Erosion of embolization coil into the renal collecting system: Retrograde fragmentation of stone and coil via thulium laser lithotripsy.

Coil erosion Embolization Kidney stone Percutaneous nephrolithotomy Pseudoaneurysm Thulium laser

Journal

Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357

Informations de publication

Date de publication:
Jul 2024
Historique:
received: 31 05 2024
accepted: 19 06 2024
medline: 19 7 2024
pubmed: 19 7 2024
entrez: 19 7 2024
Statut: epublish

Résumé

A 50-year-old female developed kidney stones on an eroded embolization coil 16 months after percutaneous nephrolithotomy (PCNL) related bleeding complications. Retrograde ureteroscopy and thulium laser lithotripsy was performed to fragment the exposed portion of the coil into clinically insignificant pieces. Thulium laser coil fragmentation remains a potential strategy to remove eroded coils and their associated kidney stones; however, recurrent stone formation on the coil stump may necessitate repeat intervention if this conservative approach is pursued over radical antegrade coil removal. This case highlights the importance of continued surveillance and multidisciplinary management in preventing and treating coil erosion after PCNL.

Identifiants

pubmed: 39026534
doi: 10.1016/j.eucr.2024.102771
pii: S2214-4420(24)00125-6
pmc: PMC11254945
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

102771

Informations de copyright

Published by Elsevier Inc.

Déclaration de conflit d'intérêts

None.

Auteurs

Kyle J Kopechek (KJ)

The Ohio State University Wexner Medical Center Department of Urology, USA.

Matthew Satariano (M)

Northeast Ohio Medical University, USA.

Mina S Makary (MS)

The Ohio State University Wexner Medical Center Department of Interventional Radiology, USA.

Michael Sourial (M)

The Ohio State University Wexner Medical Center Department of Urology, USA.

Classifications MeSH