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Acucise endopyelotomy: evolution of a less-invasive technology
S Y Nakada1, M S Pearle, R V Clayman
1Department of Surgery, University of Wisconsin Medical School, Madison, USA.
Journal of Endourology
|April 1, 1996
Summary
The Acucise cutting balloon device offers a minimally invasive retrograde approach for endopyelotomy. This procedure demonstrates good success rates with low complication risks, making it a viable option for indicated cases.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Endourology
Background:
- The Acucise electrosurgical cutting balloon device was introduced in 1993.
- Endopyelotomy is a procedure to treat ureteral strictures.
Purpose of the Study:
- To evaluate the efficacy and safety of the Acucise device for endopyelotomy.
- To assess the appeal and outcomes of Acucise endopyelotomy among urologists.
Main Methods:
- Utilized a retrograde approach under fluoroscopic guidance.
- Performed endopyelotomy without percutaneous access using the Acucise device.
Main Results:
- Reported overall success rates for Acucise endopyelotomy range from 66% to 84%.
- Average hospital stay was 1.7 to 3.7 days.
- Serious complications were rare, including transfusion (0-2%) and embolization (0-3%).
Conclusions:
- The Acucise device offers a minimally invasive option for endopyelotomy.
- Its track record supports its use when endopyelotomy is indicated due to good success and low complication rates.