Percutaneous nephrostomy in infants: a 20-year single-center experience

Taydaş, Onur; Ünal, Emre; Akıncı, Devrim; Şeker, Mehmet; Topçuoğlu, Osman Melih; Akhan, Okan; Çiftçi, Türkmen Turan

Percutaneous nephrostomy in infants: a 20-year single-center experience

dc.contributor.author	Taydaş, Onur
dc.contributor.author	Ünal, Emre
dc.contributor.author	Akıncı, Devrim
dc.contributor.author	Şeker, Mehmet
dc.contributor.author	Topçuoğlu, Osman Melih
dc.contributor.author	Akhan, Okan
dc.contributor.author	Çiftçi, Türkmen Turan
dc.date.accessioned	2025-06-17T11:56:46Z
dc.date.available	2025-06-17T11:56:46Z
dc.date.issued	2024
dc.department	İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstract	PURPOSE To investigate the safety and efficacy of the imaging-guided percutaneous nephrostomy (PCN) procedure in infants. METHODS A total of 75 (50 boys; 66.7%) patients with a mean age of 121 days (range, 1–351 days) who underwent PCN over a period of 20 years were included in this retrospective study. For each patient, PCN indications, catheter size, the mean duration of catheterization, complications, and the procedure performed following nephrostomy were recorded. Technical success was determined based on the successful placement of the nephrostomy catheter within the pelvicalyceal system. Clinical success was defined as the complete resolution of hydronephrosis and improvement in renal function tests during follow-up. In patients with urinary leakage, technical and clinical success was determined based on the resolution of leakage. RESULTS The technical success rate was 100%, and no procedure-related mortality was observed. In 11 patients (14.7%), bilateral PCN was performed. The most frequent indication of PCN was ureteropelvic junction obstruction (n = 41, 54.7%). Procedure-related major complications were encountered in two patients (methemoglobinemia and respiratory arrest caused by the local anesthetic agent in one patient and the development of urinoma caused by urinary leakage from the puncture site in the other). Mild urinary leakage was the only minor complication that occurred and only in one patient. Catheter-related complications were managed through replacement or revision surgery in 16 patients (21.3%). CONCLUSION Imaging-guided PCN is a feasible and effective procedure with high technical success and low major complication rates, and it is useful for protecting kidney function in infants.
dc.identifier.citation	Taydaş, O., Ünal, E., Akıncı, D., Şeker, M., Topçuoğlu, O. M., Akhan, O. ... Çiftçi, T. T. (2024). Percutaneous nephrostomy in infants: a 20-year single-center experience. Diagnostic and Interventional Radiology, 30(5), 318-324. http://dx.doi.org/10.4274/dir.2023.232276
dc.identifier.doi	10.4274/dir.2023.232276
dc.identifier.endpage	324
dc.identifier.issn	1305-3612
dc.identifier.issue	5
dc.identifier.pmid	37593945
dc.identifier.scopus	2-s2.0-85203860954
dc.identifier.scopusquality	Q2
dc.identifier.startpage	318
dc.identifier.uri	http://dx.doi.org/10.4274/dir.2023.232276
dc.identifier.uri	https://hdl.handle.net/20.500.12511/12973
dc.identifier.volume	30
dc.identifier.wos	WOS:001321499000007
dc.identifier.wosquality	Q3
dc.indekslendigikaynak	Web of Science
dc.indekslendigikaynak	Scopus
dc.indekslendigikaynak	PubMed
dc.institutionauthor	Şeker, Mehmet
dc.institutionauthorid	0000-0002-6745-0159
dc.language.iso	en
dc.relation.ispartof	Diagnostic and Interventional Radiology
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	Attribution-NonCommercial 4.0 International License
dc.subject	Complications
dc.subject	Infants
dc.subject	Interventional Radiology
dc.subject	Percutaneous Nephrostomy
dc.subject	Urinary Tract Obstruction
dc.title	Percutaneous nephrostomy in infants: a 20-year single-center experience
dc.type	Article