Hematomas renales tras litotricia extracorpórea con el litotriptor “lithostar multiline de siemens”
J.A. Gallego sánchez1, G. Ibarlucea gonzález, M. Gamarra quintanilla, J. Guisasola, C. Bernuy malfaz
Servicio de Urología. Hospital de Galdakao. Bilbao (Vizcaya).
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López Rodríguez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "López Rodríguez" ] ] ] 1 => array:2 [ "autoresLista" => "A. Zapatero Laborda, R. Mínguez Martínez, F. Rodríguez, A. Pérez-Torrubia" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Zapatero Laborda" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Mínguez Martínez" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Rodríguez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Pérez-Torrubia" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480600723989?idApp=UINPBA00004N" "url" => "/02104806/0000002400000001/v1_201304251601/S0210480600723989/v1_201304251601/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Hematomas renales tras litotricia extracorpórea con el litotriptor “lithostar multiline de siemens”" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "19" "paginaFinal" => "23" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. Gallego sánchez, G. Ibarlucea gonzález, M. Gamarra quintanilla, J. Guisasola, C. Bernuy malfaz" "autores" => array:5 [ 0 => array:3 [ "nombre" => "J.A." "apellidos" => "Gallego sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Ibarlucea gonzález" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Gamarra quintanilla" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Guisasola" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Bernuy malfaz" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Urología. Hospital de Galdakao. Bilbao (Vizcaya).</span>" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "a" "correspondencia" => "Dr. J.A. Gallego Sánchez C/ Nafarroa, 27 - 5º izda - 48901 Barakaldo (Vizcaya)" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-03-08" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec85825" "palabras" => array:2 [ 0 => "Litotriptor-Lithostar Multiline" 1 => "Hematomas renales" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec85826" "palabras" => array:2 [ 0 => "Lithostar Multiline Lithotripter" 1 => "Renal haematoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los hematomas renales tras litotricia extracorpórea por ondas de choque representan una complicación inmediata y potencialmente grave. Analizamos los casos de hematoma renal post-ESWL con el nuevo litotriptor Lithosthar Multiline de Siemens, intentando conocer la incidencia, los factores predisponentes y la clínica de presentación.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Entre Enero y Diciembre de 1998 se han realizado un total de 1.313 sesiones de litotricia extracorpórea por ondas de choque, sobre litiasis alojadas a cualquier nivel del tracto urinario en 686 pacientes. Los tratamientos fueron realizados con el litotriptor Lithostar Multiline (Generador Electromagnético). La potencia aplicada osciló entre 4-9 unidades, que son etapas de energía en base a tensión de carga en Kv, picos de presión en bares y densidad de flujo energético en mJ/mm2, con una media de 3.800 impulsos/sesión. Ante la sospecha clínica de complicaciones se realizó estudio radiológico (ecografía-tomografía).