Asgari SA et al, 2011: Is extracorporeal shockwave lithotripsy safe in patients with chronic bleeding tendency?
Asgari SA, Kazemzadeh M, Asl AS, Ghanaei MM
Urology Research Center, Guilan University of Medical Sciences, Rasht, Iran
No abstract available
Urol J. 2011 Fall;8(4):325-7
PMID: 22090055 [PubMed - indexed for MEDLINE]
This is a case report on a series of five ESWL sessions successfully carried out in a patient with uncorrected coagulopathy and thrombocytopenia. Fortunately this procedure was uneventful for the patient despite the situation, but to proceed with ESWL under these conditions cannot be recommended. The intention to focus on the stone and avoiding trauma to surrounding tissues is easy to say but difficult to do. Why general anesthesia was impossible in this case is not further explained, neither is the strategy if the patient had got a life-threatening bleeding.