Percutaneous extraction of urinary calculi: Use of the intercostal approach

A. T. Young, D. W. Hunter, W. R. Castaneda-Zuniga, J. C. Hulbert, P. Lange, P. Reddy, S. Mercado, K. Amplatz

Research output: Contribution to journalArticlepeer-review

56 Scopus citations


The authors achieved successful percutaneous extraction of urinary calculi via an intercostal approach in 24 patients. In one patient, a large hydrothorax developed and thoracentesis was required; 2 patients had moderate and 6 minimal pleural fluid collections which did not require treatment. No patient had pneumothorax. Intercostal puncture provides direct access to the upper and middle poles of the kidney when they lie above the twelfth rib and subcostal angulation is not feasible. Such an approach is advantageous for stones in the ureter, as well as renal stones which are inaccessible from the lower pole. Fluoroscopy should be performed when planning the puncture in order to avoid the lung, and a working sheath is recommended.

Original languageEnglish (US)
Pages (from-to)633-638
Number of pages6
Issue number3
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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