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World Journal of Urology

Erschienen in:

01.12.2024 | Original Article

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

verfasst von: Mariela Corrales, Mudhar N. Hasan, Giada Eleonora Carioti, Estenan Emiliani, Steeve Doizi, Olivier Traxer

Erschienen in: World Journal of Urology | Ausgabe 1/2024

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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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Titel: Arterial pseudoaneurysm: a rare complication following laser lithotripsy—case series and literature review
verfasst von: Mariela Corrales
Mudhar N. Hasan
Giada Eleonora Carioti
Estenan Emiliani
Steeve Doizi
Olivier Traxer
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 1/2024
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-024-04980-9

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