The importance of an expansion chamber during standard and tandem extracorporeal shock wave lithotripsy.
J Endourol
; 23(4): 693-7, 2009 Apr.
Article
em En
| MEDLINE
| ID: mdl-19335160
BACKGROUND AND PURPOSE: It is known that extracorporeal shock wave lithotripsy (SWL) may be improved by increasing cavitation using tandem shock waves. However, fluid is needed for the cavitation to work. The purpose of this research was to evaluate the importance of a fluid-filled expansion chamber in enhancing stone fragmentation during standard and tandem SWL. MATERIALS AND METHODS: A piezoelectric lithotripter was modified to generate tandem shock waves. Artificial kidney stones inserted in vitro into the parenchyma of a pig kidney were exposed to either standard or tandem shock waves. Stones in one group were placed inside a small finger cot filled with water before they were introduced into the kidney. Stone fragments were strained through a mesh, dried, and weighed. RESULTS: Water surrounding the stones always improved stone fragmentation. The best results were achieved using tandem shock waves at a delay of 250 micros. CONCLUSIONS: A fluid-filled chamber surrounding the stone is essential for good SWL outcome. Tandem shock waves are more efficient than standard shock waves only if the stone is surrounded by fluid.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Litotripsia
/
Cálculos Renais
Limite:
Animals
Idioma:
En
Revista:
J Endourol
Assunto da revista:
UROLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
México
País de publicação:
Estados Unidos