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Renal vascular complications associated with the percutaneous removal of renal calculi
The Journal of Urology
|August 1, 1984
Insights
Percutaneous removal of kidney and ureteral stones can lead to vascular complications. Awareness of kidney anatomy and using specific tools can help prevent and manage bleeding during the procedure.
Area of Science:
- Urology
- Vascular Surgery
- Interventional Radiology
Background:
- Percutaneous procedures for renal and ureteral calculi are common.
- Vascular complications are a potential risk during these minimally invasive surgeries.
Observation:
- A study reviewed 140 patients undergoing percutaneous removal of renal and ureteral calculi.
- The incidence of immediate and delayed vascular complications was assessed.
Findings:
- 4 out of 140 patients (3%) experienced significant vascular complications.
- These complications included both immediate and delayed presentations.
Implications:
- Understanding renovascular anatomy is crucial for prevention.
- Utilizing a safety guidewire and having an angiographic balloon catheter readily available can mitigate bleeding risks.
- These measures can improve patient safety during percutaneous stone removal procedures.
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.