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. 2017 Jan;4(1):27-30.
doi: 10.1016/j.ajur.2016.08.012. Epub 2016 Sep 6.

Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy

Ricardo Palmerola  1 , Vinay Patel  1 , Christopher Hartman  1 , Chris Sung  2 , David Hoenig  1 , Arthur D Smith  1 , Zeph Okeke  1
Affiliations

Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy

Ricardo Palmerola et al. Asian J Urol. 2017 Jan.

Abstract

Objective: Selective angioembolization (SAE) effectively diagnoses and treats iatrogenic vascular complications following percutaneous nephrolithotomy (PCNL).

Methods: We retrospectively reviewed 1329 consecutive PCNLs and identified patients who underwent SAE following PCNL with at least 12-month follow-up. Estimated glomerular filtration rate (eGFR) was calculated for all patients preoperatively, postoperatively and at last follow-up. A 1:2 matched cohort analysis was performed.

Results: Twenty-three patients underwent SAE and matched to 46 controls. There was no statistically significant difference in preoperative, postoperative, and follow-up eGFR when comparing patients who underwent SAE and those with an uneventful course.

Conclusion: Long-term eGFR is comparable in patients who undergo uncomplicated PCNL and those requiring SAE.

Keywords: Contrast induced nephropathy; Percutaneous nephrolithotomy; Postoperative hemorrhage; Selective angioembolization; Urologic complications.

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References

    1. Fernstrom I., Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scan J Urol Nephrol. 1976;10:257–259. - PubMed
    1. Olvera-Posada D., Tailly T., Alenezi H., Violette P.D., Nott L., Denstedt J.D. Risk factors for postoperative complications of percutaneous nephrolithotomy at a tertiary referral center. J Urol. 2015;194:1646–1651. - PubMed
    1. Labate G., Modi P., Timoney A., Cormio L., Zhang X., Louie M. The percutaneous nephrolithotomy global study: classification of complications. J Endourol. 2011;25:1275. - PubMed
    1. Kessaris D.M., Bellman G.C., Pardalidis N.P., Smith A.G. Management of hemorrhage after percutaneous renal surgery. J Urol. 1995;153:604–608. - PubMed
    1. Richstone L., Reggio E., Ost M.C., Seideman C., Fossett L.K., Okeke Z. Hemorrhage following percutaneous renal surgery: characterization of angiographic findings. J Endourol. 2008;22:1129–1135. - PubMed