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Lee JSZ. et al., 2021: Complications of renal interventions: a pictorial review of CT findings

Lee JSZ, Hall J, Sutherland T.
Medical Imaging Department, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, VIC, 3065, Australia.
Medical Imaging Department, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, VIC, 3065, Australia.

Abstract

A number of potential vascular and non-vascular complications can arise from surgical, extracorporeal shock wave lithotripsy, radiotherapy and radiological renal interventions, including percutaneous image-guided biopsy and drainage. Computed tomography scan is usually one of the first and most important diagnostic imaging examinations requested when a potential complication is suspected. There are a wide range of common and uncommon potential complications from renal interventions. An understanding of underlying risk factors is important to reduce potential complications from renal intervention. Radiologists play a crucial role in recognising and diagnosing post-renal intervention complications on computed tomography scans, which could significantly improve the patient's prognosis.
Insights Imaging. 2021 Jul 18;12(1):102. doi: 10.1186/s13244-021-01048-9. PMID: 34275011

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Comments 1

Hans-Göran Tiselius on Wednesday, 23 February 2022 09:30

There are some interesting notations in this article regarding stone removal.
1. During the past 20 years, interventions because of stones have increased by 17%!
2. Moreover, during the same period, SWL decreased by 14.5% and open surgery by 12%. In contrast URS increased by 250%!!
3. Basic question: Which are the determinants for choice of treatment modality?
a. Surgeons’ experience
b. Stone burden
c. Stone location
d. Anatomy
e. Patient’s preference
4. Complications
SWL: perinephric or subcapsular hematoma (4%), seen in patients with hypertension, high age, urinary tract infection, and treatment with low-dose heparin. Reduced renal function can be the result of Page Kidney.
URS: abrasion of mucosa and bleeding 1-3%. Stone migration

There are some interesting notations in this article regarding stone removal. 1. During the past 20 years, interventions because of stones have increased by 17%! 2. Moreover, during the same period, SWL decreased by 14.5% and open surgery by 12%. In contrast URS increased by 250%!! 3. Basic question: Which are the determinants for choice of treatment modality? a. Surgeons’ experience b. Stone burden c. Stone location d. Anatomy e. Patient’s preference 4. Complications SWL: perinephric or subcapsular hematoma (4%), seen in patients with hypertension, high age, urinary tract infection, and treatment with low-dose heparin. Reduced renal function can be the result of Page Kidney. URS: abrasion of mucosa and bleeding 1-3%. Stone migration
Monday, 20 May 2024