Interventional uroradiologic procedures

Sohn, Houng Gyu; Chang, Sae Kook

Abstract

Between January l986 and June l990. 86 cases with interventional uroradiologic procedure entered into the study. Of 86 cases, 54 procedures were performed via percutaneous route and 32 procedures via intravascular. 54 percutaneous procedures included 24 of puncture and aspiration (13 for renal abcess and 11 for renal cyst). 2 of uric acid stone dissolution and 20 of UPJ and ureteral management (11 for UPJ stricture. 8 for ureteral stricture and 1 for ureteral fistula). 32 intravascular procedures included 24 of transcatheter embolization (10 for kidney. 3 for bladder and 11 for internal spermatic vein) and 8 of transluminal angioplasty (6 for renovascular hypertension and 2 for renal artery stenosis after renal tansplantation). Complications occurred in 10 cases which consisted of severe bleeding in 3, sepsis in 3, chronic urinary tract infection in 2. high fever with flank pain in 1 and paresthesia of gluteal muscle in 1. These complications were managed by conservative treatments with no sequalae. The results of interventional uroradiologic procedures for the 86 cases revealed good in 52. fair in 19 and fail in 15.