Untitled

Gałek, L; Darewicz, Barbara; Werel, Tadeusz; Darewicz, J

doi:10.1023/a:1007126900772

Cited by 21 publications

(12 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[9][10][11] Hemorrhages are usually caused by segmental arteries and controlled using conservative management methods. 12 Hemorrhages that require embolization are between 0.3% and 1.4%.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for hemorrhage requiring embolization after percutaneous nephrolithotomy

Ün

Çakır

Kara

et al. 2015

CUAJ

View full text Add to dashboard Cite

Introduction: Percutaneous nephrolithotomy (PCNL) is the primary surgical intervention in kidney stone management. Even though it is performed quite often, the complication rates are also high. Arteriovenous fistulas following extended hemorrhages after PCNL are one of the most serious complications of this operation. Our main objective was to review the data of patients who required angiography and embolization. Methods: In total, we included 1405 patients who underwent PCNL between 2007 and 2014. All patient data were retrospectively reviewed. All patients went under PCNL using fluoroscopy. Following informed consent, all hemorrhagic patients underwent angiography in the interventional radiology department and embolization was performed in patients with a hemorrhage focus point. Results: A total of 147 patients (10.4%) required transfusion for post-PCNL hemorrhages. Of them, 14 (0.99%) underwent angiography and embolization (9 [64.2%] were male and 5 [35.8%] were female, with a mean age of 39.4 ± 10.2). The remaining 133 patients were conservatively managed (81 [60.9%] males and 52 [39.1%] females, with a mean age of 42.3 ± 12.4). When the predicting factors for angiography and embolization were reviewed, renal abnormalities and the mean size of stones were significant in both univariate and multivariate analysis (p < 0.001). Conclusion: Patients with extended and intermittent hematuria should be monitored closely for hemodynamics; if there is an ongoing necessity for transfusion, angiography should be considered.

show abstract

“…[9][10][11] Hemorrhages are usually caused by segmental arteries and controlled using conservative management methods. 12 Hemorrhages that require embolization are between 0.3% and 1.4%.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for hemorrhage requiring embolization after percutaneous nephrolithotomy

Ün

Çakır

Kara

et al. 2015

CUAJ

View full text Add to dashboard Cite

show abstract

“…[11] In a case of excessive bleeding, clamping of the nephrostomy tube and placement of a larger nephrostomy tube or balloon tamponade may be necessary. [16] In some conditions, angiographic embolization may be a treatment of choice. [17] In our study, the most commonly encountered complication was fever after surgery (Clavien grade 1; 13.43%).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous nephrolithotomy in anesthesia view: A 3-year experience of a referral hospital

Çevik¹

2018

South Clin Ist Euras

View full text Add to dashboard Cite

The aim of this study was to document the use of general anesthesia for patients who underwent percutaneous nephrolithotomy (PNL) during a 3-year period and to examine the current discussion related to anesthesia techniques in the context of the literature. Methods: Patients scheduled for PNL between 2015 and 2017 were assessed retrospectively. Patient demographic data, the characteristics of the renal stones, the duration of the operation, blood transfusion requirements, and complications of the PNL procedure and general anesthesia were evaluated. Results: A total of 521 patients were included in this study. The mean age was 48.32±0.61 years. The mean stone size was 22.48±0.47 mm. The mean duration of the operation was 106.30±1.56 minutes, and 79.07% of patients were stone-free after the procedure. The mean fluoroscopy time was 23.30±1.45 seconds and the mean irrigation fluid volume was measured as 8.70±0.23 L. The decrease in the hemoglobin and hematocrit levels after the procedure was statistically significant (p<0.0001), with a transfusion rate of 4.99%. Fever after surgery and hemorrhage not requiring blood transfusion were the major complications (13.4% and 10.74%, respectively) seen, using the Clavien classification system. Difficult intubation (1.2%), post-extubation laryngospasm (2.3%), refractory nausea (1.5%), bronchospasm (0.38%), ischemic electrocardiography changes (0.19%), and delirium (0.19%) were the major anesthesia problems. Conclusion: General anesthesia is a safe and effective method for PNL with well-known risks. Regional anesthesia techniques have also been reported in PNL procedures as an alternative to general anesthesia in recent years. Further clinical trials with large patient groups are needed to demonstrate the safety and efficacy of regional anesthesia in PNL.

show abstract

“…[346] Venous bleeding can be controlled with conservative measures, such as clamping the nephrostomy, hydration and diuretics, hemostatic medications, and balloon tamponade. [78]…”

Section: Discussionmentioning

confidence: 99%

Unexplained occurrence of multiple de novo pseudoaneurysms in patients with chronic kidney disease undergoing angioembolization for bleeding following percutaneous renal intervention: Are we dealing with infection or vasculitis?

et al. 2013

View full text Add to dashboard Cite

Background and Objectives:Patients with chronic kidney disease (CKD) are more prone for bleeding following percutaneous renal intervention, as compared to those with normal renal function. Causes are multi-factorial. Finding multiple aneurysms away from the site of renal intervention following initial angioembolization for hemorrhage is very unusual in these patients.Materials and Methods:Clinical and radiological findings of all the patients who underwent renal angiography for post-intervention bleed for a period of 5 years were reviewed and analyzed.Results:A total of 29 patients required angiography for post-intervention hemorrhage. Six patients had recurrence of hemorrhage for which they underwent repeat angiography. Four of these patients had appearance of multiple new aneurysms away from the site of percutaneous nephrostomy (PCN)/percutaneous nephrolithotomy (PNL) puncture and the site of previous bleeding. All the patients had CKD (creatinine >2.5 mg/dl). They were on prolonged preoperative urinary diversion and had polymicrobial urinary infection. Three patients had candiduria. None of these patients had re-bleeding after repeat embolization and treatment with antibacterial and antifungal agents.Conclusions:Development of multiple aneurysms away from the sites of punctures in patients with CKD following percutaneous intervention is very unusual. Its causation including infection with bacteria and fungus, reaction of embolizing material, and angiopathy needs to be explored.

show abstract

Untitled

Cited by 21 publications

References 5 publications

Risk factors for hemorrhage requiring embolization after percutaneous nephrolithotomy

Risk factors for hemorrhage requiring embolization after percutaneous nephrolithotomy

Percutaneous nephrolithotomy in anesthesia view: A 3-year experience of a referral hospital

Unexplained occurrence of multiple de novo pseudoaneurysms in patients with chronic kidney disease undergoing angioembolization for bleeding following percutaneous renal intervention: Are we dealing with infection or vasculitis?

Contact Info

Product

Resources

About