Endovascular management of vascular complications after percutaneous nephrolithotomy

Kervancıoğlu, Selim; Yılmaz, Feyza Gelebek; Erturhan, Sakıp

doi:10.1024/0301-1526/a000393

Cited by 13 publications

(16 citation statements)

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“…Fortunately, TAE is required in less than 1% of patients after PNL [ 3 ]. Several studies in the literature describe the endovascular treatment of vascular complications of PNL [ 6 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

Poyraz¹,

Balasar²,

Gökmen³

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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IntroductionPercutaneous nephrolithotomy (PNL) is the preferred procedure for safe and effective surgical treatment of kidney stones. Hemorrhage is the most serious complication of PNL, resulting from pseudoaneurysm (PA) or arteriovenous fistula (AVF), and can usually be controlled with conservative treatment.AimTo evaluate endovascular treatments and outcomes of vascular complications observed after PNL.Material and methodsWe retrospectively reviewed data on 19 patients who underwent renal embolization due to post-PNL renal artery bleeding between March 2005 and September 2016. Embolization materials included embolization coils and glue. The incidence of post-PNL vascular complications and their endovascular treatments, outcomes, and the follow-up data were analyzed.ResultsNineteen (1.1%) of 1,609 patients (mean age: 44.9 years, range: 19–75 years) underwent angiography and subsequent transcatheter embolization to control bleeding. The mean time to onset of hemorrhage was 7.2 days after PNL (range: 3–18 days). The PNL entry site was the lower calyx in 15 patients, the middle calyx in 3, and the upper calyx in 1. PA, AVF, and PA plus AVF occurred in 14, 5, and 3 of the 19 renal angiography patients, respectively. Embolization of the affected vessels was successful in all 19 patients. The embolization materials of coil, glue, and coil plus glue were used in 16, 3, and 2 patients, respectively.ConclusionsSevere hematuria is a rare complication of PNL and can be successfully treated with transcatheter embolization.

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Section: Introductionmentioning

confidence: 99%

Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

Poyraz¹,

Balasar²,

Gökmen³

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…If bleeding after PCNL cannot be controlled with conservative treatment, angiography is used both as a diagnostic and therapeutic modality. Renal embolization is currently considered the most appropriate technique in the treatment of vascular complication of percutaneous renal procedures (8)(9)(10). Endovascular technique have a lower complications rate than surgical management.…”

Section: Discussionmentioning

confidence: 99%

A Novel Embolization Technique for Renal Hemorrhage Complication by Autologous Fat Tissue

Arı¹,

Arı²,

Can³

2019

Balkan Med J

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“…Symptoms of bleeding after PCNL may present within the first 24 hours or as far as 20 days, although the mean time to the onset varies between 6 and 8 days in large series. [ 2 3 4 5 6 7 8 ] Noninvasive diagnostic modalities, US and CT, should be included in the initial work-up, but DSA remains the gold standard. [ 9 ] When PCNL complicates with bleeding that cannot be controlled with conservative treatment, DSA is used both as a diagnostic and therapeutic modality.…”

Section: Discussionmentioning

confidence: 99%

Embolization with Onyx^® of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy: A case report and review of literature

et al. 2018

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Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%–3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney. We review the literature regarding endovascular management of kidney vascular lesions after PCNL. Selective renal embolization is a minimally invasive procedure, highly effective with a low incidence of complications. Currently, it is considered the most appropriate technique in the treatment of arterial iatrogenic complications following percutaneous renal procedures. Onyx® is an effective, easy to handle, and safe alternative embolic agent for these procedures.

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Endovascular management of vascular complications after percutaneous nephrolithotomy

Cited by 13 publications

References 0 publications

Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

A Novel Embolization Technique for Renal Hemorrhage Complication by Autologous Fat Tissue

Embolization with Onyx^® of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy: A case report and review of literature

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Endovascular management of vascular complications after percutaneous nephrolithotomy

Cited by 13 publications

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Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy.

A Novel Embolization Technique for Renal Hemorrhage Complication by Autologous Fat Tissue

Embolization with Onyx® of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy: A case report and review of literature

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Embolization with Onyx^® of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy: A case report and review of literature