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By Carlos Rotellar

A short, transparent, sensible, and funny method of acute renal insufficiency.

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If 28 if PRINCIPLES OF IMAGING IN ENDOUROLOGY DO! Consider a renal scan prior to embarking on major stone surgery as the kidney may already have lost most of its function SUGGESTED FURTHER READING European Society of Uroradiology. Guidelines on the use of contrast media. cfm Grainger RG, Allison DJ. Diagnostic Radiology - A Textbook of Medical Imaging, 4th edn. London: Churchill Livingstone, 1997 Khoo L, Anson KM, Patel U. Success and short-term complication rates of percutaneous nephrostomy during pregnancy.

Two radioopaque markers indicate the balloon position . Most catheters are 65 to 75 cm long, but can be up to 150 cm. 14). Transureteroscopic balloon catheters are much smaller (3 to 3 . 8F). The Passport ™ ureteric balloon dilatation catheter (Boston Scientific) is a guidewire (PTFE or hydrophiliC coated) with a 3F balloon at its distal tip. 11 Balloons - how to dilate a stricture or track • Take note of the manufacturer's recommended inflation pressure inflate gradually and never exceed the maximum!

G. when investigating papillary necrosis, or with an obese patient. (a) Inj ect contrast slowly to avoid extravasation (b) Avoid air bubble, this may be confused with filling defects or may act as an 'air bl ock' Record any abnormalities (but to reduce the radiation dose to the patient ask the radiographer to 'capture' or 'store' the fluoroscopic image) DO! Bony or bowel shadow may be confused as ureteric abnormalities. Rotating the c arm will help evaluation of suspected artefacts During all circumstances, fluoroscopy (Figure 2.

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