Mickael Palmier et al., 2024: Does Renal Lithotripsy Shake the Foundations of a Fenestrated Endovascular Aortic Repair ?
Mickael Palmier 1 , Tom Tenière 2
1Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
2Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
Abstract
72 year old patient underwent staged endovascular exclusion for a type II thoraco-abdominal aneurysm to reduce the paraplegia risk. Eight months later, he experienced kidney stones necessitating multiple renal lithotripsy sessions, complicated by a perirenal haematoma, which was managed conservatively.Two months later, the patient suffered a contained aortic rupture due to a type Ic endoleak. The original left renal bridging stent (Begraft, Bentley, Hechingen, Germany) was initially in place (A) but became partially dislodged from the target artery (B, white arrow). An additional stent (Advanta V12, Getinge, Sweden) was added. Lithotripsy sessions or the renal haematoma may have contributed to this rapid dislocation.
Eur J Vasc Endovasc Surg. 2024 Jun;67(6):922. doi: 10.1016/j.ejvs.2024.01.076. Epub 2024 Jan 30.
MID: 38295942 DOI: 10.1016/j.ejvs.2024.01.076
Comments 1
Probably a very rare complication. But users of ESWL should be aware of it, as it can potentially be fatal. In fact, I would include it in the contraindications to ESWL.
Peter Alken