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Asian Journal of Urology, 2017, 4(1): 27-30    
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Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy
Ricardo Palmerolaa, Vinay Patela, Christopher Hartmana, Chris Sungb, David Hoeniga, Arthur D. Smitha, Zeph Okekea
a Smith Institute for Urology, Northwell Health, New Hyde Park, NY, USA;
b Interventional Radiology, Northwell Health, New Hyde Park, NY, USA
Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy
Ricardo Palmerolaa, Vinay Patela, Christopher Hartmana, Chris Sungb, David Hoeniga, Arthur D. Smitha, Zeph Okekea
a Smith Institute for Urology, Northwell Health, New Hyde Park, NY, USA;
b Interventional Radiology, Northwell Health, New Hyde Park, NY, USA
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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.
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Ricardo Palmerola
Vinay Patel
Christopher Hartman
Chris Sung
David Hoenig
Arthur D. Smith
Zeph Okeke
关键词:  Selective angioembolization  Percutaneous nephrolithotomy  Urologic complications  Contrast induced nephropathy  Postoperative hemorrhage    
Abstract: 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.
Key words:  Selective angioembolization    Percutaneous nephrolithotomy    Urologic complications    Contrast induced nephropathy    Postoperative hemorrhage
收稿日期:  2016-07-02      修回日期:  2016-07-12           出版日期:  2017-01-01      发布日期:  2017-02-16      整期出版日期:  2017-01-01
通讯作者:  Zeph Okeke,E-mail address:zokeke@northwell.edu    E-mail:  zokeke@northwell.edu
引用本文:    
Ricardo Palmerola, Vinay Patel, Christopher Hartman, Chris Sung, David Hoenig, Arthur D. Smith, Zeph Okeke. Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy[J]. Asian Journal of Urology, 2017, 4(1): 27-30.
Ricardo Palmerola, Vinay Patel, Christopher Hartman, Chris Sung, David Hoenig, Arthur D. Smith, Zeph Okeke. Renal functional outcomes are not adversely affected by selective angioembolization following percutaneous nephrolithotomy. Asian Journal of Urology, 2017, 4(1): 27-30.
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http://www.ajurology.com/CN/  或          http://www.ajurology.com/CN/Y2017/V4/I1/27
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