Outcomes of Six Patients Who were Treated with Selective Embolisation Due to Arteriovenous Fistula Following Percutaneous Nephrolithotomy - European Medical Journal

Outcomes of Six Patients Who were Treated with Selective Embolisation Due to Arteriovenous Fistula Following Percutaneous Nephrolithotomy

Urology
Download PDF
Authors:
Cemal Selcuk Isoglu, *Tufan Suelozgen, Mehmet Yoldas, Hakan Turk, Mustafa Karabicak, Batuhan Ergani, Yusuf Ozlem Ilbey
Disclosure:

The authors have declared no conflicts of interest.

Accepted:
01.05.15
Citation:
EMJ Urol. ;3[3]:63-66. DOI/10.33590/emjurol/10311037. https://doi.org/10.33590/emjurol/10311037.
Keywords:
Kidney stone, nephrolithotomy, delayed haemorrhage, arteriovenous fistula.

Each article is made available under the terms of the Creative Commons Attribution-Non Commercial 4.0 License.

Abstract

Objective: Arteriovenous fistula (AVF) is a rare yet serious complication of percutaneous nephrolithotomy (PCNL). The aim of this study was to investigate the preoperative characteristics and postoperative outcomes of patients treated with single-session selective embolisation following a diagnosis of AVF after PCNL. Methods: Data from 1,200 patients who underwent PCNL in our department between January 2008 and December 2014 were retrospectively reviewed. Overall, six patients who experienced delayed haematuria and were diagnosed with AVF formation were included. Patient characteristics, stone burden, PCNL procedure, and perioperative and postoperative parameters were evaluated. Results: Six patients with a mean age of 52 years (range: 42-57) were admitted to hospital with delayed intermittent haematuria following PCNL. All pre-PCNL stones in these patients were staghorn in type. Four patients (66%) had multiple access. Three patients needed blood transfusion due to development of hypotension. Following the diagnosis of AVF via angiography, all six patients were treated with selective embolisation during the same session. No additional treatment was required and no complications detected. Conclusion: AVF formation is one of the causes of delayed haemorrhage after PCNL. Multiple accesses, staghorn stones, and upper calyx entry increase the risk of bleeding and AVF formation. Patients with risk factors should be informed about delayed bleeding and possible complications of PCNL.

Please view the full content in the pdf above.

Rate this content's potential impact on patient outcomes

Average rating / 5. Vote count:

No votes so far! Be the first to rate this content.