EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY : Development, Instrumentation, and Current Status - 11/09/11
Riassunto |
Currently, most symptomatic nonpassable upper urinary tract calculi in the United States are managed with extracorporeal shock wave lithotripsy (ESWL), making this remarkable, noninvasive technique one of the most commonly performed procedures by urologists in the United States. There are currently more than 400 lithotriptors in the United States, and with the adaptation of lithotripters to mobile systems, ESWL now is distributed widely in America, with virtually every hospital having access to ESWL services if it so desires. The widespread acceptance of ESWL by patients, providers, and payers is a testament to the advantages of lithotripsy over more invasive treatment options for urolithiasis. In this article, the author briefly reviews the early development of the lithotriptor, provides a detailed review of lithotriptors currently available, and gives an overview of present ESWL indications and techniques as well as a brief overview of the results produced by various lithotriptors.
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Address reprint requests to James E. Lingeman, MD, Methodist Hospital, Institute for Kidney Stone Disease, 1801 North Senate Boulevard, Suite 655, Indianapolis, IN 46202 Dr. Lingeman has no current or previous financial relationships with any lithotriptor manufacturer. This article is supported in part by NIH grant P01 DK43881. |
Vol 24 - N° 1
P. 185-211 - Febbraio 1997 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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