Urology Institute, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH.
Urology Institute, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH.
Urology. 2014 Jul;84(1):36-41. doi: 10.1016/j.urology.2014.01.009. Epub 2014 Apr 16.
To characterize traumatic injuries secondary to ureteral stent manipulation and analyze factors associated with their occurrence.
We performed a comprehensive retrospective review of the literature and of our institutional records for occurrences of iatrogenic injury because of retrograde ureteral stent procedures.
Overall, 22 cases were identified, including 3 cases at our institution. Most injuries involved a major artery (52%) or vein (30%), with the remainder (17%) limited to the genitourinary tract. Associated factors included: hydronephrosis, pelvic malignancy, indwelling or chronic ureteral stents, chemoradiation, and urinary diversion.
Ureteral stenting-induced trauma is a rare but potentially life-threatening event. Recognition of the risk factors that predispose patients to iatrogenic stent trauma may help to prevent such injuries or, alternatively, it may facilitate their prompt diagnosis and treatment.
描述输尿管支架操作引起的创伤性损伤，并分析与这些损伤发生相关的因素。
我们对文献和机构记录进行了全面的回顾性研究，以确定由于逆行输尿管支架程序而导致的医源性损伤的发生情况。
总共确定了 22 例病例，包括我们机构的 3 例。大多数损伤涉及主要动脉（52%）或静脉（30%），其余（17%）局限于泌尿生殖系统。相关因素包括：肾积水、盆腔恶性肿瘤、留置或慢性输尿管支架、放化疗和尿流改道。
输尿管支架引起的创伤是一种罕见但潜在危及生命的事件。认识到使患者易发生医源性支架创伤的危险因素可能有助于预防这些损伤，或者有助于及时诊断和治疗这些损伤。
