Extracorporeal Shock-Wave Lithotripsy for Children

Paediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy

“…Numerous studies have documented the efficacy of in situ ESWL for ureteric calculi in adults [ 9, 10]; the present results show that this procedure is equally effective in children. In the present study, the overall success rate was 87%, which compares favourably with those reported in other paediatric series [ 7, 8, 11–15]. However, the present re‐treatment rate of 36% was higher than those reported in other major paediatric series, which ranged from 0 to 27% ( Table 3).…”

Paediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy

“…Numerous studies have documented the efficacy of in situ ESWL for ureteric calculi in adults [ 9, 10]; the present results show that this procedure is equally effective in children. In the present study, the overall success rate was 87%, which compares favourably with those reported in other paediatric series [ 7, 8, 11–15]. However, the present re‐treatment rate of 36% was higher than those reported in other major paediatric series, which ranged from 0 to 27% ( Table 3).…”

Extracorporeal shock wave lithotripsy in children: Results and short‐term complications

“…ESWL wave shocks are considered to be a potential cause of impairment in the electrical activity of the heart, as well as cardiac arrhythmia. However, there is no available data regarding on the occurrence of cardiac dysfunction in children, with only inconclusive reports 10,23,24 . In our study, cardiac monitoring was performed in all cases and arrhythmia was not detected in any case.…”

“…ESWL was introduced for the treatment of children gradually, as there were no previous data about its efficiency, safety or possible adverse effects 2,5,6 . The main concern in prescribing such techniques for pediatric patients referred to the potential complications of the procedure, such as ureteral obstruction by residual fragments, 7 pain, 8 hematuria, 8 hemoptysis, 2,6 sepsis, 9 cardiac arrhythmia 10 and effects on other organs 5,6 . Other authors consider children with stone disease as having a higher risk of stone recurrences during their lives.…”

"Litotripsia extracorpórea por ondas de choque em crianças: eficácia e complicações precoces"

“…Ondas de choque da LECO podem atingir pericárdio e promover distúrbio de condução elétrica no coração e arritmia cardíaca. Para evitar tais ocorrências, o disparo da onda deve estar associado ao batimento cardíaco e a onda deve ser disparada 20 milissegundos após R do complexo QRS (Coptcoat et al, 1986;Vandeursen et al, 1991;Mininberg et al, 1988). Porém, há trabalhos que questionam que a onda da LECO possa promover irritação no pericárdio e causar arritmia cardíaca (Parr et al, 1988;Lingeman et al, 1995).…”

“…Hasanoglu et al (1996), avaliando 103 crianças submetidas à LECO, e Duarte et al (2002) 87 compartilham da mesma opinião: que a taxa de sucesso é maior quanto menor for o tamanho do cálculo. Mininberg et al (1988), avaliando 17 crianças submetidas à LECO, e Tekin et al (1998) não relataram relação do tamanho do cálculo com a taxa de sucesso.…”

Paediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy

“…Numerous studies have documented the efficacy of in situ ESWL for ureteric calculi in adults [ 9, 10]; the present results show that this procedure is equally effective in children. In the present study, the overall success rate was 87%, which compares favourably with those reported in other paediatric series [ 7, 8, 11–15]. However, the present re‐treatment rate of 36% was higher than those reported in other major paediatric series, which ranged from 0 to 27% ( Table 3).…”

Extracorporeal shock wave lithotripsy in children: Results and short‐term complications

“…ESWL wave shocks are considered to be a potential cause of impairment in the electrical activity of the heart, as well as cardiac arrhythmia. However, there is no available data regarding on the occurrence of cardiac dysfunction in children, with only inconclusive reports 10,23,24 . In our study, cardiac monitoring was performed in all cases and arrhythmia was not detected in any case.…”

