RecruitingNot ApplicableNCT05993546

Randomized Controlled Trial of Miniaturized Percutaneous Nephrolithotomy With Vacuum-Assisted Access Sheaths Versus Conventional Sheaths for Treatment of Nephrolithiasis


Sponsor

The Cleveland Clinic

Enrollment

90 participants

Start Date

Aug 29, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to compare two variations of the mini-PCNL procedure using either a vacuum-assisted sheath or standard sheath which are both used for the surgical treatment of kidney stones. Both procedure types are commonly used in the treatment of kidneys stones and they have been shown to be safe and effective in the treatment of stones similar in size and location to your own.


Eligibility

Min Age: 18 Years

Inclusion Criteria8

  • Patients with planned prone mini-PCNL and a preoperative NCCT
  • Primary stone size: 10-25 mm
  • Pre-existing indwelling nephrostomy tube or ureteral stent permitted
  • Age: ≥ 18 years old
  • Gender: all
  • Ethnicity: all
  • Capable of giving informed consent
  • Capable and willing to fulfill requirements of the study

Exclusion Criteria6

  • Anticoagulated or history of coagulopathy
  • Congenital renal anomalies
  • Prior ipsilateral upper urinary tract reconstructive procedures
  • Conversion to open procedure
  • Multiple access tracts
  • Inability to give informed consent or unable to meet requirements of the study for any reason

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Interventions

DEVICEvacuum assisted sheath

allows for simultaneous suction with continuous irrigation throughout the case to enhance visibility and facilitate stone retrieval

DEVICEpassive suction via conventional sheath

conventional access sheath for stone retrieval using current technique via passive suction


Locations(1)

Cleveland Clinic

Cleveland, Ohio, United States

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NCT05993546


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