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Extracorporeal Shock Wave Lithotripsy Using Double-J Stents: Technique, Pitfalls, Results, and Complications

  • P. Puppo
  • P. Bottino
  • F. Germinale
  • C. Caviglia
  • G. Ricciotti

Abstract

On the basis of a series of 337 consecutive double-J stent placements in stone patients before ESWL, we are proposing the introduction of some angiographic techniques which can be useful in difficult cases. The use of a Cobra angiographic catheter allows for overcoming the obstacle in about 60% of difficult cases through a retrograde approach and for the remaining cases through an antegrade approach.

Complications such as migration and encrustation are relatively frequent but usually can be prevented by leaving the stents for no more than 15 days. Encrustation at the renal end should be treated by ESWL, at the vesical end with electrohydraulic disintegration.

Keywords

Guide Wire Shock Wave Lithotripsy Renal Stone Extracorporeal Shock Wave Lithotripsy Ureteral Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • P. Puppo
    • 1
  • P. Bottino
    • 1
  • F. Germinale
    • 1
  • C. Caviglia
    • 1
  • G. Ricciotti
    • 1
  1. 1.Centro Calcolosi Clinica UrologicaUniversita di GenovaGenovaItalia

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