Evidence map›Paper›PMID 39344917›Full record

ArticleUrologia2025

Severe bleeding in patients following "tubeless" percutaneous nephrolithotomy: Predictors of angioembolization.

K R Surag, Abhijit Shah, Kasi Vishwanath Gali, A V B Krishnakanth, Arun Chawla, Padmaraj Hegde, Anupam Choudhary, Mithun Rao

Abstract read
In one paragraph

Article in Urologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

K R SuragKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-7314-094X
Abhijit ShahKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Kasi Vishwanath GaliKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
A V B KrishnakanthKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Arun ChawlaKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Padmaraj HegdeKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-8426-6986
Anupam ChoudharyKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-9868-9269
Mithun RaoKasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPercutaneous nephrolithotomy (PCNL) is a widely used procedure for treating renal calculi. Advanced techniques have improved outcomes, but hemorrhage remains a significant complication. While most cases of hemorrhagic complications are typically managed conservatively, few cases necessitate interventions like angioembolization (AE). The purpose of this study is to identify risk factors closely associated with severe bleeding post-PCNL requiring AE and to assess if these factors can independently predict the type of lesion [arteriovenous fistula (AVF) vs pseudoaneurysm (PA)]. MATERIALS AND

methodA retrospective analysis was conducted on 119 patients who underwent "tubeless" PCNL and experienced severe bleeding between January 2018 and December 2023. The study reviewed demographic characteristics, stone characteristics, perioperative factors, and adverse events. The chi-square test and Fisher's exact test were used for univariate analysis. Logistic regression analysis was used in binomial analysis with a value of

resultsOut of 119 patients, 51 required AE. Elevated preoperative serum creatinine levels (>1.5 mg/dl) [

conclusionElevated serum creatinine levels, upper pole access, and tract size >24 Fr are more prone to post-tubeless PCNL severe bleeding, which requires renal AE. The findings suggest that early angiography and possible AE should be considered for at-risk patients. In the future, these predictors may be integrated into predictive models to improve patient risk stratification.

Indexed as

Embolization, TherapeuticNephrolithotomy, PercutaneousPostoperative HemorrhageAdultAgedFemaleHumansKidney CalculiMaleMiddle AgedRetrospective StudiesRisk FactorsSeverity of Illness Indexangioembolizationarteriovenous fistulaBleedingcoilscreatininehemorrhagePCNLpseudoaneurysmtubeless

Identifiers

PMID39344917
PMCPMC11806643

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.