Muljibhai Patel Urological Hospital
An ISO 9001:2008 Certified Institute
0091 268 2520323-30
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Current Size: 100%

Diagnostic and Interventional procedures

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Diagnostic and Interventional procedures

Treatment

Renal Biopsy

Renal biopsy is performed by real time ultrasound guidance using Biopty gun in children, adults as well as renal transplant recipients. Biopsy tissue adequacy is confirmed immediately using dissecting microscope to avoid inadequacy of the biopsy sample. Biopsy is processed and stained in house for light microscopy (HE, PAS, PSM, Trichrome, congo etc. if indicated) and Immunofluroscence for Albumin, IgA, IgG, IgM, C3,Kappa, Lambda and C1q. C4d staining facility is also available for transplantation biopsy to diagnose humoral mediated rejection.

Temporary non-tunneled and tunneled catheter placement

Temporary non-tunneled non cuffed catheters at Femoral, Internal Jugular or Subclavian veins are utilized as temporary access for hemodialysis. In situations where there is difficulty in placing permanent vascular access maturation or as a bridge to Kidney Transplant Tunneled Cuffed Catheter placement is performed under fluoroscopy which provides better blood flow and reduces catheter related infection also.

Renal angioplasty

We have special interest in this area. Renal artery stenosis is one of the important cause of resistant / secondary hypertension and a cause of kidney failure. Nephrologists perform the renal angiography, angioplasty and stenting in both native and transplanted kidneys. With the increasing incidence of diabetes and advancing age, atherosclerosis renal artery disease is the commonest cause of renal artery disease. In young patients and females, Nonspecific Aortoarteritis andFibromusclular dysplasia are the commonest causes. Renal angioplasty and stenting helps in better control of hypertension and retards progression of kidney failure. Our unit also performs procedures on transplant kidney also as and when indicated.

Fistulography

In patient with previous Subclavian cannulation or multiple vascular access failure we perform Fistulography as a pre-operative assessment of veins. Fistulography is performed either as a part of no or delayed maturation of AV Fistula or in difficult cannulation to detect stenosis or thrombosis either near AV Fistula or in the central vein.Fistulography also helps in planning the repair of the existing fistula.