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se diagnosticaron un total de 7 hematomas renales clínicos (1,02%). En la mayoría de los casos se tomó una actitud conservadora. En un caso debido a la inestabilidad hemodinámica que presentó el paciente fue preciso intervención quirúrgica, evacuando el hematoma y realizando hemostasia de la unidad renal sin que fuera preciso realizar nefrectomía. Como factores predisponentes destacamos la presencia de HTA, ESWL previa e hipercolesterolemia, confluyendo en ocasiones varios factores en un mismo paciente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Debemos sospechar la presencia de un hematoma renal ante un dolor continuado o no justificado tras el tratamiento con ESWL. Es preciso corregir los posibles trastornos de la coagulación, descartar infección urinaria y control de las cifras tensionales.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Renal haematomas after extracorporeal shockwave lithotrity are an immediate and potentially serious complication. The incidence of post-ESWL renal haematoma with the new Siemens’ Lithostar Multiline lithotripter is analyzed in an attempt to know its occurrence, predisposing factors and presentations signs and symptoms.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between January and December 1998, a total of 1313 extracorporeal shockwave lithotrity sessions were performed on lithiasis located at any level of the urinary tract in 686 patients. Treatment were performed with a Lithostar Multiline lithotripter (electromagnetic generator). The power used ranged from 4 to 9 units, which are power steps based on load tension in Kv, pressure peaks in bars and energy flow density in mJ/mm2, with an average of 3800 pulses/session. A radiological study (ultrasoundtomography) was conducted when faced with clinical suspicion of complications.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 7 clinical renal haematomas (1.02%) were diagnosed. A conservative attitude was taken in most cases. One patient presented hemodynamic instability and required surgery to empty the haematoma and haemostasia of the renal unit, though no nephrectomy was finally required. As predisposing factors: presence of HBP, prior ESWL and hypercholesterolemia are all emphasized. In rare cases several factors concurred simultaneously in the same patient.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Renal haematoma should be suspected in the presence of continuous or unjustified pain after ESWL treatment. Any likely coagulation disorder should be corrected, urinary infections ruled out and pressure figures controlled.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Litiasis urinaria: tratamiento" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Blasco" 1 => "J. Rico" 2 => "M. 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Terada" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hinyokika Kiyo" "fecha" => "1997" "volumen" => "43 (7)" "paginaInicial" => "467" "paginaFinal" => "470" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23412116" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anuric renal failure from massive bilateral renal hematoma following extracorporeal shock wave lithotipsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.K. Tuteja" 1 => "J.P. Pulliam" 2 => "T.H. Lehman" 3 => "L.W. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 2 | 2 |
| 2024 Septiembre | 0 | 6 | 6 |
| 2024 Agosto | 0 | 4 | 4 |
| 2024 Julio | 0 | 6 | 6 |
| 2024 Junio | 0 | 5 | 5 |
| 2024 Mayo | 0 | 12 | 12 |
| 2024 Abril | 0 | 16 | 16 |
| 2024 Marzo | 0 | 16 | 16 |
