Residency training in percutaneous renal access: does it affect urological practice?
This study suggests a relationship between training in percutaneous renal access and subsequent use of percutaneous renal procedures in the urologist's practice. Emphasis should be placed on providing continuing education opportunities to maintain competency in this important technique.
The demonstration of insoluble tissue deposits of Gd with co-associated elements clearly confirms in vivo transmetallation and dissociation of soluble Gd-chelates. Toxic Gd(3+) may trigger fibrosis under permissive conditions, e.g., in renal insufficiency. Pathologists and clinicians need to be aware of this serious but preventable disease.