EVALUATİON OF THE NEED FOR ANGİOEMBOLİZATİON AFTER PERCUTANEOUS NEPHROLİTHOTOMY İN CHİLDREN AND ADULTS
Öz
Abstract
Aims: Perkütan nefrolitotomi (PNL) operasyonu sonrası gelişebilen şiddetli ve dirençli kanamalar ve buna bağlı gerekebilen transkatater anjioembolizasyon (TAE) ihtiyacının değerlendirilmesi amaçlandı .
Methods: PNL operations performed in two clinics in the last eight years were evaluated retrospectively. Patients with persistent and severe bleeding and a need for TAE were assessed in terms of preoperative, perioperative, and postoperative findings.
Results: The number of patients who underwent TAE was 14. The mean age was 40.9 years. The mean duration of operation was 80.1 minutes. The duration of fluoroscopy was 7.7 minutes (2.2-16 min). The mean hematocrit decrease of the patients was 11.8% (4.4-22.1%). The mean time from surgery to embolization was 5.6 days (1-11 days). Tthe mean nephrostomy time was 3.8 days (1-7), and the mean hospital stay was 4.9 days (2-10). 12 Fr access sheath was used in 1 patient, 20 Fr access sheath in 1 patient, 26 Fr access sheath in 1 patient, and 30 Fr access sheath in 11 patients.
Conclusions: Bleeding requiring intervention after PNL is a condition that should be managed and treated well. The patient's characteristics, PNL technique, and per-operative findings cannot predict this condition. Larger scale prospective randomized studies are needed for definitive results.
Anahtar Kelimeler
percutaneous nephrolithotomy, Nephrolithiasis, transcatheter angioembolization, fluoroscopy
Kaynakça
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