Using alteplase nephrostomy tube installation for thrombolysis of ureter tract clot obstruction.

Urol Case Rep

Nyköping Lasarett, Department of Surgery and Urology, Sweden.

Published: May 2021

In literature, few cases have been reported regarding the use of alteplase installation in a nephrostomy as anticoagulant treatment of blood clots in the upper urinary tract. Our case -report provides a unique case of alteplase installation in the nephrostomy tube for thrombolysis of a blood clot formation in the upper ureter. The blood clot formation emerged as acute obstruction following a planned endoscopic lithotripsy. A new protocol for alteplase installation for percutaneous nephrostomy is presented in this article.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816000PMC
http://dx.doi.org/10.1016/j.eucr.2021.101561DOI Listing

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