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Lithostar Extracorporeal Shock Wave Lithotripsy: The First 1,000 Patients

1992; Lippincott Williams & Wilkins; Volume: 147; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)37447-5

1527-3792

Kostantinos E. Psihramis, Michael A.S. Jewett, Claire Bombardier, Dominique Caron, Michele Ryan,

Abdominal Trauma and Injuries

No AccessJournal of Urology1 Apr 1992Lithostar Extracorporeal Shock Wave Lithotripsy: The First 1,000 Patients Kostantinos E. Psihramis, Michael A.S. Jewett, Claire Bombardier, Dominique Caron, Michele Ryan, and The Toronto Lithotripsy Associates* Kostantinos E. PsihramisKostantinos E. Psihramis More articles by this author , Michael A.S. JewettMichael A.S. Jewett More articles by this author , Claire BombardierClaire Bombardier More articles by this author , Dominique CaronDominique Caron More articles by this author , Michele RyanMichele Ryan More articles by this author , and The Toronto Lithotripsy Associates* Participating members: Drs. Richard Barr, Fadi Habib, Emanuel Abara, R. John D. Honey, Sender Herschorn, Laurence H. Klotz, Norman W. Struthers and John Trachtenberg. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37447-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail To our knowledge this study of our first consecutive 1,000 patients treated with the Siemens Lithostar device is the largest prospective series reported to date. Treatment results were determined at 3,12 and 24 months after completion of therapy. The results at 3 months are presented. Complete followup data were available on 801 patients: 674 with renal and 127 with ureteral calculi. Results were analyzed according to stone size, location and number. The average number of shocks per treatment was 3,804 and the retreatment rate was 18.6%. At 3 months the stone-free rate was determined by a plain film of the kidneys, ureters and bladder and plain tomograms for renal calculi, and by an excretory urogram for ureteral calculi. The stone-free rate was 52% for renal and 76% for ureteral calculi. The overall stone-free rate for all calculi was 55.7%. Success rate, defined as stone-free or asymptomatic residual fragments measuring 4mm. or less, was 72% for renal and 83% for ureteral calculi. The overall success rate for all calculi was 73.9%. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByCimen H, Serefoglu E and Balbay M (2018) Re: Does Previous Extracorporeal Shock Wave Lithotripsy Affect the Performance and Outcome of Percutaneous Nephrolithotomy?Journal of Urology, VOL. 182, NO. 5, (2534-2535), Online publication date: 1-Nov-2009.ÖNAL B, DEMIRKESEN O, TANSU N, KALKAN M, ALTINTAŞ R and YALÇIN V (2018) THE IMPACT OF CALICEAL PELVIC ANATOMY ON STONE CLEARANCE AFTER SHOCK WAVE LITHOTRIPSY FOR PEDIATRIC LOWER POLE STONESJournal of Urology, VOL. 172, NO. 3, (1082-1086), Online publication date: 1-Sep-2004.ÖBEK C, ÖNAL B, KANTAY K, KALKAN M, YALÇIN V, ÖNER A, SOLOK V and TANSU N (2018) THE EFFICACY OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR ISOLATED LOWER POLE CALCULI COMPARED WITH ISOLATED MIDDLE AND UPPER CALICEAL CALCULIJournal of Urology, VOL. 166, NO. 6, (2081-2085), Online publication date: 1-Dec-2001.ALBALA D, ASSIMOS D, CLAYMAN R, DENSTEDT J, GRASSO M, GUTIERREZ-ACEVES J, KAHN R, LEVEILLEE R, LINGEMAN J, MACALUSO J, MUNCH L, NAKADA S, NEWMAN R, PEARLE M, PREMINGER G, TEICHMAN J and WOODS J (2018) LOWER POLE I: A PROSPECTIVE RANDOMIZED TRIAL OF EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AND PERCUTANEOUS NEPHROSTOLITHOTOMY FOR LOWER POLE NEPHROLITHIASIS—INITIAL RESULTSJournal of Urology, VOL. 166, NO. 6, (2072-2080), Online publication date: 1-Dec-2001.PIERRATOS A, DHARAMSI N, CARR L, IBANEZ D, JEWETT M and HONEY R (2018) HIGHER URINARY POTASSIUM IS ASSOCIATED WITH DECREASED STONE GROWTH AFTER SHOCK WAVE LITHOTRIPSYJournal of Urology, VOL. 164, NO. 5, (1486-1489), Online publication date: 1-Nov-2000.LOGARAKIS N, JEWETT M, LUYMES J and HONEY R (2018) VARIATION IN CLINICAL OUTCOME FOLLOWING SHOCK WAVE LITHOTRIPSYJournal of Urology, VOL. 163, NO. 3, (721-725), Online publication date: 1-Mar-2000.Chen R and Streem S (2018) Extracorporeal Shock Wave Lithotripsy for Lower Pole Calculi: Long-term Radiographic and Clinical OutcomeJournal of Urology, VOL. 156, NO. 5, (1572-1575), Online publication date: 1-Nov-1996.Carr L, D'A. Honey J, Jewett M, Ibanez D, Ryan M and Bombardier C (2018) New Stone Formation: A Comparison of Extracorporeal Shock Wave Lithotripsy and Percutaneous NephrolithotomyJournal of Urology, VOL. 155, NO. 5, (1565-1567), Online publication date: 1-May-1996.Streem S, Yost A and Mascha E (2018) Clinical Implications of Clinically Insignificant Stone Fragments After Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 155, NO. 4, (1186-1190), Online publication date: 1-Apr-1996.Lingeman J, Siegel Y, Steele B, Nyhuis A and Woods J (2018) Management of Lower Pole Nephrolithiasis: A Critical AnalysisJournal of Urology, VOL. 151, NO. 3, (663-667), Online publication date: 1-Mar-1994.Chang S, Ho C and Kuo H (2018) Ureteroscopic Treatment of Lower Ureteral Calculi in the Era of Extracorporeal Shock Wave Lithotripsy: From a Developing Country Point of ViewJournal of Urology, VOL. 150, NO. 5 Part 1, (1395-1398), Online publication date: 1-Nov-1993.Mobley T, Myers D, Grine W, Jenkins J and Jordan W (2018) Low Energy Lithotripsy with the Lithostar: Treatment Results with 19,962 Renal and Ureteral CalculiJournal of Urology, VOL. 149, NO. 6, (1419-1424), Online publication date: 1-Jun-1993. Volume 147Issue 4April 1992Page: 1006-1009 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordsureteral calculikidney calculiextracorporeal shockwave lithotripsyMetricsAuthor Information Kostantinos E. Psihramis More articles by this author Michael A.S. Jewett More articles by this author Claire Bombardier More articles by this author Dominique Caron More articles by this author Michele Ryan More articles by this author The Toronto Lithotripsy Associates* Participating members: Drs. Richard Barr, Fadi Habib, Emanuel Abara, R. John D. Honey, Sender Herschorn, Laurence H. Klotz, Norman W. Struthers and John Trachtenberg. More articles by this author Expand All Advertisement PDF DownloadLoading ...