Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy  

作　　者：Ricardo Palmerola Vinay Patel Christopher Hartman Chris Sung David Hoenig Arthur D.Smith Zeph Okeke 

机构地区：[1]Smith Institute for Urology,Northwell Health,New Hyde Park,NY,USA [2]Interventional Radiology,Northwell Health,New Hyde Park,NY,USA

出　　处：《Asian Journal of Urology》2017年第1期27-30,共4页亚洲泌尿外科杂志（英文）

摘　　要：Objective:Selective angioembolization(SAE)effectively diagnoses and treats iatrogenic vascular complications following percutaneous nephrolithotomy(PCNL).Methods:We retrospectively reviewed 1329 consecutive PCNLs and identified patients who underwent SAE following PCNL with at least 12-month follow-up.Estimated glomerular filtration rate(eGFR)was calculated for all patients preoperatively,postoperatively and at last followup.A 1:2 matched cohort analysis was performed.Results:Twenty-three patients underwent SAE and matched to 46 controls.There was no statistically significant difference in preoperative,postoperative,and follow-up eGFR when comparing patients who underwent SAE and those with an uneventful course.Conclusion:Long-term eGFR is comparable in patients who undergo uncomplicated PCNL and those requiring SAE.

关 键 词：Selective angioembolization Percutaneous nephrolithotomy Urologic complications Contrast induced nephropathy Postoperative hemorrhage 

分 类 号：R73[医药卫生—肿瘤]