Clinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomy

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dc.contributor.authorPoyraz, Necdet
dc.contributor.authorBalasar, Mehmet
dc.contributor.authorGokmen, Ibrahim Erdem
dc.contributor.authorKoc, Osman
dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorAydin, Arif
dc.contributor.authorGoger, Yunus Emre
dc.date.accessioned2024-02-23T14:41:01Z
dc.date.available2024-02-23T14:41:01Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Percutaneous nephrolithotomy (PNL) is the preferred procedure for safe and effective surgical treatment of kidney stones. Hemorrhage is the most serious complication of PNL, resulting from pseudoaneurysm (PA) or arteriovenous fistula (AVF), and can usually be controlled with conservative treatment. Aim: To evaluate endovascular treatments and outcomes of vascular complications observed after PNL. Material and methods: We retrospectively reviewed data on 19 patients who underwent renal embolization due to post-PNL renal artery bleeding between March 2005 and September 2016. Embolization materials included embolization coils and glue. The incidence of post-PNL vascular complications and their endovascular treatments, outcomes, and the follow-up data were analyzed. Results: Nineteen (1.1%) of 1,609 patients (mean age: 44.9 years, range: 19-75 years) underwent angiography and subsequent transcatheter embolization to control bleeding. The mean time to onset of hemorrhage was 7.2 days after PNL (range: 3-18 days). The PNL entry site was the lower calyx in 15 patients, the middle calyx in 3, and the upper calyx in 1. PA, AVF, and PA plus AVF occurred in 14, 5, and 3 of the 19 renal angiography patients, respectively. Embolization of the affected vessels was successful in all 19 patients. The embolization materials of coil, glue, and coil plus glue were used in 16, 3, and 2 patients, respectively. Conclusions: Severe hematuria is a rare complication of PNL and can be successfully treated with transcatheter embolization.en_US
dc.identifier.doi10.5114/wiitm.2017.69108
dc.identifier.endpage408en_US
dc.identifier.issn1895-4588
dc.identifier.issn2299-0054
dc.identifier.issue4en_US
dc.identifier.pmid29362656en_US
dc.identifier.scopus2-s2.0-85040375725en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage403en_US
dc.identifier.urihttps://doi.org/10.5114/wiitm.2017.69108
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16655
dc.identifier.volume12en_US
dc.identifier.wosWOS:000419025300010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofVideosurgery And Other Miniinvasive Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectRenal Vascular Complicationsen_US
dc.subjectTranscatheter Embolizationen_US
dc.subjectPseudoaneurysmen_US
dc.subjectArteriovenous Fistulaen_US
dc.titleClinical efficacy and safety of transcatheter embolization for vascular complications after percutaneous nephrolithotomyen_US
dc.typeArticleen_US

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