The double puncture: An effective percutaneous technique for removing complex, multiple renal calculi

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Percutaneous nephrostolithotomy, which can require a double puncture, is presently the method of choice in our institution for the removal of renal stones. Patients that underwent this procedure were evaluated to identify the possible reasons for the double puncture. Of 200 patients evaluated, 14 needed a second tract. The three variables that determined whether a second puncture was needed, in order of importance, were number and size of the stones, with second tracts needed in patients with multiple stones and staghorn calculi; anatomical variations of the renal collecting system itself, with bifid systems the most significant anatomic variation; and the dexterity of the radiologist in performing the puncture and the ability of the urologist to extract the stone. Second tracts were needed more frequently in patients who presented with stones in both the lower and middle poles of the collecting systems.

Original languageEnglish (US)
Pages (from-to)207-209
Number of pages3
JournalRadiology
Volume158
Issue number1
StatePublished - 1986
Externally publishedYes

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Kidney Calculi
Punctures
Anatomic Variation
Kidney

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Mercado, S., Hunter, D. W., Castaneda-Zuniga, W. R., Amplatz, K., Young, A. T., Cardella, J. F., ... Reddy, P. (1986). The double puncture: An effective percutaneous technique for removing complex, multiple renal calculi. Radiology, 158(1), 207-209.

The double puncture : An effective percutaneous technique for removing complex, multiple renal calculi. / Mercado, S.; Hunter, D. W.; Castaneda-Zuniga, W. R.; Amplatz, K.; Young, A. T.; Cardella, J. F.; Lange, P. H.; Hulbert, J. C.; Reddy, P.

In: Radiology, Vol. 158, No. 1, 1986, p. 207-209.

Research output: Contribution to journalArticle

Mercado, S, Hunter, DW, Castaneda-Zuniga, WR, Amplatz, K, Young, AT, Cardella, JF, Lange, PH, Hulbert, JC & Reddy, P 1986, 'The double puncture: An effective percutaneous technique for removing complex, multiple renal calculi', Radiology, vol. 158, no. 1, pp. 207-209.
Mercado S, Hunter DW, Castaneda-Zuniga WR, Amplatz K, Young AT, Cardella JF et al. The double puncture: An effective percutaneous technique for removing complex, multiple renal calculi. Radiology. 1986;158(1):207-209.
Mercado, S. ; Hunter, D. W. ; Castaneda-Zuniga, W. R. ; Amplatz, K. ; Young, A. T. ; Cardella, J. F. ; Lange, P. H. ; Hulbert, J. C. ; Reddy, P. / The double puncture : An effective percutaneous technique for removing complex, multiple renal calculi. In: Radiology. 1986 ; Vol. 158, No. 1. pp. 207-209.
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