OBJECTIVES: To evaluate the haemorrhagic complications of PCNL, to analyse their management and to identify predisposing factors. MATERIAL AND METHODS: Out of a series of 772 cases of PCNL, 18 patients developed severe haemorrhage requiring a haemostatis procedure (2.3%): 13 males and 5 females with a mean age of 57 years (38-79), and one case on a solitary kidney. The mean time to onset of haemorrhage was 18 days (--48 days). RESULTS: Three nephrectomies for haemostatis were performed at the beginning of our experience. Renal arteriography was performed in 15 patients and was abnormal in 13 patients, showing 3 arteriovenous fistulas, 8 false aneurysms, 3 arteriolar injuries. All these vascular abnormalities were successfully treated by highly selective embolization. In 2 cases, arteriography was normal with a spontaneously favourable course. Comparison of the 2 groups of PCNL, with haemorrhage versus without haemorrhage, failed to demonstrate any risk factors. CONCLUSION: Severe haemorrhage following PCNL is a rare complication, but impossible to predict. Selective embolization allows control of bleeding and currently constitutes the treatment of choice.
OBJECTIVES: To evaluate the haemorrhagic complications of PCNL, to analyse their management and to identify predisposing factors. MATERIAL AND METHODS: Out of a series of 772 cases of PCNL, 18 patients developed severe haemorrhage requiring a haemostatis procedure (2.3%): 13 males and 5 females with a mean age of 57 years (38-79), and one case on a solitary kidney. The mean time to onset of haemorrhage was 18 days (--48 days). RESULTS: Three nephrectomies for haemostatis were performed at the beginning of our experience. Renal arteriography was performed in 15 patients and was abnormal in 13 patients, showing 3 arteriovenous fistulas, 8 false aneurysms, 3 arteriolar injuries. All these vascular abnormalities were successfully treated by highly selective embolization. In 2 cases, arteriography was normal with a spontaneously favourable course. Comparison of the 2 groups of PCNL, with haemorrhage versus without haemorrhage, failed to demonstrate any risk factors. CONCLUSION: Severe haemorrhage following PCNL is a rare complication, but impossible to predict. Selective embolization allows control of bleeding and currently constitutes the treatment of choice.
Authors: Necdet Poyraz; Mehmet Balasar; İbrahim Erdem Gökmen; Osman Koç; Mehmet Giray Sönmez; Arif Aydın; Yunus Emre Göger; Ahmet Öztürk Journal: Wideochir Inne Tech Maloinwazyjne Date: 2017-07-20 Impact factor: 1.195
Authors: Mahmoud M Shalaby; Medhat A Abdalla; Hassan A Aboul-Ella; Abdel-Monem A El-Haggagy; Alaa A Abd-Elsayed Journal: BMC Res Notes Date: 2009-04-20