Hussaen J et al, 2017: Techniques: Shockwave lithotripsy may not be a good option in patients with previous renal superselective embolization.
Hussaen J, Andonian S.
Division of Urology, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Can Urol Assoc J. 2017 Sep;11(9):E388-E389. doi: 10.5489/cuaj.4453. No abstract available.
The authors describe the development of a hematoma in a patient treated with SWL. It is speculated that a previous angio-embolization was the indirect cause of the arterial damage.
It is difficult to know if the authors' conclusion is correct or not, because this patient also had other risk factors such as trombocytopenia, polycytemia and most likely also arteriosclerosis. Although migration and a mechanical effect of the coil cannot be excluded it is definitely not certain that such an event caused the bleeding complication