Percutaneous rotational contact biliary lithotripsy: Initial clinical results with the Kensey Nash lithotrite

Franklin J. Miller, Steven C. Rose, Kenneth N. Buchi, John Hunter, John E. Nash, Kenneth R. Kensey

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The percutaneous rotary lithotrite introduces a new concept to fragmentation and percutaneous removal of gallstones. A fluid vortex is generated, pulling calculi into a high-speed blade that fragments stones to predominantly under 500 μm. The results of treating the first 10 patients with this instrument reveal that large stone burdens as well as small stones (2-3 mm) of any composition can be removed if the gallbladder is of sufficient size to accommodate the six-pronged basket. Rotation times of 7-39 minutes were required. Nine of 10 procedures were completed; access was lost in one case. One major complication occurred. At repeat oral cholecystography, the gallbladder was visualized after 3-6 weeks in eight of the nine patients. Ursodeoxycholic acid was administered from 3 to 12 months to five patients with either residual stones or aggregates. The hospital stay ranged from 48 to 72 hours. All patients (except the patient who underwent surgery) resumed light activity in 3-4 days and strenuous activity and full diet within 3 weeks.

Original languageEnglish (US)
Pages (from-to)781-785
Number of pages5
JournalRadiology
Volume178
Issue number3
StatePublished - Mar 1991
Externally publishedYes

Fingerprint

Lithotripsy
Gallbladder
Cholecystography
Ursodeoxycholic Acid
Calculi
Gallstones
Length of Stay
Diet
Light

Keywords

  • Gallbladder, calculi, 262.289
  • Gallbladder, interventional procedure
  • Lithotripsy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Miller, F. J., Rose, S. C., Buchi, K. N., Hunter, J., Nash, J. E., & Kensey, K. R. (1991). Percutaneous rotational contact biliary lithotripsy: Initial clinical results with the Kensey Nash lithotrite. Radiology, 178(3), 781-785.

Percutaneous rotational contact biliary lithotripsy : Initial clinical results with the Kensey Nash lithotrite. / Miller, Franklin J.; Rose, Steven C.; Buchi, Kenneth N.; Hunter, John; Nash, John E.; Kensey, Kenneth R.

In: Radiology, Vol. 178, No. 3, 03.1991, p. 781-785.

Research output: Contribution to journalArticle

Miller, FJ, Rose, SC, Buchi, KN, Hunter, J, Nash, JE & Kensey, KR 1991, 'Percutaneous rotational contact biliary lithotripsy: Initial clinical results with the Kensey Nash lithotrite', Radiology, vol. 178, no. 3, pp. 781-785.
Miller, Franklin J. ; Rose, Steven C. ; Buchi, Kenneth N. ; Hunter, John ; Nash, John E. ; Kensey, Kenneth R. / Percutaneous rotational contact biliary lithotripsy : Initial clinical results with the Kensey Nash lithotrite. In: Radiology. 1991 ; Vol. 178, No. 3. pp. 781-785.
@article{32be0d947adb4fa6935e49bdd773f9c2,
title = "Percutaneous rotational contact biliary lithotripsy: Initial clinical results with the Kensey Nash lithotrite",
abstract = "The percutaneous rotary lithotrite introduces a new concept to fragmentation and percutaneous removal of gallstones. A fluid vortex is generated, pulling calculi into a high-speed blade that fragments stones to predominantly under 500 μm. The results of treating the first 10 patients with this instrument reveal that large stone burdens as well as small stones (2-3 mm) of any composition can be removed if the gallbladder is of sufficient size to accommodate the six-pronged basket. Rotation times of 7-39 minutes were required. Nine of 10 procedures were completed; access was lost in one case. One major complication occurred. At repeat oral cholecystography, the gallbladder was visualized after 3-6 weeks in eight of the nine patients. Ursodeoxycholic acid was administered from 3 to 12 months to five patients with either residual stones or aggregates. The hospital stay ranged from 48 to 72 hours. All patients (except the patient who underwent surgery) resumed light activity in 3-4 days and strenuous activity and full diet within 3 weeks.",
keywords = "Gallbladder, calculi, 262.289, Gallbladder, interventional procedure, Lithotripsy",
author = "Miller, {Franklin J.} and Rose, {Steven C.} and Buchi, {Kenneth N.} and John Hunter and Nash, {John E.} and Kensey, {Kenneth R.}",
year = "1991",
month = "3",
language = "English (US)",
volume = "178",
pages = "781--785",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "3",

}

TY - JOUR

T1 - Percutaneous rotational contact biliary lithotripsy

T2 - Initial clinical results with the Kensey Nash lithotrite

AU - Miller, Franklin J.

AU - Rose, Steven C.

AU - Buchi, Kenneth N.

AU - Hunter, John

AU - Nash, John E.

AU - Kensey, Kenneth R.

PY - 1991/3

Y1 - 1991/3

N2 - The percutaneous rotary lithotrite introduces a new concept to fragmentation and percutaneous removal of gallstones. A fluid vortex is generated, pulling calculi into a high-speed blade that fragments stones to predominantly under 500 μm. The results of treating the first 10 patients with this instrument reveal that large stone burdens as well as small stones (2-3 mm) of any composition can be removed if the gallbladder is of sufficient size to accommodate the six-pronged basket. Rotation times of 7-39 minutes were required. Nine of 10 procedures were completed; access was lost in one case. One major complication occurred. At repeat oral cholecystography, the gallbladder was visualized after 3-6 weeks in eight of the nine patients. Ursodeoxycholic acid was administered from 3 to 12 months to five patients with either residual stones or aggregates. The hospital stay ranged from 48 to 72 hours. All patients (except the patient who underwent surgery) resumed light activity in 3-4 days and strenuous activity and full diet within 3 weeks.

AB - The percutaneous rotary lithotrite introduces a new concept to fragmentation and percutaneous removal of gallstones. A fluid vortex is generated, pulling calculi into a high-speed blade that fragments stones to predominantly under 500 μm. The results of treating the first 10 patients with this instrument reveal that large stone burdens as well as small stones (2-3 mm) of any composition can be removed if the gallbladder is of sufficient size to accommodate the six-pronged basket. Rotation times of 7-39 minutes were required. Nine of 10 procedures were completed; access was lost in one case. One major complication occurred. At repeat oral cholecystography, the gallbladder was visualized after 3-6 weeks in eight of the nine patients. Ursodeoxycholic acid was administered from 3 to 12 months to five patients with either residual stones or aggregates. The hospital stay ranged from 48 to 72 hours. All patients (except the patient who underwent surgery) resumed light activity in 3-4 days and strenuous activity and full diet within 3 weeks.

KW - Gallbladder, calculi, 262.289

KW - Gallbladder, interventional procedure

KW - Lithotripsy

UR - http://www.scopus.com/inward/record.url?scp=0025977838&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025977838&partnerID=8YFLogxK

M3 - Article

C2 - 1994418

AN - SCOPUS:0025977838

VL - 178

SP - 781

EP - 785

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 3

ER -