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Safety of ungated shockwave lithotripsy in pediatric patients

Ahmed M Shouman1, Islam A Ghoneim, Ahmed ElShenoufy

  • 1Division of Pediatric Urology, Aboul-Riche Children's Hospital, Cairo University, Cairo, Egypt.

Journal of Pediatric Urology
|November 26, 2008
PubMed

Insights

Ungated extracorporeal shockwave lithotripsy (ESWL) is safe and effective for treating pediatric renal calculi. This method showed an 86% stone-free rate in children under 14, with no cardiac arrhythmias observed.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Treatment
  • Shockwave Lithotripsy

Background:

  • Adult extracorporeal shockwave lithotripsy (ESWL) without cardiac gating is linked to arrhythmias.
  • Pediatric renal calculi treatment requires safe and effective methods.

Purpose of the Study:

  • To evaluate the safety and efficacy of ungated ESWL for treating renal calculi in children under 14 years.
  • To assess the occurrence of cardiac arrhythmias during ungated ESWL in pediatric patients.

Main Methods:

  • A cohort of 37 children under 14 with radio-opaque renal stones underwent ungated ESWL.
  • Pre- and post-treatment imaging (radiographs, IVU, ultrasonography) monitored stone clearance.
  • Continuous cardiac monitoring was performed for all patients during the procedure.

Main Results:

  • Sixty-nine ungated ESWL sessions were performed on 37 children (median age 5 years).
  • No cardiac arrhythmias or intra-procedural complications were reported.
  • The overall stone-free rate was 86%, with no requirement for conversion to gated ESWL.

Conclusions:

  • Ungated ESWL is a safe treatment modality for renal calculi in children under 14 years.
  • The efficacy of ungated ESWL in this pediatric cohort is comparable to previously reported gated ESWL series.
Abstract

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