Primary percutaneous treatment of transplant ureteral strictures using tandem stents

J. Scott Kriegshauser, Sailendra Naidu, Raymond L. Heilman, Eric A. Huettl, Elisabeth A. Ferlic, Erik P Castle, Joseph G. Hentz

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To evaluate outcomes of primary (first-occurrence) treatment of renal transplant ureteral strictures using tandem parallel internal double-pigtail stents. Materials and Methods: A retrospective electronic chart review, including demographics, medical history, stricture intervention, and outcomes, was performed of patients with renal transplants with first-occurrence ureteral obstructions or leaks reported in a transplant nephrology database over a 4-year period, with a focus on patients treated primarily with tandem stents. Results: Of 27 patients with first-occurrence ureteral obstruction or ureteral leak, 18 (67%) were treated primarily using tandem internal stents, with 15 (83%) of 18 stent-free for a minimum 90 days of follow-up. There was no significant difference between outcomes for male versus female patients (P>.99) or early versus late strictures (P =.53). Urinary tract infections (UTIs) occurred in 14 (78%) of 18 patients with tandem stents in place. Four patients were hospitalized<48 hours with UTI and sepsis; there were no other major complications. Conclusions: Patients with renal transplants can be successfully managed nonsurgically using tandem ureteral stents for the primary treatment of first-occurrence ureteral stricture. These patients may require more intensive monitoring for UTIs.

Original languageEnglish (US)
Pages (from-to)874-880
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume24
Issue number6
DOIs
StatePublished - Jun 2013

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Stents
Pathologic Constriction
Transplants
Urinary Tract Infections
Ureteral Obstruction
Therapeutics
Kidney
Nephrology
Sepsis
Demography
Databases

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Primary percutaneous treatment of transplant ureteral strictures using tandem stents. / Kriegshauser, J. Scott; Naidu, Sailendra; Heilman, Raymond L.; Huettl, Eric A.; Ferlic, Elisabeth A.; Castle, Erik P; Hentz, Joseph G.

In: Journal of Vascular and Interventional Radiology, Vol. 24, No. 6, 06.2013, p. 874-880.

Research output: Contribution to journalArticle

Kriegshauser, J. Scott ; Naidu, Sailendra ; Heilman, Raymond L. ; Huettl, Eric A. ; Ferlic, Elisabeth A. ; Castle, Erik P ; Hentz, Joseph G. / Primary percutaneous treatment of transplant ureteral strictures using tandem stents. In: Journal of Vascular and Interventional Radiology. 2013 ; Vol. 24, No. 6. pp. 874-880.
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AU - Castle, Erik P

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