2016
DOI: 10.1089/end.2015.0681
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Improvement of SWL Efficacy: Reduction of the Respiration-Induced Kidney Motion by Using an Abdominal Compression Plate

Abstract: AC with a compression plate is easy to perform and well tolerated by patients. It significantly reduces respiratory-induced kidney motion and improves shock wave efficacy.

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Cited by 15 publications
(6 citation statements)
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“…Excessive stone motion can lead to the stone moving outside of the focal zone leading to decreased hit rate, therefore, it is important for repeat imaging to be performed throughout the treatment [82] . In efforts to decrease stone motion caused by respiration, abdominal compression plates [83] or a compression belt [84] has proven beneficial. Interestingly, SWL performed in conscience patients has shown to have less stone motion compared to anesthetized patients [85] .…”
Section: Improving Hit Ratementioning
confidence: 99%
“…Excessive stone motion can lead to the stone moving outside of the focal zone leading to decreased hit rate, therefore, it is important for repeat imaging to be performed throughout the treatment [82] . In efforts to decrease stone motion caused by respiration, abdominal compression plates [83] or a compression belt [84] has proven beneficial. Interestingly, SWL performed in conscience patients has shown to have less stone motion compared to anesthetized patients [85] .…”
Section: Improving Hit Ratementioning
confidence: 99%
“…A more intensive fluoroscopic monitoring during the session, a greater analgesic control, and an effective reduction of respiratory motion, increase the proportion of waves that reach the focal point of the stone, increasing the total energy accumulated [ [14] , [15] , [16] ]. The hit rate of shockwave is occasionally low in the kidney or proximal ureter as a result of the patient's respiratory movements.…”
Section: Resultsmentioning
confidence: 99%
“…Respiratory renal movement and proper laser settings are the two main contributing components of successful lithotripsy [8]. In order to minimize kidney displacement due to respiratory motion, several methods have been previously suggested including high frequency ventilation [9], PA [3], abdominal compression [10], and general anesthesia with low ventilation [11]. There have been many modifications suggested, but each technique has its own advantages and limitations.…”
Section: Discussionmentioning
confidence: 99%
“…Belt compression in a group of 50 patients provided reduction of the kidney motion amplitude by an average of 32% detected by fluoroscopy control [20]. Plate compression in a group of 10 volunteers and 10 patients reduced kidney motion by 4 mm on average and increased SWL efficacy by 23% detected by ultrasound control [10]. Currently, no information regarding the applicability of abdominal compression in RIRS exists.…”
Section: Discussionmentioning
confidence: 99%