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Related Experiment Videos

[First clinical experience with extracorporeal lithotriptor EDAP LT.02].

J Bron1, K Tchala, P Sevestre

  • 1Service d'Urologie, Hôpital Saint-Louis, Paris.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 1, 1992
PubMed
Summary
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Annales d'urologie·2004

This preliminary study shows the EDAP LT.02 extracorporeal lithotriptor effectively treated ureteric stones in 70 patients. Extracorporeal lithotripsy (ECL) achieved a 66% complete success rate with minimal anesthesia.

Area of Science:

  • Urology
  • Medical Devices
  • Nephrology

Context:

  • Urinary stones, including kidney and ureteric stones, affect a significant patient population.
  • Current treatment modalities for urinary stones have varying success rates and potential complications.
  • The development of advanced lithotripsy devices is crucial for improving patient outcomes.

Purpose:

  • To evaluate the efficacy and safety of the EDAP LT.02 extracorporeal lithotriptor for treating ureteric stones.
  • To assess the performance of the device's double isocentric detection system (ultrasonographic and radiological) in facilitating in situ treatment.
  • To determine the success rates of extracorporeal lithotripsy (ECL) in a cohort of patients with varied stone locations.

Summary:

  • A preliminary study involved 70 patients with 89 urinary stones treated using the EDAP LT.02 extracorporeal lithotriptor.

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  • The device features a double isocentric detection system for precise stone localization and treatment.
  • Primary extracorporeal lithotripsy (ECL) was performed without patient selection, with 69% of stones in the kidney and 22.5% in the ureter. An average of 1.2 sessions were needed, with anesthesia required in only 2 cases.
  • The study reported a 66% complete success rate, 17% partial success, and 17% failure.

    • Impact:

    • The EDAP LT.02 demonstrates promising results as a minimally invasive option for urinary stone management.
    • The device's integrated detection system may enhance treatment precision and reduce the need for anesthesia.
    • Further research with larger cohorts is warranted to confirm these findings and establish the device's role in clinical practice.