Extracorporeal Shock Wave Lithotripsy in 5 Patients with Aortic Aneurysm

Abstract

Purpose The safety and efficacy of extracorporeal shock wave lithotripsy (ESWL*) in patients with an aortic aneurysm were assessed. Materials and Methods Five patients with an aortic aneurysm and symptomatic renal (4) or upper ureteral (1) lithiasis underwent ESWL with either an HM3 or HM4 lithotriptor. Results The procedure was well tolerated in all patients. The stone was fragmented completely in the 4 patients with renal lithiasis, while 1 with ureteral lithiasis also required ureteroscopic extraction of the stone fragments. Conclusions For patients with symptomatic renal stones and an aortic aneurysm ESWL may be the treatment of choice.