“…ESWL was introduced for the treatment of children gradually, as there were no previous data about its efficiency, safety or possible adverse effects 2,5,6 . The main concern in prescribing such techniques for pediatric patients referred to the potential complications of the procedure, such as ureteral obstruction by residual fragments, 7 pain, 8 hematuria, 8 hemoptysis, 2,6 sepsis, 9 cardiac arrhythmia 10 and effects on other organs 5,6 . Other authors consider children with stone disease as having a higher risk of stone recurrences during their lives.…”

"Litotripsia extracorpórea por ondas de choque em crianças: eficácia e complicações precoces"

“…Ondas de choque da LECO podem atingir pericárdio e promover distúrbio de condução elétrica no coração e arritmia cardíaca. Para evitar tais ocorrências, o disparo da onda deve estar associado ao batimento cardíaco e a onda deve ser disparada 20 milissegundos após R do complexo QRS (Coptcoat et al, 1986;Vandeursen et al, 1991;Mininberg et al, 1988). Porém, há trabalhos que questionam que a onda da LECO possa promover irritação no pericárdio e causar arritmia cardíaca (Parr et al, 1988;Lingeman et al, 1995).…”

“…Hasanoglu et al (1996), avaliando 103 crianças submetidas à LECO, e Duarte et al (2002) 87 compartilham da mesma opinião: que a taxa de sucesso é maior quanto menor for o tamanho do cálculo. Mininberg et al (1988), avaliando 17 crianças submetidas à LECO, e Tekin et al (1998) não relataram relação do tamanho do cálculo com a taxa de sucesso.…”

Paediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy

“…Numerous studies have documented the efficacy of in situ ESWL for ureteric calculi in adults [ 9, 10]; the present results show that this procedure is equally effective in children. In the present study, the overall success rate was 87%, which compares favourably with those reported in other paediatric series [ 7, 8, 11–15]. However, the present re‐treatment rate of 36% was higher than those reported in other major paediatric series, which ranged from 0 to 27% ( Table 3).…”

Extracorporeal shock wave lithotripsy in children: Results and short‐term complications

“…ESWL wave shocks are considered to be a potential cause of impairment in the electrical activity of the heart, as well as cardiac arrhythmia. However, there is no available data regarding on the occurrence of cardiac dysfunction in children, with only inconclusive reports 10,23,24 . In our study, cardiac monitoring was performed in all cases and arrhythmia was not detected in any case.…”

“…ESWL was introduced for the treatment of children gradually, as there were no previous data about its efficiency, safety or possible adverse effects 2,5,6 . The main concern in prescribing such techniques for pediatric patients referred to the potential complications of the procedure, such as ureteral obstruction by residual fragments, 7 pain, 8 hematuria, 8 hemoptysis, 2,6 sepsis, 9 cardiac arrhythmia 10 and effects on other organs 5,6 . Other authors consider children with stone disease as having a higher risk of stone recurrences during their lives.…”

"Litotripsia extracorpórea por ondas de choque em crianças: eficácia e complicações precoces"

“…Ondas de choque da LECO podem atingir pericárdio e promover distúrbio de condução elétrica no coração e arritmia cardíaca. Para evitar tais ocorrências, o disparo da onda deve estar associado ao batimento cardíaco e a onda deve ser disparada 20 milissegundos após R do complexo QRS (Coptcoat et al, 1986;Vandeursen et al, 1991;Mininberg et al, 1988). Porém, há trabalhos que questionam que a onda da LECO possa promover irritação no pericárdio e causar arritmia cardíaca (Parr et al, 1988;Lingeman et al, 1995).…”

“…Hasanoglu et al (1996), avaliando 103 crianças submetidas à LECO, e Duarte et al (2002) 87 compartilham da mesma opinião: que a taxa de sucesso é maior quanto menor for o tamanho do cálculo. Mininberg et al (1988), avaliando 17 crianças submetidas à LECO, e Tekin et al (1998) não relataram relação do tamanho do cálculo com a taxa de sucesso.…”