http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/about/ 2020-02-16T04:20:39+00:00 daily 0.6400 http://www.whichmedicaldevice.com/generator/generator/data/2ed0f48fcd6016b8913456e93e20978c.jpg Error 404 (Not Found)!!1 About | Which Medical Device https://www.youtube.com/embed/2WWi_Rz1zDM http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/413/atrium-v12-hepatic-pseudoaneurysm-exclusion 2020-02-16T04:20:39+00:00 daily 0.6400 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/V12 pseudo thumb.jpg Atrium V12 hepatic pseudoaneurysm exclusion This patient had a complicated laparoscopic cholecystectomy resulting in this pseudoaneurysm from the right hepatic artery. It was felt that the distal right hepatic artery may be occluded in trying to embolise the pseudoaneurym. Access was relatively straightforward with a good angle so it was decided to place a covered stent across the pseudoaneurysm neck if it would track along the right hepatic artery. The Atrium V12 was used over a 0.018 system due to its short length and low profile with ability to position accurately as it was balloon mounted. The 6F Terumo destination sheath (NOT 5 as I mistakenly stated in the video!) gave good support into the main hepatic artery. Dr Phil Haslam Consultant Interventional and uroradiologist Freeman Hospital Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/V12%20hepatic%20artery.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/411/viabahn-exclusion-of-splenic-pseudoaneurysm-2 2020-02-16T04:20:39+00:00 daily 0.6400 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/viabahn thumb2.jpg Viabahn Exclusion of splenic pseudoaneurysm 2 This patient has active haemorrhage from a splenic artery pseudoaneurysm caused by acute pancreatitis.I deciced to try to exclude it by placing a covered stent across its neck. This has the advantage of preserving the splenic artery. The difficulty is always the angulation of the coeliac origin meaning that an upper limb approach is sometime easier and also tortuosity. In this case the artery was a nice gentle curve and certainly looked easier to cover than this <a href="https://www.whichmedicaldevice.com/videos/view/400/viabahn-exclusion-of-splenic-pseudoaneurysm">similar case with a tortuous artery</a>.The difficulty was in advancing the <a href="https://www.whichmedicaldevice.com/by-manufacturer/71/361/pinnacle-destination-guiding-sheath">Destination Sheath</a> far enough into the splenic artery to gain a stable position to push the stent forwards over the 0.018 V18 wire. I managed to advance the stent throught the sheath into the origin of the splenic artery then used the stent to further advance the sheath, then worked the stent forward across the pseudoaneurysm neck.The apparent distal splenic pseudoaneurysm is due to spasm either side of normal vessel. you can see the change in appearence throughout the procedure.Dr Phil HaslamConsultant Interventional RadiologistFreeman Hospital https://www.whichmedicaldevice.com/uploads/files/Videos/gore%20viabahn%20splenic%20pseudo.MP4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/410/deploying-the-gore-tigris-stent-watch-out 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/tigris thumb 2.jpg Deploying the Gore Tigris stent, watch out! How to deploy the Gore Tigris stent and a potential problem if you mishandle it!(Please note that the forward movement on 'unlocking' is because I was gripping the device shaft which would normally move backwards). Dr Phil Haslam, Consultant Interventional Radiologist Dr John Reicher, Specialist Registrar in IR https://www.whichmedicaldevice.com/uploads/files/Videos/tigris_stent_Full%20HD_HIGH_FR30.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/408/prostar-features 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/prostar thumb.jpg Prostar Features This introductory video to the prostar from Dr Rob Williams discusses its features and when you would use this rather than a <a href="https://www.whichmedicaldevice.com/by-manufacturer/3/558/perclose-proglide-suture-mediated-closure-system">ProGlide</a>for large access closure.Dr Rob Williams, consultant Interventional radiologistDr Phil Haslam, consultant Interventional radiologist https://www.whichmedicaldevice.com/uploads/files/Products/Cook/Prostar%20talk2.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/409/using-the-prostar-for-large-vessel-closure 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/prostar needles.jpg Using the Prostar for large vessel closure This video shows in detail how to insert the Prostar device in a scarred groin. The patient has had a fenestrated EVAR device and now requires a limb extension. This was performed purely percutaneously. The Prostar device is part deployed prior to the limb extension insertion (preclose) then the sutures are finally tightened and tied off on sheath removal. This device is probably the closure device of choice to use for large vessel closure in the presence of scarring that would make other devices difficult or impossible to use successfully. Dr Rob Williams, consultant interventional radiologist Dr Phil Haslam, consultant interventional radiologist https://www.whichmedicaldevice.com/uploads/files/Products/Cook/prostar%20medium.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/406/uventa-stent-deployment 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/uventa deplyment thumb.jpg Uventa stent deployment Deployment of a Uventa covered ureteric stent across a distal ureteric occlusion. Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Products/Cook/uventa%20deployment.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/407/using-the-cook-biliary-biopsy-forceps 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cook biopsy stent thumb.jpg Using the Cook Biliary biopsy forceps This video shows thetechnique for using the Cook transluminal biliary biopsy set. There is a hilar stricture which is biopsied then stented using a Nitinela stent and EV3 Protege stent across the ampulla. The tract is then plugged with gelfoam Dr Sebastian Mafeld, Radiology Registrar Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Products/Cook/Bile%20duct.