Renal Vascular Complications Associated With the Percutaneous Removal of Renal Calculi

Abstract

Significant immediate and delayed vascular complications occurred in 4 of 140 patients (3 per cent) undergoing percutaneous removal of renal and ureteral calculi. An understanding of renovascular anatomy, use of a safety guide wire and intraoperative availability of an angiographic balloon catheter may help to prevent and to treat bleeding problems.

Severe Bleeding after Nephrolithotomy: Results of Hyperselective Embolization

“…Although the technique is safe and effective, complications have been reported [1, 2, 3, 4, 5]. Hemorrhage is by far the most frequent of these complications and may result in the loss of the kidney [3, 4].…”

Vascular Complications of Percutaneous Renal Surgery

“…The practitioner of percutaneous renal surgery must therefore be aware of this complication rate and be prepared to deal with the complication when it arises. [5][6] Bleeding has been a significant part of percutaneous renal procedures since the description of percutaneous blind renal biopsy procedures in the 1950s, where significant bleeding was reported in as many as 10% of cases.7-10 Of particular interest are two prospective studies in which arteriography FIG. 3.…”

Clinical Experience with the Kaye Nephrostomy Tamponade Catheter

“…renal pelvic/calyceal transitional cell cancers and ureteropelvic junction ob structions. With an acutely developed, 24-to 30-french percutaneous nephrostomy tract, the most serious com plication is massive hemorrhage, either during the proce dure or in the early postoperative period [2,3]. Overall the incidence of immediate and delayed vascular compli cations in patients undergoing percutaneous stone remov al is 3% [3].…”

“…With an acutely developed, 24-to 30-french percutaneous nephrostomy tract, the most serious com plication is massive hemorrhage, either during the proce dure or in the early postoperative period [2,3]. Overall the incidence of immediate and delayed vascular compli cations in patients undergoing percutaneous stone remov al is 3% [3]. When sudden massive bleeding from the nephrostomy tract is encountered, immediate tamponade of the tract may preclude the need for more invasive maneuvers such as embolization or open renal explora tion.…”