{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:59:58Z","timestamp":1762981198118,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T00:00:00Z","timestamp":1630886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The complications of percutaneous nephrolithotomy (PNL) include hemorrhage, damage to adjuvant organs, and other medical issues, although intracardiac migration of ureteral double-J stent has never been found during PNL and delaying the diagnosis might cause mortality. We report the case of a 60-year-old male who was admitted to receive one-stage PNL for right renal stones. During operation, an unexpected atrial fibrillation with a drop in blood pressure was suddenly encountered and the chest X-ray subsequently showed that the ureteral double-J had penetrated deep into the heart. Emergent endovascular intervention was performed to remove the stent and the patient was uneventfully discharged 2 days later.<\/jats:p>","DOI":"10.3390\/medicina57090939","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T21:47:38Z","timestamp":1630964858000},"page":"939","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Intracardiac Migration of the Ureteral Double-J Stent during Percutaneous Nephrolithotomy"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4157-8189","authenticated-orcid":false,"given":"Chun-Kai","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2366-8268","authenticated-orcid":false,"given":"Yi-Hsuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung 81267, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Chen Paul","family":"Shih","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan"},{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0610-1278","authenticated-orcid":false,"given":"Jiun-Hung","family":"Geng","sequence":"additional","affiliation":[{"name":"Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan"},{"name":"Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung 81267, Taiwan"},{"name":"Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.4103\/UROS.UROS_85_20","article-title":"Risk factors of morbidity and mortality after flexible ureteroscopic lithotripsy","volume":"31","author":"Chuang","year":"2020","journal-title":"Urol. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.euf.2020.09.011","article-title":"European Association of Urology Urolithiasis Guidelines: Where Are We Going?","volume":"7","author":"Tzelves","year":"2021","journal-title":"Eur. Urol. Focus"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1089\/end.2007.0254","article-title":"Safety and efficacy of percutaneous nephrolithotomy in the pediatric population","volume":"22","author":"Kapoor","year":"2008","journal-title":"J. Endourol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/UROS.UROS_10_19","article-title":"Safety and efficacy of percutaneous nephrolithotomy in patients with large stones: A retrospective study","volume":"30","author":"Hsiao","year":"2019","journal-title":"Urol. 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J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5334\/jbr-btr.842","article-title":"Intracaval Migration of Ureteral Stent","volume":"99","author":"Hajji","year":"2015","journal-title":"J. Belg. Soc. Radiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e15668","DOI":"10.1097\/MD.0000000000015668","article-title":"Migration of a double J stent into the inferior vena cava: A case report","volume":"98","author":"Jiang","year":"2019","journal-title":"Medicine"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"71","DOI":"10.4103\/0970-1591.173113","article-title":"A double J stent misplaced in the inferior vena cava during Boari flap repair","volume":"32","author":"Maheshwari","year":"2016","journal-title":"Indian J. Urol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1097\/00000539-200211000-00011","article-title":"Acute postoperative pulmonary thromboembolism as a result of intravascular migration of a pigtail ureteral stent","volume":"95","author":"Michalopoulos","year":"2002","journal-title":"Anesth. Analg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"353","DOI":"10.4103\/0970-1591.120125","article-title":"Migration of double J stent into the inferior vena cava and the right atrium","volume":"29","author":"Sabnis","year":"2013","journal-title":"Indian J. Urol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/s13256-020-02473-y","article-title":"A ureteral single-J stent in the right atrium: A case report","volume":"14","author":"Arts","year":"2020","journal-title":"J. Med. Case Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1089\/cren.2016.0089","article-title":"Renal Vein Injury During Percutaneous Nephrolithotomy Procedure","volume":"2","author":"Mahmood","year":"2016","journal-title":"J. Endourol. Case Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s00345-018-2443-z","article-title":"Ultrasound-guided versus fluoroscopy-guided percutaneous nephrolithotomy: A systematic review and meta-analysis","volume":"37","author":"Yang","year":"2019","journal-title":"World J. Urol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/939\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:57:00Z","timestamp":1760165820000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/9\/939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,6]]},"references-count":15,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["medicina57090939"],"URL":"https:\/\/doi.org\/10.3390\/medicina57090939","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2021,9,6]]}}}