Related Experiment Videos
[The therapeutic approach in vascular damage from pyelocaliceal endoscopic urology]
I Fernández González1, A V Serrano Pascual, J Burgos Revilla
1Servicios de Urología, Hospital Ramón y Cajal, Madrid, España.
Insights
This study details six cases of vascular lesions during percutaneous renal calculus removal, emphasizing complications like fistulas. Prompt intervention is crucial for managing these injuries in urology practice.
Area of Science:
- Urology
- Nephrology
- Vascular Surgery
Context:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Vascular complications can arise during PCNL, requiring prompt recognition and management.
- Limited Spanish literature exists on vascular lesions associated with PCNL.
Purpose:
- To describe six cases of vascular lesions occurring after percutaneous removal of renal calculi.
- To highlight the types of vascular injuries, including arteriovenous, arteriocaliceal, and venocaliceal fistulas.
- To emphasize the importance of managing these complications during the procedure.
Summary:
- Six cases of vascular lesions linked to percutaneous renal calculus removal are presented.
- Lesions resulted from percutaneous access or ultrasound stone fragmentation.
- Spontaneously resolved cases were excluded; focus is on managed complications like fistulas.
Impact:
- Provides valuable insights for urologists, especially those new to PCNL.
- Contributes to the Spanish literature on managing PCNL-related vascular injuries.
- Underscores the need for vigilance and preparedness for vascular complications in PCNL.
Abstract:
Six cases of vascular lesion associated with percutaneous removal of renal calculi are described. The lesions had been caused during percutaneous access or ultrasound fragmentation of the stone. Those that had resolved spontaneously have not been included. When vascular injury is suspected during the procedure, the appropriate measures must be taken to resolve the different complications, such as arteriovenous, arteriocaliceal or venocaliceal fistula. Since there is little reference to this subject in the Spanish literature, the experience described herein may be of interest to the urologist who has only recently begun to perform this technique.