| 2024 Febrero | 0 | 6 | 6 |
| 2024 Enero | 0 | 11 | 11 |
| 2023 Diciembre | 0 | 21 | 21 |
| 2023 Noviembre | 0 | 40 | 40 |
| 2023 Octubre | 0 | 29 | 29 |
| 2023 Septiembre | 0 | 14 | 14 |
| 2023 Agosto | 0 | 1 | 1 |
| 2023 Julio | 0 | 15 | 15 |
| 2023 Junio | 0 | 1 | 1 |
| 2023 Mayo | 0 | 5 | 5 |
| 2023 Abril | 0 | 7 | 7 |
| 2023 Marzo | 1 | 0 | 1 |
| 2023 Febrero | 0 | 7 | 7 |
| 2023 Enero | 0 | 2 | 2 |
| 2022 Diciembre | 0 | 4 | 4 |
| 2022 Noviembre | 0 | 4 | 4 |
| 2022 Octubre | 0 | 10 | 10 |
| 2022 Septiembre | 0 | 9 | 9 |
| 2022 Agosto | 0 | 9 | 9 |
| 2022 Julio | 0 | 3 | 3 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 1 | 0 | 1 |
| 2022 Abril | 0 | 3 | 3 |
| 2022 Marzo | 0 | 2 | 2 |
| 2022 Febrero | 0 | 4 | 4 |
| 2022 Enero | 0 | 2 | 2 |
| 2021 Diciembre | 0 | 3 | 3 |
| 2021 Noviembre | 0 | 2 | 2 |
| 2021 Octubre | 0 | 1 | 1 |
| 2021 Septiembre | 0 | 1 | 1 |
| 2021 Agosto | 0 | 2 | 2 |
| 2021 Junio | 0 | 3 | 3 |
| 2021 Mayo | 0 | 1 | 1 |
| 2021 Abril | 0 | 1 | 1 |
| 2021 Marzo | 0 | 3 | 3 |
| 2021 Enero | 0 | 4 | 4 |
| 2020 Diciembre | 0 | 3 | 3 |
| 2020 Noviembre | 0 | 1 | 1 |
| 2020 Octubre | 0 | 5 | 5 |
| 2020 Septiembre | 0 | 1 | 1 |
| 2020 Agosto | 0 | 8 | 8 |
| 2020 Julio | 0 | 3 | 3 |
| 2020 Junio | 0 | 4 | 4 |
| 2020 Mayo | 0 | 9 | 9 |
| 2020 Abril | 0 | 1 | 1 |
| 2020 Marzo | 0 | 4 | 4 |
| 2020 Febrero | 0 | 2 | 2 |
| 2020 Enero | 0 | 8 | 8 |
| 2019 Diciembre | 0 | 26 | 26 |
| 2019 Noviembre | 0 | 10 | 10 |
| 2019 Octubre | 0 | 11 | 11 |
| 2019 Septiembre | 0 | 15 | 15 |
| 2019 Agosto | 0 | 3 | 3 |
| 2019 Julio | 0 | 24 | 24 |
| 2019 Junio | 0 | 22 | 22 |
| 2019 Mayo | 0 | 47 | 47 |
| 2019 Abril | 0 | 6 | 6 |
| 2018 Diciembre | 1 | 0 | 1 |
| 2018 Marzo | 1 | 0 | 1 |
| 2018 Febrero | 2 | 1 | 3 |
| 2018 Enero | 10 | 1 | 11 |
| 2017 Diciembre | 3 | 5 | 8 |
| 2017 Noviembre | 11 | 3 | 14 |
| 2017 Octubre | 4 | 6 | 10 |
| 2017 Septiembre | 1 | 3 | 4 |
| 2017 Agosto | 6 | 3 | 9 |
| 2017 Julio | 12 | 1 | 13 |
| 2017 Junio | 10 | 15 | 25 |
| 2017 Mayo | 13 | 9 | 22 |
| 2017 Abril | 12 | 8 | 20 |
| 2017 Marzo | 24 | 21 | 45 |
| 2017 Febrero | 20 | 3 | 23 |
| 2017 Enero | 14 | 3 | 17 |
| 2016 Diciembre | 29 | 6 | 35 |
| 2016 Noviembre | 22 | 3 | 25 |
| 2016 Octubre | 19 | 3 | 22 |
| 2016 Septiembre | 23 | 3 | 26 |
| 2016 Agosto | 11 | 6 | 17 |
| 2016 Julio | 15 | 1 | 16 |
| 2016 Junio | 16 | 8 | 24 |
| 2016 Mayo | 18 | 16 | 34 |
| 2016 Abril | 19 | 13 | 32 |
| 2016 Marzo | 15 | 9 | 24 |
| 2016 Febrero | 7 | 13 | 20 |
| 2016 Enero | 6 | 14 | 20 |
| 2015 Diciembre | 7 | 10 | 17 |
| 2015 Noviembre | 15 | 4 | 19 |
| 2015 Octubre | 13 | 9 | 22 |
| 2015 Septiembre | 12 | 2 | 14 |
| 2015 Agosto | 10 | 7 | 17 |
| 2015 Julio | 10 | 5 | 15 |
| 2015 Junio | 8 | 2 | 10 |
| 2015 Mayo | 4 | 2 | 6 |
| 2015 Abril | 10 | 6 | 16 |
| 2015 Marzo | 9 | 0 | 9 |
| 2015 Febrero | 6 | 2 | 8 |
| 2015 Enero | 8 | 4 | 12 |
| 2014 Diciembre | 15 | 1 | 16 |
| 2014 Noviembre | 12 | 7 | 19 |
| 2014 Octubre | 26 | 4 | 30 |
| 2014 Septiembre | 28 | 3 | 31 |
| 2014 Agosto | 15 | 1 | 16 |
| 2014 Julio | 17 | 2 | 19 |
| 2014 Junio | 15 | 3 | 18 |
| 2014 Mayo | 9 | 4 | 13 |
| 2014 Abril | 4 | 5 | 9 |
| 2014 Marzo | 12 | 5 | 17 |
| 2014 Febrero | 14 | 2 | 16 |
| 2014 Enero | 8 | 2 | 10 |
| 2013 Diciembre | 6 | 2 | 8 |
| 2013 Noviembre | 9 | 5 | 14 |
| 2013 Octubre | 12 | 8 | 20 |
| 2013 Septiembre | 6 | 10 | 16 |
| 2013 Agosto | 8 | 8 | 16 |
| 2013 Julio | 2 | 1 | 3 |
| 2000 Enero | 425 | 0 | 425 |
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