Cheng Shi Chen1, Chu Hui Zeng2, Ji Hoon Shin3,
Suyoung Park4, Hai Liang Li5, Fang Kun Li6
How to cite this: Chen CS, Zeng CH, Shin JH, Park S, Li HL, Li FK. The safety and efficacy of through-and-through wire technique for ureteral Double-J stent placement. Pak J Med Sci. 2024;40(9):-1907-1913. doi: https://doi.org/10.12669/pjms.40.9.9424
Abstract
Objective: To evaluate the efficacy and safety of the through-and-through wire (TTW) technique for antegrade ureteral Double-J stent placement after failure of either antegrade or retrograde ureteral stent placement.
Method: This retrospective study analyzed the medical records of consecutive patients who underwent Double-J stent placement with the TTW technique at Asan Medical Center and Gil Medical Center between January 2016 and February 2023. Patient histories, reasons for employing the TTW technique, TTW pathways, and complications were reviewed. Eight patients were included in the study. The reasons for using the TTW technique were failure to advance a larger-diameter catheter, balloon catheter, or Double-J stent passing over the guidewire beyond the stricture (6/8, 75.0%); failure to negotiate the stricture with a guidewire (1/8, 12.5%); and guidewire passing through a ureteropelvic junction defect (1/8, 12.5%).
Results: TTW was applied either between a percutaneous nephrostomy (PCN) and the urethral orifice (n=4), between a PCN and an ileostomy pouch (n=3), or between a left and right PCN (n = 1). Urologic assistance was required for retrograde ureteral cannulation in one male patient (12.5%). Subsequently, balloon dilation and/or Double-J stent placement were performed in all eight patients, resulting in 100% technical success. No major or minor complications occurred.
Conclusions: The TTW technique was safe and effective in the undertaking of PCN and antegrade Double-J stent placement in patients for whom either antegrade or retrograde access had failed.
KEYWORDS: Percutaneous nephrostomy, Double-J stent, Through-and-through wire technique.
Reprinted from Pakistan Journal of Medical Sciences. 2024;40(9):-1907-1913. doi: https://doi.org/10.12669/pjms.40.9.9424
