Extracorporeal shock wave lithotripsy in childhood

Kroovand, R L; Harrison, L H; McCullough, D L

Title: Extracorporeal shock wave lithotripsy in childhood

Full Record
Other Related Research

Abstract

Extracorporeal shock wave lithotripsy is the treatment of choice for the majority of upper urinary calculi in adults. Technical limitations, including patient size and concerns over post-treatment stone fragment passage, have made the application of extracorporeal shock wave lithotripsy in children less clearly defined. We report the successful application of the Dornier lithotriptor in the management of 18 children (22 kidneys) with upper urinary calculi.

Authors:: Kroovand, R L; Harrison, L H; McCullough, D L

Publication Date:: Thu Oct 01 00:00:00 EDT 1987

Research Org.:: Wake Forest Univ., Winston-Salem, NC

OSTI Identifier:: 5851469

Resource Type:: Journal Article

Journal Name:: J. Urol.; (United States)

Additional Journal Information:: Journal Volume: 138

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; KIDNEYS; ULTRASONOGRAPHY; UROGENITAL SYSTEM DISEASES; THERAPY; CHILDREN; PATIENTS; SHOCK WAVES; AGE GROUPS; BODY; DISEASES; ORGANS; 550600* - Medicine

Citation Formats


                    Kroovand, R L, Harrison, L H, and McCullough, D L. Extracorporeal shock wave lithotripsy in childhood.  United States: N. p., 1987. 
        Web.

Copy to clipboard


                    Kroovand, R L, Harrison, L H, & McCullough, D L. Extracorporeal shock wave lithotripsy in childhood.  United States.

Copy to clipboard


                    Kroovand, R L, Harrison, L H, and McCullough, D L. 1987.  
        "Extracorporeal shock wave lithotripsy in childhood".  United States.

Copy to clipboard


                    
@article{osti_5851469,

  title        = {Extracorporeal shock wave lithotripsy in childhood},

  author       = {Kroovand, R L and Harrison, L H and McCullough, D L},

  abstractNote = {Extracorporeal shock wave lithotripsy is the treatment of choice for the majority of upper urinary calculi in adults. Technical limitations, including patient size and concerns over post-treatment stone fragment passage, have made the application of extracorporeal shock wave lithotripsy in children less clearly defined. We report the successful application of the Dornier lithotriptor in the management of 18 children (22 kidneys) with upper urinary calculi.},

  doi          = {},

  url          = {https://www.osti.gov/biblio/5851469},
  journal      = {J. Urol.; (United States)},
number       = ,

  volume       = 138,

  place        = {United States},

  year         = {Thu Oct 01 00:00:00 EDT 1987},

  month        = {Thu Oct 01 00:00:00 EDT 1987}

}

Copy to clipboard

Journal Article:

Other availability

Find in Google Scholar

Search WorldCat to find libraries that may hold this journal

Save / Share:

Export Metadata

Save to My Library

Similar records in OSTI.GOV collections:

Variations in fluoroscopic and spot film techniques during extracorporeal shock wave lithotripsy

Journal Article Daniels, C; MacKay, J; MacGregor, J; ... - J. Urol.; (United States)

The radiation techniques of different operators who performed extracorporeal shock wave lithotripsy of the kidney were evaluated retrospectively. The study was limited to 9 operators who each performed more than 100 procedures on the Dornier lithotriptor. The average fluoroscopic time and number of video spot films per procedure for all operators were 4.1 minutes and 6.5, respectively. However, the average fluoroscopic time per operator varied from 1.4 to 7.6 minutes and the average number of video spot films per operator varied from 3 to 13. The results illustrate the need for some operators to reduce fluoroscopic time and video spotmore » filming.« less
Renal morphology and function immediately after extracorporeal shock-wave lithotripsy

Conference Kaude, J; Williams, C; Millner, M; ... - AJR, Am. J. Roentgenol.; (United States)

The acute effects of extracorporeal shock-wave lithotripsy (ESWL) on morphology and function of the kidney were evaluated by excretory urography, quantitative radionuclide renography (QRR), and magnetic resonance imaging (MRI) in 33 consecutive patients. Excretory urograms demonstrated an enlarged kidney in seven (18%) of 41 treatments and partial or complete obstruction of the ureter by stone fragments after 15 (37%) of 41 treatments. Total effective renal plasma flow (ERPF) was not changed after ESWL, but the percentage ERPF of the treated kidney was decreased by more than 5% in 10 (30%) of 33 cases. QRR images showed partial parenchymal obstruction inmore »« less
Radiation exposure to patients during extracorporeal shock wave lithotripsy

Journal Article Van Swearingen, F; McCullough, D; Dyer, R; ... - J. Urol.; (United States)

Extracorporeal shock wave lithotripsy is rapidly becoming an accepted treatment of renal calculi. Since fluoroscopy is involved to image the stones it is important to know how much radiation the patient receives during this procedure. Surface radiation exposure to the patient was measured in more than 300 fluoroscopic and radiographic procedures using thermoluminescent dosimeters. Initial results showed an average skin exposure of 10.1 rad per procedure for each x-ray unit, comparing favorably with exposure rates for percutaneous nephrostolithotomy and other routine radiological procedures. Factors influencing exposure levels include stone characteristics (location, size and opacity), physician experience and number of shocksmore »« less
Radiation dose to patient and personnel during extracorporeal shock wave lithotripsy

Journal Article Bush, W; Jones, D; Gibbons, R - J. Urol.; (United States)

Radiation dose to the patient and personnel was determined during extracorporeal shock wave lithotripsy treatment of 60 patients. Surface radiation dose to the patient's back from the fluoroscopy unit on the side with the kidney stone averaged 10 rem (100 mSv.) per case, although the range was wide (1 to 30 rem). The surface dose from the opposing biplane x-ray unit was less, averaging 5.5 rem (55 mSv.) per case but again with a wide range (0.1 to 21 rem). Exit dose at the lower abdomen averaged 13 mrem. (0.13 mSv.) per case and estimated female gonad dose averaged 100more »« less
Patient exposure and radiation environment of an extracorporeal shock wave lithotriptor system

Journal Article Lin, P; Hrejsa, A - J. Urol.; (United States)

Radiation exposures to the patient undergoing extracorporeal shock wave lithotripsy were assessed along with the scattered radiation levels around the lithotriptor systems. The data gathered from 2 Dornier lithotriptor systems suggest that the lead shieldings required for this particular make and model are minimal. Owing to the physical size of the lithotriptor system, the treatment room housing it may not require additional lead shielding when the walls are constructed with appropriate materials. Typical radiation exposures to the patient have been assessed from the experimental data. The total amount of radiation exposures a patient is likely to receive has been estimatedmore »« less

Similar Records