Single Specialty-Operated Renal Stone Removal: Initial Experience from 3 Interventional Radiology Centers

Izzet Altun; Tushar Garg; Jamil Shaikh; Anthony Andres R DePalma; Josi L Herren; Gwendolyn M Hubbell; Nariman Nezami

doi:10.1016/j.jvir.2023.09.012

Single Specialty-Operated Renal Stone Removal: Initial Experience from 3 Interventional Radiology Centers

J Vasc Interv Radiol. 2024 Jan;35(1):80-85. doi: 10.1016/j.jvir.2023.09.012. Epub 2023 Sep 22.

Authors

Izzet Altun¹, Tushar Garg², Jamil Shaikh³, Anthony Andres R DePalma⁴, Josi L Herren⁵, Gwendolyn M Hubbell¹, Nariman Nezami⁶

Affiliations

¹ Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
² Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland.
³ Department of Vascular and Interventional Radiology, Tampa General Hospital, Morsani College of Medicine, University of South Florida, Tampa, Florida.
⁴ Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
⁵ Department of Radiology, University of Illinois at Chicago, Chicago, Illinois.
⁶ Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland; Experimental Therapeutics Program, University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, Maryland; The Fischell Department of Bioengineering, A. James Clark School of Engineering, University of Maryland, College Park, Maryland. Electronic address: dr.nezami@gmail.com.

PMID: 37741437
DOI: 10.1016/j.jvir.2023.09.012

Abstract

This retrospective analysis of the feasibility and safety of percutaneous renal stone removal using single-use flexible ureteroscopes was conducted at 3 academic centers. Twelve patients (58% men) underwent 14 percutaneous renal stone removal procedures between December 2021 and March 2023. All patients experienced symptom improvement and resolution of obstruction after stone removal. The procedural success rate was 92%. Only 1 patient required an additional stone removal procedure. No major adverse events occurred during or after the procedures. The percutaneous nephrostomy removal rate was 92%, with a median tube removal time of 5 weeks. The median procedural and pulsed fluoroscopy times were 106.5 and 16.3 minutes, respectively. Preliminary findings demonstrated that percutaneous renal stone removal using single-use endoscopes by interventional radiologists is feasible and safe.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Female
Humans
Kidney
Kidney Calculi* / diagnostic imaging
Kidney Calculi* / surgery
Male
Nephrostomy, Percutaneous* / adverse effects
Nephrostomy, Percutaneous* / methods
Radiology, Interventional
Retrospective Studies
Treatment Outcome