Predicting the Therapeutic Effect of Extracorporeal Shockwave Lithotripsy by Non-enhanced Computed Tomography in Renal Stones

2008 ◽  
Vol 49 (3) ◽  
pp. 252 ◽  
Author(s):  
Jung Hoon Kim ◽  
Young Tae Moon
Keyword(s):  
Computed Tomography ◽  
Therapeutic Effect ◽  
Renal Stones ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Enhanced Computed Tomography

scholarly journals Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093160
Author(s):  
Xin Wang ◽  
Bowen Zhang ◽  
Yunfeng Zhu ◽  
Hongwei Ge
Keyword(s):  
Computed Tomography ◽  
Abdominal Aorta ◽  
Aortic Rupture ◽  
Rare Complication ◽  
Chinese Patient ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Ureteral Calculi ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Enhanced Computed Tomography

Extracorporeal shockwave lithotripsy (ESWL) is a common and effective treatment method for most renal and upper ureteral calculi. Aortic rupture after ESWL is an extremely rare complication. Seven cases of aortic rupture have been reported to date, and only one case involved the rupture of a calcified abdominal aorta. We herein describe a Chinese patient who was hospitalized for rupture of the abdominal aorta 5 days after ESWL for right ureteral calculi. The patient was transferred to the Department of Vascular Surgery and underwent emergency endovascular aortic repair. The patient’s recovery was unremarkable. One week after the operation, enhanced computed tomography showed that the size of the hematoma around the periaortic area was constant, and repeat enhanced computed tomography 1 month later showed that the hematoma had been significantly absorbed. ESWL may cause rupture of a heavily calcified abdominal aorta. We suggest that all patients with atherosclerosis being considered for ESWL should be evaluated by imaging examinations both preoperatively and during follow-up.

scholarly journals A novel triple oral regime provides effective analgesia during extracorporeal shockwave lithotripsy for renal stones

2019 ◽  
Vol 11 (1) ◽  
pp. 66 ◽  
Author(s):  
Arpan Choudhary ◽  
Supriya Basu ◽  
Rakesh Sharma ◽  
Rupesh Gupta ◽  
RanjitKumar Das ◽  
...  
Keyword(s):  
Renal Stones ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Effective Analgesia

scholarly journals Predictive factors of successful extracorporeal shockwave lithotripsy (ESWL) for renal stones: evidence of retrospective study

2019 ◽  
Vol 2 (1) ◽  
pp. 60-64
Author(s):  
Shukur Mahmood Yaseen ◽  
Saad Ahmed Ali Jadoo ◽  
Ayad Aziz Abdullah ◽  
Anmar Shukur Mahmood ◽  
Wassan Nasrat Abd Al-wahaab
Keyword(s):  
Retrospective Study ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Predictive Factors ◽  
Predictive Factor ◽  
Renal Stone ◽  
Renal Stones ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave

Background: Extracorporeal shockwave lithotripsy (ESWL) has proved to be effective in treating ureterolithiasis. This study aimed to investigate the predictive factors related to success ESWL among patient presented with renal stone. Methods: A retrospective study was conducted among 40 patients who underwent ESWL at the urology department, Baquba Teaching Hospital, Diyala University, Iraq. Data was collected between1st October 2018 and 31st January 2019 for renal stones diagnosed by non-enhanced spiral computed tomography (NCCT). The success rate defined as no stone or the remnant stones < 4 mm. We analyzed predictive factors by using multiple linear regression. Results: The success rates ranged from 50-90%. In the univariate analysis, body mass index (BMI), skin-to-stone distance (SSD)and the renal stone-attenuation value (in Hounsfield units, HU) were found to be significantly correlated with the outcome of ESWL (p<0.05). However, in the multiple linear regression, only the HU (B = -0.619, P < 0.0001; 95% confidence interval [CI]:0.03 to 0.07) was theindependent predictive factor. Conclusion: Hounsfield Unit is an independent predictive factor influencing the success of ESWL for treating renal stones.

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