PD36-04 RENAL PERCUTANEOUS ACCESS WITH THE URO DYNA-CT

Abstract

You have accessJournal of UrologyStone Disease: New Technology I1 Apr 2014PD36-04 RENAL PERCUTANEOUS ACCESS WITH THE URO DYNA-CT Fabio Torricelli, Khaled Fareed, Gordon McLennan, Shubha De, and Manoj Monga Fabio TorricelliFabio Torricelli More articles by this author , Khaled FareedKhaled Fareed More articles by this author , Gordon McLennanGordon McLennan More articles by this author , Shubha DeShubha De More articles by this author , and Manoj MongaManoj Monga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2441AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Percutaneous nephrolitothomy (PCNL) is the gold standard for surgical management of renal stones >2cm. Renal access may be challenging in cases of complex renal anatomy or large stone burden (i.e. complete staghorn calculi). Herein, we present percutaneous renal access using an Uro Dyna-CT (Siemens Healthcare Solutions, Germany), for high-quality 3-dimensional real-time imaging. METHODS Review of an index patient: 50y/o male presenting with a right partial staghorn and proximal ureteric stone. RESULTS Electing to undergo PCNL, he was referred to radiology for pre-op percutaneous renal access. Two attempts for upper/middle pole NT placement were made (to simultaneously treat lower pole and ureteric stones), however due to the plural reflection and overlying liver a safe puncture tract could not be established. A Uro Dyna-CT was performed by correlating real time fluoroscopic imaging to a simultaneous on-table axial CT scan (Figures 2-3). Delineating a safe window, right middle pole access allowed subsequent PCNL to be performed successfully. CONCLUSIONS In select patients, the Uro Dyna-CT adds simultaneous detailed anatomic imaging to fluoroscopic renal access to improve successful puncture, and reduce potential morbidities. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e902 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Fabio Torricelli More articles by this author Khaled Fareed More articles by this author Gordon McLennan More articles by this author Shubha De More articles by this author Manoj Monga More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...