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J Endourol. 2009 Oct;23(10):1627-31. doi: 10.1089/end.2009.1528.

Fluoroscopy-guided percutaneous renal access.

Author information

1
Department of Surgery, Dartmouth Hitchcock Medical Center , Lebanon, New Hampshire, USA.

Abstract

Percutaneous renal surgery is dependent upon appropriate access to the targeted portion of the collecting system. Obtaining a well-positioned nephrostomy tract improves the urologist's ability to both obtain the desired surgical outcome and minimize attendant morbidities. The two primary methods of obtaining fluoroscopic-guided percutaneous renal access-"bull's eye" targeting and triangulation-are reviewed. The authors' preferred techniques are outlined, technical refinements are noted, and recent modifications and future directions are reviewed.

PMID:
19785549
DOI:
10.1089/end.2009.1528
[Indexed for MEDLINE]

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