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Neurologic Complications In Percutaneous Nephrolithotomy

A. Basiri, M. H. Soltani, Mohammadreza Kamranmanesh, A. Tabibi, Seyed Amir Mohsen Ziaee, A. Nouralizadeh, F. Sharifiaghdas, M. Poorzamani, B. Gharaei, Ardalan Ozhand, A. Lashay, A. Ahanian, Alireza Aminsharifi, M. Sichani, M. Aslzare, Faramarz Mohammad Ali Beigi, Vahid Najjaran, M. Abedinzadeh, M. Nikkar
Published 2013 · Medicine
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Purpose Percutaneous nephrolithotomy (PCNL) has been the preferred procedure for the removal of large renal stones in Iran since 1990. Recently, we encountered a series of devastating neurologic complications during PCNL, including paraplegia and hemiplegia. There are several reports of neurologic complications following PCNL owing to paradoxical air emboli, but there are no reports of paraplegia following PCNL. Materials and Methods We retrospectively reviewed the medical records of patients who had undergone PCNL in 13 different endourologic centers and retrieved data related to neurologic complications after PCNL, including coma, paraplegia, hemiplegia, and quadriplegia. Results The total number of PCNL procedures in these 13 centers was 30,666. Among these procedures, 11 cases were complicated by neurologic events, and four of these cases experienced paraplegia. All events happened with the patient in the prone position with the use of general anesthesia and in the presence of air injection. There were no reports of neurologic complications in PCNL procedures performed with the patient under general anesthesia and in the prone position and with contrast injection. Conclusions It can be assumed that using room air to opacify the collecting system played a major role in the occurrence of these complications. Likewise, the prone position and general anesthesia may predispose to these events in the presence of air injection.
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This paper is referenced by
10.5213/inj.2014.18.1.45
Neurologic Complications of Percutaneus Nephrolithotomy
Hakan Öztürk (2014)
10.4103/UA.UA_10_19
Air embolism during percutaneous nephrolithotomy using air pyelogram during initial access: Does it really occur?
Anshul Garg (2020)
10.1007/s00345-014-1400-8
Complications in percutaneous nephrolithotomy
Iason Kyriazis (2014)
10.1002/9781444345148.CH11
Prone, Lateral, and Flexed: Patient Positioning for Percutaneous Nephrolithotomy
Andrew A. Ray (2012)
10.1002/9781119245193.CH11
Patient Positioning, the Supine Position, and the Rationale of ECIRS
Cesare Marco Scoffone (2018)
10.1007/s00240-017-1015-9
Invited review: the tale of ECIRS (Endoscopic Combined IntraRenal Surgery) in the Galdakao-modified supine Valdivia position
Cesare Marco Scoffone (2017)
10.1016/j.jclinane.2014.01.007
Quadriparesis from air emboli during percutaneous nephrolithotomy.
Dustin L Hegland (2014)
10.5812/numonthly.30973
Effects of Ropivacaine on Postoperative Pain and Peak Expiratory Flow Rate in Patients Undergoing Percutaneous Nephrolithotomy
F. Imani (2015)
10.22037/UJ.V11I06.2728
Comparison of Safety and Efficacy of Laparoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy in Patients with Renal Pelvic Stones: A Ran¬domized Clinical Trial
Abbas Basiri (2014)
Comparison of safety and efficacy of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in patients with renal pelvic stones: a randomized clinical trial.
Abbas Basiri (2014)
10.1097/MOU.0000000000000239
Positioning for percutaneous nephrolithotomy
Cecilia Maria Cracco (2016)
10.1089/end.2013.0145
Comparison of percutaneous nephrolithotomy under spinal versus general anesthesia: a randomized clinical trial.
A. Nouralizadeh (2013)
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