patients. In two patients, the metal were not tolerated and plastic double-J stents were placed through the metal stents; this permitted effective functioning and withdrawal of the protective external catheter. Intraluminal ultrasonography depicted stent clogging and debris, dimensions of stent opening, and tumor level. CONCLUSION:Insertion of metal stents in the ureter is technically straightforward and was well tolerated by patients. However, the efficacy is variable, and a greater beneficial effect than is achieved with plastic stents is not established.

journal_name

Radiology

journal_title

Radiology

authors

vanSonnenberg E,D'Agostino HB,O'Laoide R,Donaldson J,Sanchez RB,Hoyt A,Pittman CC

doi

10.1148/radiology.191.3.8184060

subject

Has Abstract

pub_date

1994-06-01 00:00:00

pages

765-8

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

191

pub_type

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