Acoustic radiation force to reposition kidney stones

Michael R. Bailey, Yak Nam Wang, Julianna Simon, Bryan Cunitz, Jonathan Harper, Ryan Hsi, Frank Starr, Marla Paun, Oleg Sapozhnikov, Barbrina Dunmire, Lawrence Crum, Mathew Sorensen

Research output: Contribution to journalConference articlepeer-review

1 Scopus citations

Abstract

Our group has introduced transcutaneous ultrasound to move kidney stones in order to expel small stones or relocate an obstructing stone to a nonobstructing location. Human stones and metalized beads (2-8 mm) were implanted ureteroscopically in kidneys of eight domestic swine. Ultrasonic propulsion was performed using a diagnostic imaging transducer and a Verasonics ultrasound platform. Stone propulsion was visualized using fluoroscopy, ultrasound, and the ureteroscope. Successful stone movement was defined as relocating a stone to the renal pelvis, ureteropelvic junction (UPJ) or proximal ureter. Three blinded experts evaluated for histologic injury in control and treatment arms. All stones were moved. 65% (17/26) of stones/beads were moved the entire distance to the renal pelvis (3), UPJ (2), or ureter (12). Average successful procedure per stone required 14±8 min and 23±16 pushes. Each push averaged 0.9 s in duration. Mean interval between pushes was 41±13 sec. No gross or histologic kidney damage was identified in six kidneys from exposure to 20 1-s pushes spaced by 33 s. Ultrasonic propulsion is effective with most stones being relocated to the renal pelvis, UPJ, or ureter. The procedure appears safe without evidence of injury.

Original languageEnglish (US)
Article number045016
JournalProceedings of Meetings on Acoustics
Volume19
DOIs
StatePublished - 2013
Event21st International Congress on Acoustics, ICA 2013 - 165th Meeting of the Acoustical Society of America - Montreal, QC, Canada
Duration: Jun 2 2013Jun 7 2013

All Science Journal Classification (ASJC) codes

  • Acoustics and Ultrasonics

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