Side Effects of Extracorporeal Shock-Wave Exposure on the Kidney in Dogs
We started extracorporeal shock-wave lithotripsy (ESWL) at our hospital in July, 1985 and treated over a thousand patients with upper urinary-tract stones using the Dornier HM3 lithotripter. Common complications in these patients were pain and fever, but most of the cases were not serious and they recovered in a few days without special treatment. However, macroscopic hematuria occurred in almost all cases, and petechiae-like lesions of the skin were observed in about half of the cases. In addition, an elevation in the level of cell-escaped enzymes in the blood occurred, indicating hemolysis and myolysis. Taking these facts into consideration, it may be possible that the kidney exposed to shock waves by focusing may be damaged to some extent. Therefore, we studied the effect of high-energy shock-wave exposure on the canine kidney.
KeywordsShock Wave Hematoxylin Eosin Systemic Hemodynamic Excretory Phase Carbonize Microsphere
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