When is lithotripsy contraindicated?

When is lithotripsy contraindicated?

Contraindications for lithotripsy include, but are not limited to, the following: Pregnant patients. Patients on “blood thinners” or patients with bleeding disorders. Aspirin or other blood thinners must be discontinued for at least 1 week prior to lithotripsy.

What are the absolute contraindications to extracorporeal shock wave lithotripsy?

Commonly cited absolute contraindications to SWL include pregnancy, coagulopathy or use of platelet aggregation inhibitors, aortic aneurysms, severe untreated hypertension, and untreated urinary tract infections.

What are the contraindications of shockwave therapy?

Contraindications to ESWT in Physiotherapy

• Pregnancy.
• Over major blood vessels and nerves.
• Pacemakers or other implanted devices.
• Open wounds.
• Joint replacements.
• Epiphysis.
• Blood clotting disorders including thrombosis.
• Infection.

What are the indications for lithotripsy?

Acute urinary tract infection or urosepsis. Uncorrected bleeding disorders or coagulopathies. Pregnancy. Uncorrected obstruction distal to the stone.

What are the side effects of shock wave lithotripsy?

Potential risks of shock wave lithotripsy include, but are not limited to:

• Blockage in the ureter.
• Blood in the urine or bleeding around the kidney.
• Infection.
• Mild discomfort or bruising on the back (near the treated area).
• Painful urination.

What anesthesia is used for lithotripsy?

INTRODUCTION: Epidural anesthesia has been considered the anesthetic technique of choice for immersion lithotripsy.

When should you not use shockwave therapy?

Shockwave is unsuitable in the following circumstances:

• If you are pregnant.
• If you have a blood clotting disorder (including thrombosis)
• If you are taking oral anti-coagulants.
• If you have received a Steroid injection within 6 weeks.
• If you have a Pacemaker fitted.
• If tumours are present at the treatment site.

When was extracorporeal shock wave lithotripsy introduced?

The introduction of extracorporeal shock wave lithotripsy (ESWL) in the early 1980s revolutionized the treatment of patients with kidney stone disease. Patients who once required major surgery to remove their stones could be treated with ESWL, and not even require an incision.

How is shock wave lithotripsy used to treat kidney stones?

What is shock wave lithotripsy? Shock Wave Lithotripsy (SWL) is the most common treatment for kidney stones in the U.S. Shock waves from outside the body are targeted at a kidney stone causing the stone to fragment. The stones are broken into tiny pieces. lt is sometimes called ESWL: Extracorporeal Shock Wave Lithotripsy®.

Are there any absolute contraindications for shock wave?

Contraindications Good outcomes are dependent on treating patients safely and without added risk. Commonly cited absolute contraindications to SWL include pregnancy, coagulopathy or use of platelet aggregation inhibitors, aortic aneurysms, severe untreated hypertension, and untreated urinary tract infections.

Are there any contraindications to lithotripsy for urinary stones?

In light of this, the few contraindications that do actually exist should clearly be kept in mind [4]. These are:(i)pregnancy;(ii)uncontrolled infections in the urinary system;(iii)uncontrolled alterations of coagulation;(iv)aortic or renal artery aneurism;(v)serious skeletal malformations;(vi)serious obesity.