Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report
Transcatheter renal artery embolisation is an effective and minimally invasive treatment option for acute renal bleeding. However, it is associated with a variety of complications, which can be classified as early or late according to the time of presentation. Coil migration leading to renal calculi...
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JCDR Research and Publications Private Limited
2023-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17931/62113_CE[Ra1]_F(IS)_PF1(AKA_SS)_PN(KM).pdf |
| _version_ | 1797821785317572608 |
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| author | Ashit Shah Nisarg Mehta Jaimin Shah Aruj Shah |
| author_facet | Ashit Shah Nisarg Mehta Jaimin Shah Aruj Shah |
| author_sort | Ashit Shah |
| collection | DOAJ |
| description | Transcatheter renal artery embolisation is an effective and minimally invasive treatment option for acute renal bleeding. However, it is associated with a variety of complications, which can be classified as early or late according to the time of presentation. Coil migration leading to renal calculi formation is a late complication of transcatheter or percutaneous renal arterial embolisation. A 47-year-old diabetic male patient presented with a recurrent right renal staghorn calculus. Four years ago, the patient underwent a right Percutaneous Nephrolithotomy (PCNL). Following the procedure, he had to undergo a renal arterial embolisation for postoperative haemorrhage. The patient this time did not consent for repeat PCNL, therefore a staged right Retrograde Intrarenal Surgery (RIRS) was performed. Complete clearance of stone and extraction of the migrated coil was achieved in a three-staged procedure. Embolisation coils in the proximity of the pelvi-calyceal system, can migrate into the system, and form a nidus for stone formation. These stones and the migrated coil can be managed effectively and safely with RIRS. |
| first_indexed | 2024-03-13T09:59:00Z |
| format | Article |
| id | doaj.art-b48cf827e4c14a868646db5d3fa99471 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-13T09:59:00Z |
| publishDate | 2023-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b48cf827e4c14a868646db5d3fa994712023-05-23T11:35:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-05-01175PD10PD1210.7860/JCDR/2023/62113.17931Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case ReportAshit Shah0Nisarg Mehta1Jaimin Shah2Aruj Shah3Chief Consultant Urologist, Department of Urology, Aashray Urology Institute, 80/A Sampatrao Colony, Alkapuri, Vadodara, Gujarat, India.Consultant, Department of Urology, Aashray Urology Institute, 80/A Sampatrao Colony, Alkapuri, Vadodara, Gujarat, India.Consultant, Department of Urology, Aashray Urology Institute, 80/A Sampatrao Colony, Alkapuri, Vadodara, Gujarat, India.Consultant, Department of Urology, Aashray Urology Institute, 80/A Sampatrao Colony, Alkapuri, Vadodara, Gujarat, India.Transcatheter renal artery embolisation is an effective and minimally invasive treatment option for acute renal bleeding. However, it is associated with a variety of complications, which can be classified as early or late according to the time of presentation. Coil migration leading to renal calculi formation is a late complication of transcatheter or percutaneous renal arterial embolisation. A 47-year-old diabetic male patient presented with a recurrent right renal staghorn calculus. Four years ago, the patient underwent a right Percutaneous Nephrolithotomy (PCNL). Following the procedure, he had to undergo a renal arterial embolisation for postoperative haemorrhage. The patient this time did not consent for repeat PCNL, therefore a staged right Retrograde Intrarenal Surgery (RIRS) was performed. Complete clearance of stone and extraction of the migrated coil was achieved in a three-staged procedure. Embolisation coils in the proximity of the pelvi-calyceal system, can migrate into the system, and form a nidus for stone formation. These stones and the migrated coil can be managed effectively and safely with RIRS.https://www.jcdr.net/articles/PDF/17931/62113_CE[Ra1]_F(IS)_PF1(AKA_SS)_PN(KM).pdfcalculuscoil-migrationnephrolithotomyrenal bleeding |
| spellingShingle | Ashit Shah Nisarg Mehta Jaimin Shah Aruj Shah Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report Journal of Clinical and Diagnostic Research calculus coil-migration nephrolithotomy renal bleeding |
| title | Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report |
| title_full | Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report |
| title_fullStr | Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report |
| title_full_unstemmed | Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report |
| title_short | Retrograde Intrarenal Surgery for Nephrolithiasis with Partially Migrated Renal Artery Embolisation Coil: A Case Report |
| title_sort | retrograde intrarenal surgery for nephrolithiasis with partially migrated renal artery embolisation coil a case report |
| topic | calculus coil-migration nephrolithotomy renal bleeding |
| url | https://www.jcdr.net/articles/PDF/17931/62113_CE[Ra1]_F(IS)_PF1(AKA_SS)_PN(KM).pdf |
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