Antegrade Access Placement of Resonance® Metallic Double-J Stent in Ureteral Obstruction: A Case Report

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Komgrit Tanisaro, MD


Retrograde or endoscopic approach of Double-J stent (DJS) is still the most favorable choice of treatment in both benign and malignant ureteral obstruction. Percutaneous nephrostomy (PCN) is, however, an alternative to DJS placement. Antegrade placement of DJS (either plastic or metallic) can be done easily with no particularly significant complication when the PCN tube is already placed in the kidney. The metallic DJS or Resonance® stent is probably preferable to the plastic DJS in terms of median life span and cost effectiveness. We report on cases with the use of metallic DJS or Resonance® stent in patients with failed placement of the DJS via either a retrograde or endoscopic route. We summarize the demographic data of four (4) cases of antegrade placement of metallic DJS.


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Tanisaro K. Antegrade Access Placement of Resonance® Metallic Double-J Stent in Ureteral Obstruction: A Case Report. BKK Med J [Internet]. 2018Feb.20 [cited 2020Jul.15];14(1):52. Available from:
Case Report


1. Ku JH, Lee SW, Jeon HG, Percutaneous nephrostomy versus indwelling ureteral stents in the management of extrinsic ureteral obstruction in advanced malignancies: are there differences? Urology 2004;64(5):895-9.
2. Joshi HB, Adams S, Obadeyi OO, et al. Nephrostomy tube or ‘JJ’ ureteric stent in ureteric obstruction: assessment of patient perspectives using quality-of-life survey and utility analysis. Eur Urol 2001;39(6):695-701.
3. Lange D, Chew BH. Update on ureteral stent technology. Ther Adv Urol 2009;1(3):143-8.
4. Agrawal S. The thermo-expandable metallic ureteric stent: an 11-year follow-up. BJU Int 2009;103(3):372-6.
5. Patel C, Loughran D, Jones M, et al. The resonance metallic stent in the treatment of chronic ureteric obstruction: a safety and efficacy analysis from a contemporary series. BMC Urology 2017;17:16-9.
6. Nagele U, Kuczyk MA, Horstmann M, et al. Initial clinical experience with full-length metal ureteral stents for obstructive ureteral stenosis. World J Urol 2008;26:257-62.
7. Liatsikos E, Kallidonis P, Kyriazis I, et al. Ureteral obstruction: is the full metallic double-pigtail stent the way to go. Eur Urol 2009;57:480-6.
8. Izumi K, Mizokami A, Maeda Y, et al. Current outcome of patients with ureteral stents for the management of malignant ureteral obstruction. J Urol 2011;185:556-61.
9. Modi AP, Ritch CR, Arend D, et al. Multicenter experience with metallic ureteral stents for malignant and chronic benign ureteral obstruction. J Endourol 2010;24:1189-93.
10. López-Huertas HL, Polcari AJ, Acosta-Miranda A, Turk TM. Metallic ureteral stents: a cost-effective method of managing benign upper tract obstruction. J Endourol 2010;24:483-5.
11. Benson AD, Taylor ER, Schwartz BF. Metal ureteral stent for benign and malignant ureteral obstruction. J Urol 2011;185:2217-22.
12. Garg T, Guralnick ML, Langenstroer P, et al. Resonance metallic ureteral stents do not successfully treat ureteroenteric strictures. J Endourol 2009;23:1199-201.
13. Liatsikos E, Kallidonis P, Kyriazis L, et al. Ureteral Obstruction: Is the Full Metallic Double-Pigtail Stent the Way to Go?. Eu Urol 2010;57:480-7.
14. Taylor ER, Benson AD, Schwartz BF. Cost analysis of metallic ureteral stents with 12 months of follow-up. J Endourol 2012;26(7):917-21.
15. Uthappa MC, Cowan NC. Retrograde or antegrade double-pigtail stent placement for malignant ureteric obstruction?. Clin Radiol 2005;60(5):60-5.
16. Chia-Chun Tsai, Ming-Chen Shih, Ching-Chia Li, et al. First Experience in Taiwan about Antegrade Ureteral Stenting with the Resonance Metallic Stent for Extrinsic Ureteral Compression: A Case Report. JTUA 2009;20(3): 133-6.
17. Tze MW, Henry CI, Cartledge J. Initial Experience with the Resonance Metallic Stent for Antegrade Ureteric Stenting. Cardiovasc Intervent Radiol 2007;30(4):705-10.