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What is wrong with this picture

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Decompression of renal and perirenal fluid collections ... 1) Directly approach desired calix from the posterior to opacify the collecting system. ... – PowerPoint PPT presentation

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Title: What is wrong with this picture


1
What is wrong with this picture?
2
Is this an ovary?
3
What is Going on Here?
4
Percutaneous Nephrostomy
5
Indications
  • External drainage of renal collecting duct
  • In cases of obstruction
  • As a diversion to allow for healing of distal
    structures
  • Decompression of renal and perirenal fluid
    collections
  • Tract creation for inserting devices (for
    nephrolithotomy, biopsies, stricture dilatation,
    stenting)
  • Direct infusion of agents for dissolving stones
    and antibacterial, antitumor, or antifungal drugs

6
Procedure
  • 1) Directly approach desired calix from the
    posterior to opacify the collecting system.
  • 2) Use the fluoroscopically identified collecting
    duct system for insertion of the catheter (this
    has a lot of mini steps).
  • 3) Confirm catheter position by injecting a small
    amount of contrast.

7
Tubes (2 types)
Malecot Pigtail catheter
8
What its supposed to look like when youre done.
9
Sources
  • Kandarpa, K. and Aruny, J.E. Handbook of
    Interventional Radiologic Procedures, 3rd
    Edition. 2002.
  • www.emedicine.com
  • http//www.e-radiography.net/ibase5/Renal/Renal_hy
    dronephrosis_ct.jpg
  • http//www.e-radiography.net/ibase5/Renal/Renal_hy
    dronephrosis_ct.jpg
  • http//www.learningradiology.com/caseofweek/caseof
    theweekpix/cow130.jpg
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