| Autor: |
John B. Smirniotopoulos, Neil K. Jain, Jonah N. Sens, Juhi Deolankar, Daniel Marchalik, Timothy D. McClure, William F. Browne |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Vascular and Interventional Radiology. 34:653-659 |
| ISSN: |
1051-0443 |
| Popis: |
The aim of this study is to assess the safety and efficacy of percutaneous ShockPulse lithotripsy for gallstone eradication in patients with calculous cholecystitis with stones greater than 1cm.Multi-institutional Institutional Review Board (IRB) approved retrospective review of patients who presented with calculous cholecystitis and were not determined to be surgical candidates. All patients underwent percutaneous cholecystostomy tube placement for acute infection which was later exchanged for a large sheath for ShockPulse lithotripsy and stone destruction. Review parameters included procedural technical and clinical data, including clinical presentation, mean hospital length of stay, and post-intervention symptom reduction.Twelve patients (mean age 74.6yr, range 52-94yr; 6 male and 6 female) underwent large bore sheath (24 - 30 French) cholangioscopy assisted gallstone destruction via rigid ShockPulse lithotripsy. The size of the gallstones ranged from 1.2-4.0 cm. All patients had prior cholecystostomy access for mean 25 weeks prior to gallstone extraction to ensure tract maturation via transhepatic or transperitoneal access. There was a 100% technical success rate in single-session stone removal with no major procedure-related complications. All patients were symptom and pain-free post-procedure. Mean procedure time was 111.5 minutes, and mean fluoroscopy time was 19.2 min. Median hospital stay was 1-day post-procedure. Mean time from percutaneous ShockPulse lithotripsy to biliary tube removal time was 35 days (17 to 45 days).Fluoroscopic-guided percutaneous rigid ShockPulse lithotripsy is a safe and efficacious procedure for gallstone destruction and extraction in patients that are poor surgical candidates with large lumen-occupying cholelithiasis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
