Endovascular treatment of abdominal aortic rupture after percutaneous lithotripsy.

Vinicius Adami Vayego Fornazari,Denis Szejnfeld,Thiago Franchi Nunes,Ricardo Abdala Da Silva Oliveira,Rômulo Florêncio Tristão Santos

doi:10.1590/0100-3984.2019.0125

Abstract

Endovascular treatment of abdominal aortic rupture after percutaneous lithotripsy.

Highlights

Extracorporeal shockwave lithotripsy (ESWL) is a type of urological intervention used for the treatment of stones smaller than 2 cm located in the renal pelvis or upper portion of the ureter[1,2,3,4]
Studies have shown that abdominal aortic aneurysm (AAA) is a potential risk factor for ESWL-induced arterial rupture[1,2], because of calcifications of the arterial walls resulting from atherosclerotic disease, given that the mechanical energy of the shockwaves can disperse up to 12 cm from the focal point; the intensity of the waves decreases progressively as the distance from the target increases, they can still have a deleterious effect on parietal calcifications[4]
Despite the scarcity of studies on this topic, we believe that advanced age and short distances between vascular parietal calcifications and renal pelvis calculi may be risk factors for AAA rupture during ESWL

Summary

Introduction

Extracorporeal shockwave lithotripsy (ESWL) is a type of urological intervention used for the treatment of stones smaller than 2 cm located in the renal pelvis or upper portion of the ureter[1,2,3,4]. 3. Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor/HC-FMUSP), São Paulo, SP, Brazil. Departamento de Diagnóstico por Imagem – EPM-Unifesp.

Results

Conclusion