Arterial pseudoaneurysm: a rare complication following laser lithotripsy-case series and literature review.

Autor: Corrales M; Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France.; Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France., Hasan MN; Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.; Department of Urology, Mediclinic City Hospital, Dubai, UAE., Carioti GE; Department of Urology, Fundacion Puigvert, Autonomous University of Barcelona, Barcelona, Spain., Emiliani E; Department of Urology, Fundacion Puigvert, Autonomous University of Barcelona, Barcelona, Spain., Doizi S; Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France.; Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France., Traxer O; Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France. olivier.traxer@aphp.fr.; Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France. olivier.traxer@aphp.fr.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2024 May 01; Vol. 42 (1), pp. 280. Date of Electronic Publication: 2024 May 01.
DOI: 10.1007/s00345-024-04980-9
Abstrakt: Objective: To perform a comprehensive narrative review that will examine the risk factors and treatment outcomes of arterial pseudoaneurysm following laser flexible ureteroscopy (F-URS).
Methods: A retrospective case series and a review of literature was performed. Clinical records from three patients treated for postoperative arterial pseudoaneurysm from January of 2021 to November 2023 were identified. A comprehensive literature review was also performed. The MEDLINE and Scopus databases were searched. The analysis was made by a narrative synthesis.
Results: Three cases of postoperative arterial pseudoaneurysm were included, one from our center, one from Dubai, UAE, and one from Barcelona. The literature review identified six case reports, two after endocorporeal laser lithotripsy with thulium fiber laser (TFL) and four with Ho:YAG laser. All cases, from our series and literature review, presented with macroscopic hematuria and used high-power laser settings. All cases were treated by selective embolization.
Conclusion: Ho:YAG or TFL lasers are both capable of causing arterial pseudoaneurysms following F-URS if high-power settings are used. Selective artery embolization continues to be the treatment of choice with good outcomes.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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