The Accordion Sign in the Transplant Ureter: Ramifications During Balloon Dilation of Strictures

J. Scott Kriegshauser, Sailendra Naidu, Yu Hui H Chang, Eric A. Huettl

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: This study was designed to demonstrate the accordion sign within the transplant ureter and evaluate its ramifications during balloon dilation of strictures.Methods: A retrospective electronic chart and imaging review included demographic characteristics, procedure reports, and complications of 28 renal transplant patients having ureteral strictures treated with percutaneous balloon dilation reported in our transplant nephrology database during an 8-year period. The accordion sign was deemed present or absent on the basis of an imaging review and was defined as present when a tortuous ureter became kinked and irregular when foreshortened after placement of a wire or a catheter. Procedure-related urine leaks were categorized as occurring at the stricture if within 2 cm; otherwise, they were considered away from the stricture.Results: The accordion sign was associated with a significantly greater occurrence of leaks away from the stricture (P = 0.001) but not at the stricture (P = 0.34).Conclusions: The accordion sign is an important consideration when performing balloon dilation procedures on transplant ureteral strictures, given the increased risk of leak away from the stricture. Its presence should prompt additional care during wire and catheter manipulations.

Original languageEnglish (US)
Pages (from-to)430-434
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume38
Issue number2
DOIs
StatePublished - 2015

Keywords

  • Renal transplant complications
  • Strictures
  • Ureter
  • Ureteroplasty

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'The Accordion Sign in the Transplant Ureter: Ramifications During Balloon Dilation of Strictures'. Together they form a unique fingerprint.

Cite this