Abstract：
OBJECTIVE: To perform a comprehensive narrative review that will examine the risk factors and treatment outcomes of arterial pseudoaneurysm following laser flexible ureteroscopy (F-URS).
METHODS: A retrospective case series and a review of literature was performed. Clinical records from three patients treated for postoperative arterial pseudoaneurysm from January of 2021 to November 2023 were identified. A comprehensive literature review was also performed. The MEDLINE and Scopus databases were searched. The analysis was made by a narrative synthesis.
RESULTS: Three cases of postoperative arterial pseudoaneurysm were included, one from our center, one from Dubai, UAE, and one from Barcelona. The literature review identified six case reports, two after endocorporeal laser lithotripsy with thulium fiber laser (TFL) and four with Ho:YAG laser. All cases, from our series and literature review, presented with macroscopic hematuria and used high-power laser settings. All cases were treated by selective embolization.
CONCLUSIONS: Ho:YAG or TFL lasers are both capable of causing arterial pseudoaneurysms following F-URS if high-power settings are used. Selective artery embolization continues to be the treatment of choice with good outcomes.
METHODS: A retrospective case series and a review of literature was performed. Clinical records from three patients treated for postoperative arterial pseudoaneurysm from January of 2021 to November 2023 were identified. A comprehensive literature review was also performed. The MEDLINE and Scopus databases were searched. The analysis was made by a narrative synthesis.
RESULTS: Three cases of postoperative arterial pseudoaneurysm were included, one from our center, one from Dubai, UAE, and one from Barcelona. The literature review identified six case reports, two after endocorporeal laser lithotripsy with thulium fiber laser (TFL) and four with Ho:YAG laser. All cases, from our series and literature review, presented with macroscopic hematuria and used high-power laser settings. All cases were treated by selective embolization.
CONCLUSIONS: Ho:YAG or TFL lasers are both capable of causing arterial pseudoaneurysms following F-URS if high-power settings are used. Selective artery embolization continues to be the treatment of choice with good outcomes.
摘要：
目的：进行全面的叙述性回顾，以检查激光输尿管软镜（F-URS）后动脉假性动脉瘤的危险因素和治疗结果。
方法：进行回顾性病例系列和文献综述。确定了2021年1月至2023年11月接受手术后动脉假性动脉瘤治疗的三名患者的临床记录。还进行了全面的文献综述。搜索了MEDLINE和Scopus数据库。分析是通过叙事综合进行的。
结果：包括3例术后动脉假性动脉瘤，一个来自我们的中心，一个来自迪拜,阿联酋，一个来自巴塞罗那。文献综述确定了6例病例报告，2次使用thu纤维激光（TFL）进行体内激光碎石，4次使用Ho：YAG激光。所有案件,从我们的系列和文献综述中，呈现宏观血尿，并使用高功率激光设置。所有病例均采用选择性栓塞治疗。
结论：如果使用高功率设置，Ho:YAG或TFL激光都能够在F-URS后引起动脉假性动脉瘤。选择性动脉栓塞仍然是治疗的选择，效果良好。
方法：进行回顾性病例系列和文献综述。确定了2021年1月至2023年11月接受手术后动脉假性动脉瘤治疗的三名患者的临床记录。还进行了全面的文献综述。搜索了MEDLINE和Scopus数据库。分析是通过叙事综合进行的。
结果：包括3例术后动脉假性动脉瘤，一个来自我们的中心，一个来自迪拜,阿联酋，一个来自巴塞罗那。文献综述确定了6例病例报告，2次使用thu纤维激光（TFL）进行体内激光碎石，4次使用Ho：YAG激光。所有案件,从我们的系列和文献综述中，呈现宏观血尿，并使用高功率激光设置。所有病例均采用选择性栓塞治疗。
结论：如果使用高功率设置，Ho:YAG或TFL激光都能够在F-URS后引起动脉假性动脉瘤。选择性动脉栓塞仍然是治疗的选择，效果良好。
