Department of Radiology, The Tenth People's Hospital, Shanghai, China.
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olymphic-ro 43 gil 88, Songpa-Gu, Seoul 138-735, Korea.
J Vasc Interv Radiol. 2020 Nov;31(11):1795-1800. doi: 10.1016/j.jvir.2020.04.004. Epub 2020 Sep 19.
This brief report presents 8 patients with silicone-covered metallic stent placement for ureteral strictures refractory to double-J stent placement, following kidney transplantation. Stent removal was successfully performed in 7 patients via antegrade (n = 4) or retrograde (n = 3) access 6 weeks to 6 months after stenting for elective removal (6-month interval, n = 3), urothelial hyperplasia (n = 2), or stent migration (n = 2), and their mean primary ureteral patency after stent removal was 15.4 months (range, 2-27 months). Hematuria (n = 2) and pain (n = 3) occurred, but resolved within 1 week. One stent was removed during reconstructive surgery. During follow-up of mean 22.6 months after stent removal, ureteral strictures recurred in 2 patients.
本简要报告介绍了 8 例因双 J 支架置入后输尿管狭窄而无法置入硅胶覆盖金属支架的患者,这些患者均接受过肾移植。在支架置入后 6 周至 6 个月(6 个月间隔,n=3)时,通过顺行(n=4)或逆行(n=3)途径成功取出了 7 例患者的支架,这些患者的支架取出原因分别为:择期取出(n=3)、移行上皮增生(n=2)和支架迁移(n=2)。在支架取出后,他们的平均原发性输尿管通畅时间为 15.4 个月(范围,2-27 个月)。有 2 例患者出现血尿(n=2)和疼痛(n=3),但在 1 周内缓解。1 个支架在重建手术中被取出。在支架取出后平均 22.6 个月的随访期间,有 2 例患者再次出现输尿管狭窄。