Mehmet KAYNAR, Okan İSTANBULLUOĞLU, İbrahim BULDU, Hüseyin ULAŞ, Tufan ÇİÇEK, Erkan YILDIRIM

Renal Pseudoaneurysm after Nephrolithotomy Micropercutaneous

Perkütan böbrek girişimlerinden sonra kanamanın en önemli nedeni psödo anevrizmadır. Mikroperkütan nefrolitotomi böbreğin alt pol kaliks taşlarının tedavisinde kullanılan tedavi yöntemidir. Literatürde küçük serilerden oluşan ve mikroperkütan nefrolitotominin uygulanabilir ve güvenli olduğunu bildiren az sayıda makale mevcuttur. Bu yazıda; literatürdeki mikroperkütan nefrolitotomi sonrası gelişen ilk psödoanevrizma ve tedavisi sunulmaktadır

Mikroperkütan Nefrolitotomi Sonrası Gelişen Renal Psödoanevrizma

Postoperative bleeding due to pseudoaneurysm formation is the major cause of percutaneous kidney interventions. Micro percutaneous nephrolithotomy is a one step procedure that used mostly lower pole stones. There are small series that reports technical feasibility and safety of microperc using the All-seeing needle. Here we state the first report of pseudoaneurysm and its treatment after microperc in the literature

PDF

___

Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous 2007;51:899-906.
Kukreja R, Desai M, Patel S, Bapat S, Desai M. Factors affecting blood loss during percutaneous nephrolithotomy: prospective study. J Endourol. 2004;18:715-22.
Desai MR, Sharma R, Mishra S, Sabnis RB, Stief C, Bader M. Single-step percutaneous nephrolithotomy (microperc): the initial clinical report. J Urol. 2011;186:140-5.
Yamaguchi A, Skolarikos A, Buchholz NP, Chomon GB, Grasso M, Saba P et al. Operating times and bleeding complications in percutaneous nephrolithotomy: a comparison of tract dilation methods in 5537 patients in the Clinical research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study. J Endourol. 2011;25:933-9.
Labate G, Modi P, Timoney A, Cormio L, Zhang X, Louie M et al. The percutaneous nephrolithotomy global study: classification of complications. J Endourol. 2011;25:1275-80.
Cheng F, Yu W, Zhang X, Yang S, Xia Y, Ruan Y. Minimally invasive tract in percutaneous nephrolithotomy for renal stones. J Endourol. 2010;24:1579-82.
Mishra S, Sharma R, Garg C, Kurien A, Sabnis R, Desai M. Prospective comparative study of miniperc and standard PNL for treatment of 1 to 2 cm size renal stone. BJU Int. 2011;108:896-99.
Bader M, Gratzke C, Schlenker B, et al. The 'all- seeing needle': an optical puncture system confirming percutaneous access in PCNL American Urological Association Annual Meeting, San Francisco, 2010.
Desai M, Mishra S. 'Microperc' micropercutaneous nephrolithotomy: evidence to practise: Curr Opin Urol. 2012;22:134-8.