{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:49:47Z","timestamp":1777506587565,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T00:00:00Z","timestamp":1603929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>When antegrade ureteral intervention fails due to severe ureteral stricture or tortuosity, a longer sheath can be used to facilitate ureteral catheterization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the feasibility and effectiveness of the use of a long sheath in antegrade ureteral stent placement after failure of antegrade ureteral stent placement using a short sheath.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Among 1284 procedures in 934 patients who received ureteral stent placement, a long sheath was used after stricture negotiation failure using a short sheath in 57 (4.4%) procedures in 53 patients. The data of these 53 patients were retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most common reasons for long sheath use were failure of balloon catheter (59.6%) or guidewire (29.8%) advancement across the stricture. Technical success, successful stricture negotiation after using a long sheath, was achieved in 50\/57 (87.7%) procedures. In two of seven failed procedures, an additional TIPS sheath was used and the technical success rate improved to 91.2% (52\/57). The technical success rate was significantly higher in the patients who have failed balloon catheter advancement (97.1%, 33\/34) than the patients who have failed guidewire advancement (64.7%, 11\/17) (Fisher\u2019s exact test, P\u2009=\u20090.004). Self-limiting hematoma occurred in one patient after use of the long sheath and was considered a minor complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ureteral catheterization using a long sheath is feasible and effective when antegrade ureteral intervention using a short sheath fails. When using a long sheath, the technical success rate was higher when advancing the balloon catheter over the guidewire than when advancing the guidewire through tight stricture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185120969952","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T03:38:05Z","timestamp":1603942685000},"page":"1674-1678","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Usefulness of a long sheath in ureteral catheterization after failure of antegrade ureteral stent placement using a short sheath"],"prefix":"10.1177","volume":"62","author":[{"given":"Cheng Shi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2162-419X","authenticated-orcid":false,"given":"Ji Hoon","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, PR China"},{"name":"Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai-Liang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alrashidi","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Prince Sultan Military Medical City, Riyadh. Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun Bee","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,29]]},"reference":[{"key":"bibr1-0284185120969952","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2019.18252"},{"key":"bibr2-0284185120969952","doi-asserted-by":"publisher","DOI":"10.1159\/000447157"},{"key":"bibr3-0284185120969952","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(05)81852-5"},{"key":"bibr4-0284185120969952","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.01673.x"},{"key":"bibr5-0284185120969952","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2015.11.045"},{"key":"bibr6-0284185120969952","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-018-5560-6"}],"container-title":["Acta Radiologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185120969952","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0284185120969952","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185120969952","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:26:41Z","timestamp":1777390001000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0284185120969952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,29]]},"references-count":6,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1177\/0284185120969952"],"URL":"https:\/\/doi.org\/10.1177\/0284185120969952","relation":{},"ISSN":["0284-1851","1600-0455"],"issn-type":[{"value":"0284-1851","type":"print"},{"value":"1600-0455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,29]]}}}