Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy?
Abstract Objectives The objectives of this work are to compare the outcomes between loach guidewire and super‐stiff guidewire during percutaneous nephrolithotomy (PCNL) and find potential indications of different guidewires. Patients and methods We retrospectively reviewed our institutional PCNL dat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-09-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.219 |
| _version_ | 1797738048347176960 |
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| author | Xiaobo Ding Yuchuan Hou Chunxi Wang Yanbo Wang |
| author_facet | Xiaobo Ding Yuchuan Hou Chunxi Wang Yanbo Wang |
| author_sort | Xiaobo Ding |
| collection | DOAJ |
| description | Abstract Objectives The objectives of this work are to compare the outcomes between loach guidewire and super‐stiff guidewire during percutaneous nephrolithotomy (PCNL) and find potential indications of different guidewires. Patients and methods We retrospectively reviewed our institutional PCNL database from 2017 to 2021. Patients who underwent PCNL guided by loach guidewire were assigned to group A (489 patients); patients who received super‐stiff guidewire were assigned to group B (269 patients). Preoperative demographic data, intraoperative parameters, and postoperative complications were compared. The conditions and reasons of failed placement of guidewire needed readjustment were evaluated as well. Results Preoperative demographic data and most intraoperative parameters were not statistically different between the groups. Postoperative Clavien–Dindo complications were also comparable, with low rate of complications. However, failed placement of guidewire more occurred in group A (8.2% vs. 4.0%, respectively, p = 0.03). Compared with the super‐stiff guidewire, the loach guidewire was easier pass/slip into any place either it be perinephric or blood vessels. In most failed group A cases and all failed group B cases, the guidewire was placed in the perirenal fat. Six patients (15%) in group A, the guidewires entered into vessels. Conclusions Our results support that the faulty placement of loach guidewire is significantly more common compared with super‐stiff guidewire. Double confirmation is needed to prevent a major complication out of wrong dilatation whenever there is doubt about the wrong location of the guidewire. |
| first_indexed | 2024-03-12T13:37:16Z |
| format | Article |
| id | doaj.art-5035b66285f24bccad56736b9ca0704f |
| institution | Directory Open Access Journal |
| issn | 2688-4526 |
| language | English |
| last_indexed | 2024-03-12T13:37:16Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj.art-5035b66285f24bccad56736b9ca0704f2023-08-24T01:11:52ZengWileyBJUI Compass2688-45262023-09-014556256710.1002/bco2.219Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy?Xiaobo Ding0Yuchuan Hou1Chunxi Wang2Yanbo Wang3Department of Radiology First Hospital of Jilin University Changchun ChinaDepartment of Urology First Hospital of Jilin University Changchun ChinaDepartment of Urology First Hospital of Jilin University Changchun ChinaDepartment of Urology First Hospital of Jilin University Changchun ChinaAbstract Objectives The objectives of this work are to compare the outcomes between loach guidewire and super‐stiff guidewire during percutaneous nephrolithotomy (PCNL) and find potential indications of different guidewires. Patients and methods We retrospectively reviewed our institutional PCNL database from 2017 to 2021. Patients who underwent PCNL guided by loach guidewire were assigned to group A (489 patients); patients who received super‐stiff guidewire were assigned to group B (269 patients). Preoperative demographic data, intraoperative parameters, and postoperative complications were compared. The conditions and reasons of failed placement of guidewire needed readjustment were evaluated as well. Results Preoperative demographic data and most intraoperative parameters were not statistically different between the groups. Postoperative Clavien–Dindo complications were also comparable, with low rate of complications. However, failed placement of guidewire more occurred in group A (8.2% vs. 4.0%, respectively, p = 0.03). Compared with the super‐stiff guidewire, the loach guidewire was easier pass/slip into any place either it be perinephric or blood vessels. In most failed group A cases and all failed group B cases, the guidewire was placed in the perirenal fat. Six patients (15%) in group A, the guidewires entered into vessels. Conclusions Our results support that the faulty placement of loach guidewire is significantly more common compared with super‐stiff guidewire. Double confirmation is needed to prevent a major complication out of wrong dilatation whenever there is doubt about the wrong location of the guidewire.https://doi.org/10.1002/bco2.219endourologykidney stonesloach guidewirepercutaneous nephrolithotomy (PCNL)super‐stiff guidewire |
| spellingShingle | Xiaobo Ding Yuchuan Hou Chunxi Wang Yanbo Wang Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? BJUI Compass endourology kidney stones loach guidewire percutaneous nephrolithotomy (PCNL) super‐stiff guidewire |
| title | Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? |
| title_full | Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? |
| title_fullStr | Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? |
| title_full_unstemmed | Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? |
| title_short | Super‐stiff guidewire or loach guidewire during percutaneous nephrolithotomy? |
| title_sort | super stiff guidewire or loach guidewire during percutaneous nephrolithotomy |
| topic | endourology kidney stones loach guidewire percutaneous nephrolithotomy (PCNL) super‐stiff guidewire |
| url | https://doi.org/10.1002/bco2.219 |
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