Premium
J‐wire Facilitates Retrograde Manipulation of Ureteric Calculi Prior to Extracorporeal Shock Wave Lithotripsy
Author(s) -
PARR N. J.,
RITCHIE A. W. S.,
SMITH G.,
TOLLEY D. A.
Publication year - 1992
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1992.tb15623.x
Subject(s) - medicine , extracorporeal shock wave lithotripsy , surgery , lithotripsy , catheter
Summary— During a 13‐month period, 55 patients underwent attempted retrograde manipulation for ureteric lying above the pelvic brim. The mean stone burden was 11 mm (range 5–21); 41 stones (75%) were primary ureteric calculi and 14 (25%) were fragments resulting from extracorporeal shock wave lithotripsy to renal calculi. The method of retrograde manipulation was recorded prospectively. Retrograde flushing through an 8F angiography catheter with a mixture of saline and lignocaine gel was successful in 27 patients (49%). The insertion of a J‐wire through the angiocath allowed for successful manipulation in a further 17 patients (31%). Retrograde manipulation was impossible in 11 patients (20%). There were 4 complications (7%), none attributable to the use of a J‐wire.