PURPOSE: The aim of this study is to evaluate the efficacy and safety of interventional radiology procedures in the treatment of major urological complications after kidney transplantation. MATERIALS AND METHODS: Between 2000 and 2010, 1,146 kidney transplants were performed at our institution. A total of 146 major complications occurred, including 77 obstructions, 36 leaks and 33 associated perigraft fluid collections. Percutaneous treatment was carried out in 118/146 complications in 91 patients. In the case of stenosis-obstruction and fistulas (104 complications), the first therapeutic step was placement of a nephrostomy catheter, followed by balloon ureteroplasty, placement of external-internal catheters and double-J stents; 14/33 collections were drained under ultrasound guidance. RESULTS: In all 118 percutaneous interventions, we were able to place a nephrostomy or drainage catheter, with a technical success rate of 100 %. The long-term success rate was 49.6 %: in 57/115 (three patients were lost to follow-up) we obtained the complete resolution of the complication. The procedure-related mortality rate was 0 %. There was only one major complication and the rate of minor complications was 14.4 %. CONCLUSIONS: Interventional radiology is the first choice option in the treatment of urological complications after kidney transplantation.
PURPOSE: The aim of this study is to evaluate the efficacy and safety of interventional radiology procedures in the treatment of major urological complications after kidney transplantation. MATERIALS AND METHODS: Between 2000 and 2010, 1,146 kidney transplants were performed at our institution. A total of 146 major complications occurred, including 77 obstructions, 36 leaks and 33 associated perigraft fluid collections. Percutaneous treatment was carried out in 118/146 complications in 91 patients. In the case of stenosis-obstruction and fistulas (104 complications), the first therapeutic step was placement of a nephrostomy catheter, followed by balloon ureteroplasty, placement of external-internal catheters and double-J stents; 14/33 collections were drained under ultrasound guidance. RESULTS: In all 118 percutaneous interventions, we were able to place a nephrostomy or drainage catheter, with a technical success rate of 100 %. The long-term success rate was 49.6 %: in 57/115 (three patients were lost to follow-up) we obtained the complete resolution of the complication. The procedure-related mortality rate was 0 %. There was only one major complication and the rate of minor complications was 14.4 %. CONCLUSIONS: Interventional radiology is the first choice option in the treatment of urological complications after kidney transplantation.
Authors: H Mäkisalo; B Eklund; K Salmela; H Isoniemi; L Kyllönen; K Höckerstedt; L Halme; J Ahonen Journal: Transplant Proc Date: 1997 Feb-Mar Impact factor: 1.066
Authors: Hamid R Davari; Hooman Yarmohammadi; Seyed A Malekhosseini; Heshmatollah Salahi; Ali Bahador; Mehdi Salehipour Journal: Int J Urol Date: 2006-10 Impact factor: 3.369
Authors: G Carrafiello; D Laganà; M Mangini; D Lumia; C Recaldini; A Bacuzzi; A Marconi; A Mira; S Cuffari; C Fugazzola Journal: Radiol Med Date: 2006-05-25 Impact factor: 3.469
Authors: M J Englesbe; D A Dubay; B W Gillespie; A S Moyer; S J Pelletier; R S Sung; J C Magee; J D Punch; D A Campbell; R M Merion Journal: Am J Transplant Date: 2007-04-08 Impact factor: 8.086
Authors: Panco Georgiev; Christian Böni; Felix Dahm; Christine F Maurus; Stefan Wildi; Valentin Rousson; Rudolf P Wüthrich; Pierre-Alain Clavien; Markus Weber Journal: Urology Date: 2007-10-24 Impact factor: 2.649