Thromboprophylaxis and bleeding diathesis in minimally invasive stone surgery

Επιστημονική δημοσίευση - Άρθρο Περιοδικού uoadl:3127491 31 Αναγνώσεις

Μονάδα:
Ερευνητικό υλικό ΕΚΠΑ
Τίτλος:
Thromboprophylaxis and bleeding diathesis in minimally invasive stone surgery
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
With populations ageing and active treatment of urinary stones increasingly in demand, more patients with stones are presenting with an underlying bleeding disorder or need for regular thromboprophylaxis, by means of antiplatelet and other medication. A practical guide to thromboprophylaxis in the treatment of urinary tract lithiasis has not yet been established. Patients can be stratified according to levels of risk of arterial and venous thromboembolism, which influence the requirements for antiplatelet and anticoagulant medications, respectively. Patients should also be stratified according to their risk of bleeding. Consideration of the combined risks of bleeding and thromboembolism should determine the perioperative thromboprophylactic strategy. The choice of shockwave lithotripsy, percutaneous nephrolithotomy or ureteroscopy with laser lithotripsy for treatment of lithiasis should be determined with regard to these risks. Although ureteroscopy is the preferred method in high-risk patients, shockwave lithotripsy and percutaneous nephrolithotomy can be chosen when indicated, if appropriate guidelines are strictly followed. © 2014 Macmillan Publishers Limited. All rights reserved.
Έτος δημοσίευσης:
2014
Συγγραφείς:
Bourdoumis, A.
Stasinou, T.
Kachrilas, S.
Papatsoris, A.G.
Buchholz, N.
Masood, J.
Περιοδικό:
Nature Reviews Urology
Τόμος:
11
Αριθμός / τεύχος:
1
Σελίδες:
51-58
Λέξεις-κλειδιά:
antithrombocytic agent; antivitamin K; heparin; low molecular weight heparin; warfarin, anticoagulant therapy; arterial thromboembolism; bleeding tendency; extracorporeal lithotripsy; high risk patient; human; laser lithotripsy; lithotripsy; minimally invasive surgery; percutaneous nephrolithotomy; perioperative period; practice guideline; priority journal; review; risk management; stone formation; thrombosis prevention; ureteroscopy; urolithiasis; venous thromboembolism, Blood Loss, Surgical; Humans; Kidney Calculi; Nephrostomy, Percutaneous; Postoperative Complications; Surgical Procedures, Minimally Invasive; Thrombolytic Therapy; Thrombosis
Επίσημο URL (Εκδότης):
DOI:
10.1038/nrurol.2013.278
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