The value of interventional radiology in re-establishment of lost access to catheterizable channels to the bladder and bowel. J Pediatr Urol 2014 Oct;10(5):917-21
Date
04/22/2014Pubmed ID
24746517DOI
10.1016/j.jpurol.2014.02.010Scopus ID
2-s2.0-84922742939 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
OBJECTIVE: The efficacy of interventional radiology (IR) procedures in regaining lost access to continent catheterizable channels in pediatric urology patients is uninvestigated. This paper assesses this efficacy, as well as prevention of surgical revision of these channels as a result of IR intervention.
METHODS: A retrospective chart analysis was performed over 8 years for children presenting with lost access to the bladder or bowel that could not be regained by a pediatric urologist. Rates of successful re-establishment of access in IR and the need for future surgical revision were calculated.
RESULTS: Twenty pediatric patients underwent 32 attempts to re-establish lost access in IR. IR was successful in 78.1% (25/32) of episodes for 15/20 patients. No intervention required general anesthesia. Thirty percent (6/20) were able to avoid surgical revision. Another 45% (9/20) had access re-established in IR but later had surgery related to their channel (endoscopic, percutaneous, or open). Only three patients required open revision. The five patients in whom IR access failed, did require surgery.
CONCLUSION: Image-guided re-establishment of access to continent catheterizable channels in children is efficacious. It can diffuse an emergency situation and delay or obviate the need for surgical correction. Additionally, a general anesthetic is not necessary.
Author List
Lockwood G, Moe D, Groth TAuthor
David C. Moe MD Associate Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentCatheters, Indwelling
Cecostomy
Child
Child, Preschool
Female
Fluoroscopy
Humans
Infant
Male
Predictive Value of Tests
Reoperation
Retrospective Studies
Treatment Outcome
Urinary Catheterization