Adverse events resulting from lasers used in urology.
Identifieur interne : 000246 ( PubMed/Corpus ); précédent : 000245; suivant : 000247Adverse events resulting from lasers used in urology.
Auteurs : Abdulaziz M. Althunayan ; Mohamed A. Elkoushy ; Mostafa M. Elhilali ; Sero AndonianSource :
- Journal of endourology / Endourological Society [ 1557-900X ] ; 2014.
English descriptors
- KwdEn :
- Aluminum (adverse effects), Eye Protective Devices, Humans, Laser Therapy (adverse effects), Laser Therapy (instrumentation), Lasers, Semiconductor (adverse effects), Lasers, Solid-State (adverse effects), Postoperative Complications (etiology), Treatment Outcome, Urologic Diseases (complications), Urologic Diseases (surgery), Yttrium (adverse effects).
- MESH :
- chemical , adverse effects : Aluminum, Yttrium.
- adverse effects : Laser Therapy, Lasers, Semiconductor, Lasers, Solid-State.
- complications : Urologic Diseases.
- etiology : Postoperative Complications.
- instrumentation : Laser Therapy.
- surgery : Urologic Diseases.
- Eye Protective Devices, Humans, Treatment Outcome.
Abstract
To collate world reports of adverse events (AEs) resulting from lasers used in urology.
DOI: 10.1089/end.2013.0451
PubMed: 24074324
Links to Exploration step
pubmed:24074324Le document en format XML
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<author><name sortKey="Althunayan, Abdulaziz M" sort="Althunayan, Abdulaziz M" uniqKey="Althunayan A" first="Abdulaziz M" last="Althunayan">Abdulaziz M. Althunayan</name>
<affiliation><nlm:affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Elkoushy, Mohamed A" sort="Elkoushy, Mohamed A" uniqKey="Elkoushy M" first="Mohamed A" last="Elkoushy">Mohamed A. Elkoushy</name>
<affiliation><nlm:affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada; Department of Urology, Suez Canal University, Ismailia, Egypt</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Elhilali, Mostafa M" sort="Elhilali, Mostafa M" uniqKey="Elhilali M" first="Mostafa M" last="Elhilali">Mostafa M. Elhilali</name>
</author>
<author><name sortKey="Andonian, Sero" sort="Andonian, Sero" uniqKey="Andonian S" first="Sero" last="Andonian">Sero Andonian</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Adverse events resulting from lasers used in urology.</title>
<author><name sortKey="Althunayan, Abdulaziz M" sort="Althunayan, Abdulaziz M" uniqKey="Althunayan A" first="Abdulaziz M" last="Althunayan">Abdulaziz M. Althunayan</name>
<affiliation><nlm:affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Elkoushy, Mohamed A" sort="Elkoushy, Mohamed A" uniqKey="Elkoushy M" first="Mohamed A" last="Elkoushy">Mohamed A. Elkoushy</name>
<affiliation><nlm:affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada; Department of Urology, Suez Canal University, Ismailia, Egypt</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Elhilali, Mostafa M" sort="Elhilali, Mostafa M" uniqKey="Elhilali M" first="Mostafa M" last="Elhilali">Mostafa M. Elhilali</name>
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<author><name sortKey="Andonian, Sero" sort="Andonian, Sero" uniqKey="Andonian S" first="Sero" last="Andonian">Sero Andonian</name>
</author>
</analytic>
<series><title level="j">Journal of endourology / Endourological Society</title>
<idno type="eISSN">1557-900X</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aluminum (adverse effects)</term>
<term>Eye Protective Devices</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Laser Therapy (instrumentation)</term>
<term>Lasers, Semiconductor (adverse effects)</term>
<term>Lasers, Solid-State (adverse effects)</term>
<term>Postoperative Complications (etiology)</term>
<term>Treatment Outcome</term>
<term>Urologic Diseases (complications)</term>
<term>Urologic Diseases (surgery)</term>
<term>Yttrium (adverse effects)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Aluminum</term>
<term>Yttrium</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term>
<term>Lasers, Semiconductor</term>
<term>Lasers, Solid-State</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Urologic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urologic Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Eye Protective Devices</term>
<term>Humans</term>
<term>Treatment Outcome</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To collate world reports of adverse events (AEs) resulting from lasers used in urology.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24074324</PMID>
<DateCreated><Year>2014</Year>
<Month>01</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>05</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>02</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-900X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>28</Volume>
<Issue>2</Issue>
<PubDate><Year>2014</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Journal of endourology / Endourological Society</Title>
<ISOAbbreviation>J. Endourol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Adverse events resulting from lasers used in urology.</ArticleTitle>
<Pagination><MedlinePgn>256-60</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/end.2013.0451</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To collate world reports of adverse events (AEs) resulting from lasers used in urology.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The Manufacturer and User Facility Device Experience (MAUDE) database of the United States Food and Drug Administration (FDA) was searched using the term "Laser for gastro-urology use." In addition, the Rockwell Laser Industries (RLI) Laser Accident Database was searched for the following types of lasers: neodymium-doped yttrium aluminum garnet (Nd:YAG), holmium:yttrium aluminum garnet (Ho:YAG), potassium titanyl phosphate (KTP), diode and thulium:YAG (Tm:YAG).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Both databases were last accessed on October 1, 2012. Overall, there were 433 AEs; 166 in MAUDE database (1992-2012) and 267 in RLI database (1964-2005). Most of the AEs (198/433 or 46%) resulted from generator failure or fiber tip breaking. Whereas there were 20 (4.6%) AEs harming medical operators, there were 159 (37%) AEs harming nonmedical operators using Nd:YAG, KTP, and diode lasers. Eye injuries ranging from mild corneal abrasions to total vision loss were reported in 164 AEs with the use of Nd:YAG, KTP, and diode lasers. Overall, there were 36 (8.3%) AEs resulting in patient harm, including 7 (1.6%) mortalities, 3 deaths from ureteral perforation using the Ho:YAG laser, and 4 deaths from air emboli using the Nd:YAG laser. Other reported patient injuries included bladder perforation resulting in urinary diversion in a patient, in addition to minor skin burns, internal burns, and bleeding in others. There were no AEs reported with the use of Tm:YAG laser.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Most of the AEs reported relate to equipment failure. There were no eye injuries reported with the use of Ho:YAG lasers. Caution must be exercised when using lasers in urology, including wearing appropriate eye protection when using Nd:YAG, KTP, and diode lasers.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Althunayan</LastName>
<ForeName>Abdulaziz M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Elkoushy</LastName>
<ForeName>Mohamed A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Division of Urology, Department of Surgery, McGill University Health Center, McGill University, Montreal, Quebec, Canada; Department of Urology, Suez Canal University, Ismailia, Egypt</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Elhilali</LastName>
<ForeName>Mostafa M</ForeName>
<Initials>MM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Andonian</LastName>
<ForeName>Sero</ForeName>
<Initials>S</Initials>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>11</Month>
<Day>19</Day>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Endourol</MedlineTA>
<NlmUniqueID>8807503</NlmUniqueID>
<ISSNLinking>0892-7790</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C503779">yttrium-aluminum-garnet</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>58784XQC3Y</RegistryNumber>
<NameOfSubstance UI="D015019">Yttrium</NameOfSubstance>
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<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Urol. 2015 Jan;193(1):170</RefSource>
<PMID Version="1">25523666</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000535">Aluminum</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005135">Eye Protective Devices</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D054023">Lasers, Semiconductor</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053844">Lasers, Solid-State</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014570">Urologic Diseases</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000150">complications</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015019">Yttrium</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName>
</MeshHeading>
</MeshHeadingList>
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