Holmium: YAG laser damage to ureteral guidewire.
The holmium:yttrium-aluminum-garnet (holmium:YAG) laser effectively fragments urinary calculi of all compositions. Complications have been minimal and mostly attributable to the ureteroscopy as opposed to the laser. We report a case in which the polytetrafluoroethylene (PTFE) coating of a ureteral guidewire was broken with the holmium:YAG laser and remained in the collecting system after the guidewire was removed postoperatively. The patient required cystoscopy to remove the guidewire coating.
Freiha
G S
GS
Division of Urology, University of Texas Health Science Center, San Antonio, USA.
King
D H
DH
Teichman
J M
JM
D000328:Adult; D003558:Cystoscopy; D004868:Equipment Failure; D006801:Humans; D017602:Lithotripsy, Laser / Q000009:adverse effects*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D011859:Radiography; D014545:Urinary Calculi / Q000000981:diagnostic imaging / Q000628:therapy*