The Journal of urology · 1999
Upper tract urokinase instillation for nephrostomy tube patency.
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Pautler S E, Luke P, Chin J L
Аннотация
PURPOSE: We describe a useful technique for declotting a nephrostomy tube blocked secondary to recurrent blood clot formation.
MATERIALS AND METHODS: Urokinase was instilled into the nephrostomy tube in a patient with a solitary kidney obstructed by malignancy on 2 separate occasions for 30 minutes each followed by manual irrigation with normal saline.
RESULTS: The nephrostomy tube and renal pelvis were successfully declotted, and we avoided a nephrostomy tube change or insertion of a second tube. The tumor was subsequently embolized to prevent further bleeding.
CONCLUSIONS: Instillation of urokinase into a nephrostomy tube blocked by a blood clot may obviate repeat nephrostomy tube changes and is a useful addition to the urological armamentarium.
MATERIALS AND METHODS: Urokinase was instilled into the nephrostomy tube in a patient with a solitary kidney obstructed by malignancy on 2 separate occasions for 30 minutes each followed by manual irrigation with normal saline.
RESULTS: The nephrostomy tube and renal pelvis were successfully declotted, and we avoided a nephrostomy tube change or insertion of a second tube. The tumor was subsequently embolized to prevent further bleeding.
CONCLUSIONS: Instillation of urokinase into a nephrostomy tube blocked by a blood clot may obviate repeat nephrostomy tube changes and is a useful addition to the urological armamentarium.