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

Abstract

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.

Keywords

• Ureteral obstruction
• Tissue plasminogen activator
• Nephrostomy
• Percutaneous
• Thrombolytic therapy