title: Treatment of hemorrhagic complications of percutaneous nephrolithotomy in Galdakao position.
abstract: OBJECTIVE
  Percutaneous Nephrolithotomy (PCNL) is a technique with good results for the treatment of kidney stones, however, bleeding complications derived can be serious if not diagnosed and treated effectively. The aim of this study is to assess bleeding complications resulting from PCNL in Galdakao position and therapeutic management.
  
  
  METHODS
  Retrospective-longitudinal study of 172 PCNL performed in La Ribera Hospital between January 2005 and December 2011, analyzing their bleeding complications and the treatment provided for resolution.
  
  
  RESULTS
  Had bleeding complications 20 patients (11.6%). The need for transfusion in this series was 8.1% and the most common cause of blood transfusion the presence of postoperative retroperitoneal (7.5%). There were 6 arterial injuries (3.5%), 5 of them successfully treated with angiography and arterial selective embolization.
  
  
  CONCLUSIONS
  The arterial injuries following PCNL are rare but can be serious. The possibility of an urgent arteriography and selective embolization to the diagnosis permits an effective and safe treatment of bleeding without risk to the affected renal unit.
authors: Unidad de Litotricia y Endourología, Servicio de Urología, Hospital Universitario La Ribera, Alzira, Valencia, España.
authors: I
authors: I
authors: Nuño de la Rosa
authors: J L
authors: JL
authors: Palmero
authors: J
authors: J
authors: Miralles
authors: A
authors: A
authors: Amorós
authors: M D
authors: MD
authors: Ferrer
authors: E
authors: E
authors: Esteban
mesh_terms: D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000379:methods*; D056888:Patient Positioning / Q000379:methods*; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000628:therapy*; D012189:Retrospective Studies
keywords: Arteriografía renal; Embolización selectiva; Hemorragia; Hemorrhage; Renal arteriography; Selective embolization