Single Specialty-Operated Renal Stone Removal: Initial Experience from 3 Interventional Radiology Centers

• Published in: Journal of vascular and interventional radiology Vol. 35; no. 1; pp. 80 - 85
• Main Authors: Altun, Izzet, Garg, Tushar, Shaikh, Jamil, DePalma, Anthony Andres R, Herren, Josi L, Hubbell, Gwendolyn M, Nezami, Nariman
• Format: Journal Article
• Language: English
• Published: United States 01.01.2024
• Subjects: Female; Humans; Kidney; Kidney Calculi - diagnostic imaging; Kidney Calculi - surgery; Male; Nephrostomy, Percutaneous - adverse effects; Nephrostomy, Percutaneous - methods; Radiology, Interventional; Retrospective Studies; Treatment Outcome
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2023.09.012

This retrospective analysis of the feasibility and safety of percutaneous renal stone removal using single-use flexible ureteroscopes was conducted at 3 academic centers. Twelve patients (58% men) underwent 14 percutaneous renal stone removal procedures between December 2021 and March 2023. All patients experienced symptom improvement and resolution of obstruction after stone removal. The procedural success rate was 92%. Only 1 patient required an additional stone removal procedure. No major adverse events occurred during or after the procedures. The percutaneous nephrostomy removal rate was 92%, with a median tube removal time of 5 weeks. The median procedural and pulsed fluoroscopy times were 106.5 and 16.3 minutes, respectively. Preliminary findings demonstrated that percutaneous renal stone removal using single-use endoscopes by interventional radiologists is feasible and safe.