EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY IN 5 PATIENTS WITH AORTIC-ANEURYSM

Purpose: The safety and efficacy of extracorporeal shock wave lithotri psy (ESWL) in patients with an aortic aneurysm were assessed. Materia ls and Methods: Five patients with an aortic aneurysm and symptomatic renal (4) or upper ureteral (1) lithiasis underwent ESWL with either a n HM3 or HM4 lithotriptor. Results: The procedure was well tolerated i n all patients. The stone was fragmented completely in the 4 patients with renal lithiasis, while 1 with ureteral lithiasis also required ur eteroscopic extraction of the stone fragments. Conclusions: For patien ts with symptomatic renal stones and an aortic aneurysm ESWL may be th e treatment of choice.