Intravascular double J stent migration: A case report, review, and management algorithm

A double J stent (DJS) is the main therapy for ureteral obstruction when conservative treatment fails. Antegrade migration in the bladder – or retrograde migration in the ureter – are well-known complications. We present a case with intravascular migration of a DJS into the inferior vena cava. Infer...

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Autores principales: Tilborghs, Sam, Vaganée, Donald, De Wachter, Stefan, Hoekx, Lucien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362790/
https://www.ncbi.nlm.nih.gov/pubmed/30787580
http://dx.doi.org/10.4103/UA.UA_52_18
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author Tilborghs, Sam
Vaganée, Donald
De Wachter, Stefan
Hoekx, Lucien
author_facet Tilborghs, Sam
Vaganée, Donald
De Wachter, Stefan
Hoekx, Lucien
author_sort Tilborghs, Sam
collection PubMed
description A double J stent (DJS) is the main therapy for ureteral obstruction when conservative treatment fails. Antegrade migration in the bladder – or retrograde migration in the ureter – are well-known complications. We present a case with intravascular migration of a DJS into the inferior vena cava. Inferior venocavagraphy confirmed the position of the stent, and thrombus formation was excluded at its tip. The stent was retracted endoscopically. After the procedure, limited contrast leakage was seen at the perforation site on venography. The current available literature is reviewed. Based on this, a management algorithm is drawn up.
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spelling pubmed-63627902019-02-20 Intravascular double J stent migration: A case report, review, and management algorithm Tilborghs, Sam Vaganée, Donald De Wachter, Stefan Hoekx, Lucien Urol Ann Case Report A double J stent (DJS) is the main therapy for ureteral obstruction when conservative treatment fails. Antegrade migration in the bladder – or retrograde migration in the ureter – are well-known complications. We present a case with intravascular migration of a DJS into the inferior vena cava. Inferior venocavagraphy confirmed the position of the stent, and thrombus formation was excluded at its tip. The stent was retracted endoscopically. After the procedure, limited contrast leakage was seen at the perforation site on venography. The current available literature is reviewed. Based on this, a management algorithm is drawn up. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6362790/ /pubmed/30787580 http://dx.doi.org/10.4103/UA.UA_52_18 Text en Copyright: © 2018 Urology Annals http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Tilborghs, Sam
Vaganée, Donald
De Wachter, Stefan
Hoekx, Lucien
Intravascular double J stent migration: A case report, review, and management algorithm
title Intravascular double J stent migration: A case report, review, and management algorithm
title_full Intravascular double J stent migration: A case report, review, and management algorithm
title_fullStr Intravascular double J stent migration: A case report, review, and management algorithm
title_full_unstemmed Intravascular double J stent migration: A case report, review, and management algorithm
title_short Intravascular double J stent migration: A case report, review, and management algorithm
title_sort intravascular double j stent migration: a case report, review, and management algorithm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362790/
https://www.ncbi.nlm.nih.gov/pubmed/30787580
http://dx.doi.org/10.4103/UA.UA_52_18
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AT dewachterstefan intravasculardoublejstentmigrationacasereportreviewandmanagementalgorithm
AT hoekxlucien intravasculardoublejstentmigrationacasereportreviewandmanagementalgorithm

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