Liječnički vjesnik, Vol. 137 No. 11-12, 2015.
Review article
ULTRASOUND GUIDED PERCUTANEOUS SCLEROTHERAPY OF SIMPLE RENAL CYSTS: PRIMARY SUCCESS AND PROCEDURE SAFETY
Dragica Obad Kovačević
Jelena Popić-Ramač
Vinko Vidjak
Abstract
Objective: To evaluate primary (technical) success and procedure safety in ultrasound (US)-guided percutaneous sclerotherapy of simple renal cysts, using 96% ethanol. Patients: 17 patients with symptomatic simple renal cysts referred by nephrologists or urologists. Methods: US-guided percutaneous puncture of the cyst with an 18G (gauge) needle and a »pigtail« 5F (French) catheter, drainage and inspection of the cyst content, and injection of ethanol. Results: Puncture was rejected in two referred patients because of Bosniak II cyst and renal hilum proximity. 15 patients underwent puncture and drainage of the cyst content. In 4 patients ethanol was not injected because: thick or bloody cyst, proximity of renal hilum and severe pain during injection of ethanol. 11 patients underwent sclerotherapy of the cyst. The average size of sclerosed cyst was 8 cm (range 6–12 cm). There were no significant complications. Conclusion: US-guided percutaneous sclerotherapy of simple renal cysts is easy to perform and safe procedure, with the previous good selection of cysts that are suitable for the sclerotherapy.
Keywords
Kidney diseases, cystic – therapy, ultrasonography; Ethanol – therapeutic use; Sclerosing solutions – therapeutic use; Sclerotherapy – methods; Ultrasonography, interventional
Hrčak ID:
172741
URI
Publication date:
28.12.2015.
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