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Arterial pseudoaneurysm: a rare complication following laser lithotripsy—case series and literature review

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Abstract

Objective

To perform a comprehensive narrative review that will examine the risk factors and treatment outcomes of arterial pseudoaneurysm following laser flexible ureteroscopy (F-URS).

Methods

A retrospective case series and a review of literature was performed. Clinical records from three patients treated for postoperative arterial pseudoaneurysm from January of 2021 to November 2023 were identified. A comprehensive literature review was also performed. The MEDLINE and Scopus databases were searched. The analysis was made by a narrative synthesis.

Results

Three cases of postoperative arterial pseudoaneurysm were included, one from our center, one from Dubai, UAE, and one from Barcelona. The literature review identified six case reports, two after endocorporeal laser lithotripsy with thulium fiber laser (TFL) and four with Ho:YAG laser. All cases, from our series and literature review, presented with macroscopic hematuria and used high-power laser settings. All cases were treated by selective embolization.

Conclusion

Ho:YAG or TFL lasers are both capable of causing arterial pseudoaneurysms following F-URS if high-power settings are used. Selective artery embolization continues to be the treatment of choice with good outcomes.

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Acknowledgements

None.

Funding

This is an independent study and is not funded by any external body.

Author information

Authors and Affiliations

  1. Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France

    Mariela Corrales, Steeve Doizi & Olivier Traxer

  2. Department of Urology AP-HP, Tenon Hospital, Sorbonne University, 75020, Paris, France

    Mariela Corrales, Steeve Doizi & Olivier Traxer

  3. Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE

    Mudhar N. Hasan

  4. Department of Urology, Mediclinic City Hospital, Dubai, UAE

    Mudhar N. Hasan

  5. Department of Urology, Fundacion Puigvert, Autonomous University of Barcelona, Barcelona, Spain

    Giada Eleonora Carioti & Estenan Emiliani

Authors
  1. Mariela Corrales
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  2. Mudhar N. Hasan
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  3. Giada Eleonora Carioti
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  4. Estenan Emiliani
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  5. Steeve Doizi
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  6. Olivier Traxer
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Contributions

M Corrales: Project development, data collection, manuscript writing. S Doizi, MN. Hasan, GE Carioti, E Emiliani: Data analysis, manuscript editing. O Traxer: Project development, data collection, manuscript editing.

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Correspondence to Olivier Traxer.

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The authors declare that they have no conflict of interest. Prof. Olivier Traxer is a consultant for Coloplast, Rocamed, EMS, Boston Scientific and IPG.

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Corrales, M., Hasan, M.N., Carioti, G.E. et al. Arterial pseudoaneurysm: a rare complication following laser lithotripsy—case series and literature review. World J Urol 42, 280 (2024). https://doi.org/10.1007/s00345-024-04980-9

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  • DOI: https://doi.org/10.1007/s00345-024-04980-9

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