Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience
Background The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transuret...
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Veröffentlicht in: | Pediatric transplantation 2023-06, Vol.27 (4), p.e14529-n/a |
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creator | Spagnoletti, Gionata Larghi Laureiro, Zoe Marincola, Giuseppe Guzzo, Isabella Dello Strologo, Luca Spada, Marco |
description | Background
The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx.
Methods
We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021.
Results
Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months).
Conclusions
We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission. |
doi_str_mv | 10.1111/petr.14529 |
format | Article |
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The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx.
Methods
We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021.
Results
Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months).
Conclusions
We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1111/petr.14529</identifier><identifier>PMID: 37062038</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Anesthesia ; Child ; Humans ; Implants ; Kidney transplantation ; Kidney Transplantation - methods ; Kidney transplants ; Magnetic Phenomena ; outcome ; Patients ; pediatric kidney transplantation ; Pediatrics ; quality‐of‐life ; Retrospective Studies ; Stents ; surgical ; Transplants & implants ; Ureter - surgery ; Ureteral stents</subject><ispartof>Pediatric transplantation, 2023-06, Vol.27 (4), p.e14529-n/a</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC.</rights><rights>2023 The Authors. Pediatric Transplantation published by Wiley Periodicals LLC.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3529-53109bf99d62dd8e13a45d25ff6cc4af12d3ab7d2fe772588469623a06a7c5c53</cites><orcidid>0000-0003-2626-8147 ; 0000-0002-8237-852X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpetr.14529$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpetr.14529$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37062038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spagnoletti, Gionata</creatorcontrib><creatorcontrib>Larghi Laureiro, Zoe</creatorcontrib><creatorcontrib>Marincola, Giuseppe</creatorcontrib><creatorcontrib>Guzzo, Isabella</creatorcontrib><creatorcontrib>Dello Strologo, Luca</creatorcontrib><creatorcontrib>Spada, Marco</creatorcontrib><title>Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience</title><title>Pediatric transplantation</title><addtitle>Pediatr Transplant</addtitle><description>Background
The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx.
Methods
We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021.
Results
Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months).
Conclusions
We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission.</description><subject>Anesthesia</subject><subject>Child</subject><subject>Humans</subject><subject>Implants</subject><subject>Kidney transplantation</subject><subject>Kidney Transplantation - methods</subject><subject>Kidney transplants</subject><subject>Magnetic Phenomena</subject><subject>outcome</subject><subject>Patients</subject><subject>pediatric kidney transplantation</subject><subject>Pediatrics</subject><subject>quality‐of‐life</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>surgical</subject><subject>Transplants & implants</subject><subject>Ureter - surgery</subject><subject>Ureteral stents</subject><issn>1397-3142</issn><issn>1399-3046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kd9u0zAUhy3EREfhhgdAlriZJqX4T2wn3E1VB5sqDcG4jlz7pHKbOMFOBLnjEXjGPQnuWnbBBb45ts7nT8f-IfSGkgVN630PQ1jQXLDyGTqnvCwzTnL5_HGvMk5zNkMvY9wRQmVe5C_QjCsiGeHFOdp_neIArR6cwWME3NW41VsPh7Ptxk0D-BYnwg_YedyDdXoIqbd31sOEh6B97Bvth2To_Ad8haPz2wYefv026RIEDD97CA68gVforNZNhNenOkffrlf3y0_Z-u7jzfJqnRme3pAJTkm5qcvSSmZtAZTrXFgm6loak-uaMsv1RllWg1JMFEUuS8m4JlIrI4zgc3Rx9Pah-z5CHKrWRQNNGhO6MVasILRUiogioe_-QXfdGHyaLlGUK0mkOAgvj5QJXYwB6qoPrtVhqiipDhFUhwiqxwgS_PakHDct2Cf0758ngB6BH66B6T-q6vPq_stR-gc7cpLJ</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Spagnoletti, Gionata</creator><creator>Larghi Laureiro, Zoe</creator><creator>Marincola, Giuseppe</creator><creator>Guzzo, Isabella</creator><creator>Dello Strologo, Luca</creator><creator>Spada, Marco</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2626-8147</orcidid><orcidid>https://orcid.org/0000-0002-8237-852X</orcidid></search><sort><creationdate>202306</creationdate><title>Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience</title><author>Spagnoletti, Gionata ; Larghi Laureiro, Zoe ; Marincola, Giuseppe ; Guzzo, Isabella ; Dello Strologo, Luca ; Spada, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3529-53109bf99d62dd8e13a45d25ff6cc4af12d3ab7d2fe772588469623a06a7c5c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anesthesia</topic><topic>Child</topic><topic>Humans</topic><topic>Implants</topic><topic>Kidney transplantation</topic><topic>Kidney Transplantation - methods</topic><topic>Kidney transplants</topic><topic>Magnetic Phenomena</topic><topic>outcome</topic><topic>Patients</topic><topic>pediatric kidney transplantation</topic><topic>Pediatrics</topic><topic>quality‐of‐life</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>surgical</topic><topic>Transplants & implants</topic><topic>Ureter - surgery</topic><topic>Ureteral stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spagnoletti, Gionata</creatorcontrib><creatorcontrib>Larghi Laureiro, Zoe</creatorcontrib><creatorcontrib>Marincola, Giuseppe</creatorcontrib><creatorcontrib>Guzzo, Isabella</creatorcontrib><creatorcontrib>Dello Strologo, Luca</creatorcontrib><creatorcontrib>Spada, Marco</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spagnoletti, Gionata</au><au>Larghi Laureiro, Zoe</au><au>Marincola, Giuseppe</au><au>Guzzo, Isabella</au><au>Dello Strologo, Luca</au><au>Spada, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience</atitle><jtitle>Pediatric transplantation</jtitle><addtitle>Pediatr Transplant</addtitle><date>2023-06</date><risdate>2023</risdate><volume>27</volume><issue>4</issue><spage>e14529</spage><epage>n/a</epage><pages>e14529-n/a</pages><issn>1397-3142</issn><eissn>1399-3046</eissn><abstract>Background
The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx.
Methods
We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021.
Results
Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months).
Conclusions
We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37062038</pmid><doi>10.1111/petr.14529</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-2626-8147</orcidid><orcidid>https://orcid.org/0000-0002-8237-852X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Anesthesia Child Humans Implants Kidney transplantation Kidney Transplantation - methods Kidney transplants Magnetic Phenomena outcome Patients pediatric kidney transplantation Pediatrics quality‐of‐life Retrospective Studies Stents surgical Transplants & implants Ureter - surgery Ureteral stents |
title | Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience |
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