Electroconductive lithotripsy: principles, experimental data, and first clinical results of the Sonolith 4000
| Autor: | Paul Dancer, Maurice Bourlion, Bernard Debré, Thierry Flam, Roland Chiche, Marc Zerbib, Nicolas Thiounn, Franċois Saporta |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Ureteral Calculi business.industry Urology Urinary stone Energy transfer medicine.medical_treatment Follow up studies Lithotripsy Secondary procedure Extracorporeal Kidney Calices Surgery Anode Kidney Calculi Treatment Outcome Linear relation medicine Humans Kidney Pelvis Particle Size business Nuclear medicine Follow-Up Studies |
| Zdroj: | Journal of endourology. 8(4) |
| ISSN: | 0892-7790 |
| Popis: | The electroconductive lithotripter (ECL) is a new concept for shockwave generation in which a highly conductive solution channels the discharge between the anode and cathode. In vitro experiments showed a linear relation between the voltage setting and the pressure at F2. In vitro stone disintegration studies showed a considerable reduction in shockwave pressure variability, improved energy transfer to the stone, and a unique linear relation between fragmentation and electrode voltage without a saturation effect. This new concept has been used clinically in the Sonolith 4000 lithotripter. In 142 evaluable treatments with a 3-month follow-up, the overall stone-free rate was 82%, and the retreatment rate in stone-free patients was 10%. For stones equal or less than 10 mm, the 3-month stone-free rate, retreatment rate, and secondary procedure rate were 85%, 5%, and 0%, respectively. For stones between 11 and 20 mm, these figures were 83%, 4%, and 2%, respectively. The efficiency quotient was found to be 81% for stones equal or less than 10 mm and 78% for stones between 11 and 20 mm. These clinical results confirm the improvements in efficacy observed in vitro with very satisfactory tolerance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|