Treatment of hemorrhagic complications of percutaneous nephrolithotomy in Galdakao position

• Published in: Actas urológicas españolas (English ed.) Vol. 37; no. 9; pp. 587 - 591
• Main Authors: Nuño de la Rosa, I, Palmero, J.L, Miralles, J, Amorós, A, Ferrer, M.D, Esteban, E
• Format: Journal Article
• Language: English
• Published: Elsevier España, S.L.U 01.10.2013
• Subjects: Arteriografía renal; Embolización selectiva; Hemorragia; Hemorrhage; Renal arteriography; Selective embolization; Urology; Arteriografía renal; Selective embolization; Hemorragia; Hemorrhage; Renal arteriography; Embolización selectiva
• ISSN: 2173-5786; 2173-5786
• DOI: 10.1016/j.acuroe.2012.11.017

Abstract Objective Percutaneous Nephrolithotomy (PCNL) is a technique with good results for the treatment of kidney stones, however, bleeding complications derived can be serious if not diagnosed and treated effectively. The aim of this study is to assess bleeding complications resulting from PCNL in Galdakao position and therapeutic management. Materials and methods Retrospective-longitudinal study of 172 PCNL performed in La Ribera Hospital between January 2005 and December 2011, analyzing their bleeding complications and the treatment provided for resolution. Results 20 patients (11.6%) had bleeding complications. The need for transfusion in this series was 8.1% and the most common cause of blood transfusion was the presence of postoperative retroperitoneal (7.5%). There were 6 arterial injuries (3.5%), 5 of them successfully treated with angiography and arterial selective embolization. Conclusions The arterial injuries following PCNL are rare but can be serious. The possibility of an urgent arteriography and selective embolization to the diagnosis permits an effective and safe treatment of bleeding without risk to the affected renal unit.