ABSTRACT
A technique is described using angiographic guide wires and catheters in combination with endoscopy. Obstruction of 9 ureters in 7 patients was managed successfully with this technique. The ureters in these cases were inaccessible otherwise because of unusual ureteral position or severity of obstruction. The method allows placement of angiographic guide wires and catheters past ureteral obstacles when standard urological retrograde procedures are not feasible technically.
Subject(s)
Ureteral Calculi/therapy , Ureteral Obstruction/therapy , Urinary Catheterization/methods , Angiography/instrumentation , Cystoscopy , Drainage/methods , Fluoroscopy , Humans , Intestines/surgery , Kidney/surgery , Punctures , Ureteral Calculi/diagnostic imaging , Ureteral Calculi/surgery , Ureteral Obstruction/diagnostic imaging , Ureteral Obstruction/surgery , Urinary Catheterization/instrumentation , Urinary DiversionABSTRACT
Percutaneous transcatheter arterial embolization was used to manage renal hemorrhage secondary to an angiomyolipoma in a solitary kidney. Angiography 3 months after the embolization showed a marked decrease in the mass and vascularity. There was no evidence of hypertension or renal failure following embolization.
