Severe Haemorrhage after Extracorporeal Shock Wave Lithotripsy: Radiological Evaluation

Baskin, Laurence S.; Stoller, Marshall L.

doi:10.1111/j.1464-410x.1992.tb15509.x

Cited by 9 publications

(3 citation statements)

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“…ESWL may lead to minor such as skin rash, renal colic, and hematuria in 5-30% of patients 31 . In addition, there have been some reports of severe acute damage to the kidneys after ESWL, such as subcapsular or peritoneal hematoma 32,33 . In one study, hematuria was detected in 44% of patients 34 35 .…”

Section: Discussionmentioning

confidence: 99%

Eficacia de la litotricia extracorpórea por ondas de choque en pacientes con urolitiasis menores de 2 años

Basuguy,

Ónen,

AzizoÓlu

et al. 2023

CIRU

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Objective: In this study, we present our extracorporeal shock wave lithotripsy (ESWL) outcomes in urolithiasis patients under the age of two. Materials and Methods: The procedure was performed with patients < 2 years of age sedated, under anesthesia using ketamine and Dormicum (midazolam), in the supine position. Fragmentation was evaluated by fluoroscopy after the procedure. Results: A total of 74 procedures were performed on 65 kidneys. One patient with bilateral stones had two sessions of ESWL on the right side; three sessions of ESWL were performed in one patient with a unilateral stone, and two sessions were performed in seven patients with unilateral stones. All other patients underwent one session of ESWL. As postprocedural complications, hematuria was observed in 14 patients (12 mild and 2 significant), and vomiting occurred in 1 patient. Ureterorenoscopy was performed in 5 patients, and percutaneous nephrolithotomy in 6 patients due to a failed procedure. Conclusion: As a result, ESWL treatment is effective and has advantages such as a short hospitalization time, good reproducibility, cost-effectiveness, and a low rate of complications. Therefore, we recommend ESWL as the first-line treatment for renal and proximal ureteral stones in infants < 2 years of age.

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Section: Discussionmentioning

confidence: 99%

Eficacia de la litotricia extracorpórea por ondas de choque en pacientes con urolitiasis menores de 2 años

Basuguy,

Ónen,

AzizoÓlu

et al. 2023

CIRU

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“…Kaude et al reported hematomas in 29% of the patients after ESWL in magnetic resonance imaging 22. In addition, there have been some published reports on severe acute injury of ESWL in kidney, such as subcapsular or perineal bleeding 23,24. However, these acute complications can be formed after ESWL, and Krishnamurthi and Streem reported that most hematomas can resolve within weeks without long-term effects 25.…”

Section: Methodsmentioning

confidence: 99%

Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

Akın¹,

Yücel²

2014

RRU

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IntroductionExtracorporeal shock wave lithotripsy (ESWL) is a well-known and successful treatment modality. In addition, it can be used in premature infants. ESWL is used to treat kidney and ureter stones in children. However, although it is a preferred noninvasive treatment in that setting, there is debate about its long-term effects on growing kidneys in children.ObjectivesTo investigate the long-term effects of pediatric ESWL on renal function in light of updated literature.MethodsPubMed and Medline were searched for studies on ESWL in a pediatric population with keywords including efficacy, child, kidney calculi, ureter calculi, lithotripsy, injury, vascular trauma, and shock waves. The research was limited to the English literature during a period from 1980 to 2014. In total, 3,000 articles were evaluated, but only 151 papers were considered. Only the manuscripts directly related to the reviewed subjects were included in the current study.ResultsHowever, the acute effects of ESWL in kidney are well-described. Although there are limited studies on the long-term effects of ESWL in children, there is a widespread opinion that ESWL is not affecting renal functions in the long-term.ConclusionESWL is a safe, effective, and noninvasive treatment option in children. Although ESWL can cause some acute effects in the kidney, there is no long-term effect on the growing kidneys of children.

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“…The same mechanical forces that comminute stones, however, also contribute to renal injuries [14][15][16]. It has been widely reported that SWL-induced injuries range from selflimited trauma to potentially life-threatening complications [17][18][19]. In particular, with much increased output acoustic pressure, contemporary lithotripters have high propensity for renal vascular injuries [20,21].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Photoacoustic Imaging and Cavitation Mapping in Shockwave Lithotripsy

Yao

Lan

et al. 2020

IEEE Trans. Med. Imaging

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Kidney stone disease is a major health problem worldwide. Shockwave lithotripsy (SWL), which uses high-energy shockwave pulses to break up kidney stones, is extensively used in clinic. However, despite its noninvasiveness, SWL can produce cavitation in vivo. The rapid expansion and violent collapse of cavitation bubbles in small blood vessels may result in renal vascular injury. To better understand the mechanism of tissue injury and improve treatment safety and efficiency, it is highly desirable to concurrently detect cavitation and vascular injury during SWL. Current imaging modalities used in SWL (e.g., C-arm fluoroscopy and B-mode ultrasound) are not sensitive to vascular injuries. By contrast, photoacoustic imaging is a non-invasive and nonradiative imaging modality that is sensitive to blood, by using hemoglobin as the endogenous contrast. Moreover, photoacoustic imaging is also compatible with passive cavitation detection by sharing the ultrasound detection system. Here, we have integrated shockwave treatment, photoacoustic imaging and passive cavitation detection into a single system. Our experimental results on phantoms and in vivo small animals have collectively demonstrated that the integrated system is capable of capturing shockwave-induced cavitation and the resultant vascular injury simultaneously. We expect that the integrated system, when combined with our recently developed internal-light-illumination photoacoustic imaging, will find important applications for monitoring shockwave-induced vascular injury in deep tissues during SWL.

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Severe Haemorrhage after Extracorporeal Shock Wave Lithotripsy: Radiological Evaluation

Cited by 9 publications

References 1 publication

Eficacia de la litotricia extracorpórea por ondas de choque en pacientes con urolitiasis menores de 2 años

Eficacia de la litotricia extracorpórea por ondas de choque en pacientes con urolitiasis menores de 2 años

Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function

Simultaneous Photoacoustic Imaging and Cavitation Mapping in Shockwave Lithotripsy

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