Live Renal Ultrasonography Facilitates Double-J Ureteral Stent Insertion at the Bedside: A Pilot Study for the COVID-19 Era.
Live Renal Ultrasonography Facilitates Double-J Ureteral Stent Insertion at the Bedside: A Pilot Study for the COVID-19 Era.
复制标题
实时肾脏超声检查有助于在床边插入双 J 输尿管支架：COVID-19 时代的试点研究。
DOI：
10.1089/end.2020.0954
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发表时间：
2021
影响因子：
2.7
通讯作者：
Chi,Thomas
中科院分区：
文献类型：
--
作者：
Yang,Heiko;Chappidi,Meera;Overland,Maya;Ahn,Justin;Bayne,David;Chi,Thomas
目的：探讨活体肾脏超声引导床旁双J管输尿管支架置入术的可行性和有效性。患者和方法：2020年4月12日至6月5日，前瞻性选择需要减压的急性输尿管梗阻患者进行超声引导床旁输尿管支架置入术。在支架置入过程中，在双J支架插入前，使用超声确认上尿路入路，伴或不伴超声造影剂逆行注射。术后腹部X线获得支架位置confirmation.Results：8例患者（4男4女）提供床旁超声引导下输尿管支架置入术，所有8个同意进行。8例患者中有7例植入了支架。1例患者有嵌顿性输尿管膀胱连接处结石和狭窄，需要在手术室进行输尿管镜检查和激光碎石术。所有患者均能耐受手术，无即刻并发症。结论：活体肾脏超声检查可促进手术室外床旁输尿管支架置入术的高成功率。这种方法是手术室中透视引导支架放置的一种有吸引力的替代方法，在COVID-19时代，明智地使用这些资源是非常重要的。
Objectives:To investigate the feasibility and efficacy of live renal ultrasonography to guide Double-J ureteral stent placement at the bedside.Patients and Methods:Between April 12 and June 5, 2020, patients presenting with acute ureteral obstruction requiring decompression were prospectively selected for ultrasound-guided bedside ureteral stent placement. During stent placement, upper tract access confirmed using ultrasound with or without retrograde injection of ultrasound contrast before Double-J stent insertion. A postprocedural abdominal X-ray was obtained for stent position confirmation.Results:Eight patients (four men and four women) were offered bedside ultrasound-guided ureteral stent placement, and all eight consented to proceed. Stents were placed in seven of eight patients. One patient had an impacted ureterovesical junction stone and stricture requiring ureteroscopy and laser lithotripsy in the operating room. All patients tolerated procedures without immediate complications.Conclusion:Live renal ultrasonography can facilitate a high success rate for bedside ureteral stent placement outside the operating room. This approach is an attractive alternative to fluoroscopy-guided stent placement in the operating room and is of particular value in the COVID-19 era when judicious use of these resources is salient.