Simplified infusion method for 10% hemiacidrin irrigation of renal pelvis.

Abstract

A variable pressure volumetric pump was used for 10% hemiacidrin irrigation of the renal pelvis in 7 renal units (6 patients) with struvite calculi after initial percutaneous debulking and extracorporeal shock-wave lithotripsy (ESWL). The pump provided a constant display of intrapelvic infusion pressure, and an alarm which signaled if a preset maximum infusion pressure was exceeded. Compared with standard open manometer monitoring of intrapelvic pressure, this closed system of irrigation eliminates the problems associated with time-consuming assembly and maintenance, irrigant spillage, and system contamination. At the completion of therapy, 5 renal units were completely stone-free while 2 had only minimal residual caliceal "dust." Complications were minor and few in number. We conclude that a variable pressure volumetric pump provides excellent clinical results and safely simplifies irrigation for percutaneous chemolysis of struvite calculi.

• Authors: K Angermeier, S B Streem, A Yost
• Journal: Urology (Urology) Vol. 41 Issue 3 Pg. 243-6 (Mar 1993) ISSN: 0090-4295 [Print] United States
• PMID: 8442307 (Publication Type: Journal Article)

Chemical References

• Citrates
• Magnesium Compounds
• Pharmaceutic Aids
• Phosphates
• hemiacidrin
• Struvite
• Magnesium

Topics

• Citrates (administration & dosage, therapeutic use)
• Female
• Humans
• Infusion Pumps
• Kidney Calculi (chemistry, therapy)
• Kidney Pelvis
• Lithotripsy
• Magnesium (analysis)
• Magnesium Compounds
• Male
• Middle Aged
• Pharmaceutic Aids
• Phosphates (analysis)
• Struvite
• Therapeutic Irrigation (methods)