The Broken Stone Basket: Configuration and Technique for Removal*

Abstract

Baskets break at typical holmium:YAG intracorporeal lithotripsy energy settings. Tipless baskets break easiest and assume a safer configuration. Tipless baskets are extracted easily through a 7F open-ended catheter, 8F/10F set, or 20F sheath, while tipped baskets are unable to be extracted through any of these.

Impact of Collateral Damage to Endourologic Tools During Laser Lithotripsy—In Vitro Comparison of Three Different Clinical Laser Systems

“…[21][22][23] This scenario is hardly conceivable for FLPD or FREDDY lasers. The Ho:YAG-laser is currently the most efficient, versatile, and widely used laser lithotripsy device available, whereas the FLPD or the FREDDY lasers do not play an important role in everyday endourologic practice.…”

Ureterorenoscopy: Avoiding and Managing the Complications

“…The need to suspend a procedure due to, for example, the malfunctioning of a laser font or the breakage of one of the fiber optics inside the machine is also an infrequent occurrence [28]. The breakage of any of the accessories is always however possible, especially the basket for the stone, which almost always works together with the laser fiber which when activated develops high thermal energy [29,30].…”

“…If it should happen that baskets made with a point where the coils converge tend to project towards the exterior of the stumps of a broken coil, in a downwards direction, causing ureteral lacerations when being removed [30], tipless baskets very often maintain their basic configuration. As far as composition is concerned, an elastic and flexible combination such as nitinol definitely offers greater guarantees of atraumaticity from steel.…”

“…In this case, the source of the bleeding is a polar renal vessel or a ureteral vessel. The procedure must be stopped and the source of the bleeding blocked with a ureteral dilation balloon blown up to [24][25][26][27][28][29][30] until the moment that the selected emergency procedure starts, which very often is an arteriography with an embolization.…”

Destruction of Stone Extraction Basket During an In Vitro Lithotripsy—A Comparison of Four Lithotripters

“…4 This severing of wires can lead to ureteral trauma because of hook formation. 5 This study was designed to investigate to what extent and how quickly which lithotripsy instrument causes the destruction of stone baskets.…”