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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
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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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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.
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Received: 02 July 2016
Published: 16 February 2017
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Corresponding Authors:
Zeph Okeke,E-mail address:zokeke@northwell.edu
E-mail: zokeke@northwell.edu
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