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/405/cook-biliary-biopsy-forceps 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cook biopsy thumb.jpg Cook Biliary biopsy forceps This shows the cook biopsy forceps inserted through the 7F sheath to the stricture. In this case the presumed cause was a head of pancreas tumour. Biopsies were taken at the level of the occlusion alongside the wire which alows access to be maintained. https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/forceps%20in%20action.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/401/complex-transplant-ureteric-stent 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/stent txk thumb.jpg Complex transplant ureteric stent This tight ureteric stricture required a micro wire (Meister 0.018") and microcatheter to cross.This was then upsized to a 0.035" system to allow balloon dilatation (presumed ischaemic stricture) and stenting.It is very unusual to need a 0.018" systemt to cross ureteric strictures, but it can be very useful.Dr Phil Haslam, consultant interventional and uroradiologistDr Georgia Priona, specialist registrar radiology https://www.whichmedicaldevice.com/uploads/files/Videos/transplant%20stent%20meister%20wire5.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/400/viabahn-exclusion-of-splenic-pseudoaneurysm 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/splenic pseudo thumb.jpg Viabahn Exclusion of Splenic Pseudoaneurysm This pseudoaneurysm occured in the mid splenic artery in a patient with chronic pancreatitis. The presence of a cystogastric stent to decompress the pseudocyst led to the presentation with major intermittent haematemesis. We chose to use a Viabahn to preserve the splenic artery. An alternative would have been to exclude the pseudoaneurysm by occluding the artery across/either side of ther neck. Dr Phil Haslam Consultant Interventional Radiologist. https://www.whichmedicaldevice.com/uploads/files/Videos/Gore/viabahn%20splenic%20pseudo.mp4 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/399/merit-surfacer-inside-out-device 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/surfacer.jpg Merit Surfacer Inside out device Saw this at BSIR 2017. It looks like a more aggressive way to sharp recanalise an occluded SVC/BC vein to get introduce a central venous catheter. Would really like to hear from users, does it live up to what they say?? https://www.whichmedicaldevice.com/uploads/files/Videos/Merit/surfacer.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/398/removing-a-stuck-pcn 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcn thumb2.jpg Removing a stuck PCN This video shows a technique for removing a stuck PCN catheter. This usually occurs when it has been left in too long and a 'club' of stone forms on the end of the catheter. In the worst case this may require PCNL to remove it. https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/stuck%20pcn.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/386/asahi-meister-guidewire 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/meister demo.jpg Asahi Meister guidewire I saw this wire demonstrated at CIRSE 2016. This short video compares (crudely) its torquability with a terumo micro wire. Clearly there are other factors involved in selecting which micro wire you would use for a procedure, but this does illustrate one aspect quite well. Dr Phil Haslam Consultant Interventional and Uroradiologist Freeman Hospital Newcastle upon Tyne UK https://www.whichmedicaldevice.com/uploads/files/Videos/meister.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/384/lumify-ultrasound-system-comparison 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/lumify thumb.jpg Lumify Ultrasound System Comparison This video show a short comparison between the Philips Lumify system running on an android tablet, the Sonosite Nanomax and the GE Venue 50. You will see that even in this crude comparison the Lumify gives very respectable and some might argue superior images. Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Products/philips/Lumify%20comparison.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/385/nephrostomy-with-a-smartphone 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcn thumb.jpg Nephrostomy with a smartphone! This short video demonstrates the Lumify system being used with an android phone to perform a nephrostomy. This was a grossly dilated infected system and imaging guidance need not be the best, but nevertheless it does illustrated the capability of this small system. Dr Phil Haslam Consultant Interventional Radiologist Freeman Hospital, newcastle upon Tyne UK https://www.whichmedicaldevice.com/uploads/files/Products/philips/PCN%20lumify.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/91/ge-v-scan 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/GE-vscan.JPG GE V Scan A demonstration of the <a href="http://www.whichmedicaldevice.com/by-manufacturer/34/303/vscan">GE V scan</a> used to scan a patient with a pleural effusion. Dr Phil Haslam Consultant Interventional Radiologist Freeman Hopsital Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/GE/GE_vscan.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/379/starclose-deployment 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/starclose thumb.jpg Starclose deployment This short video demonstrates deployment of the starclose device. Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital Newcastle upon Tyne UK https://www.whichmedicaldevice.com/uploads/files/Videos/starclose2.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/378/angioseal-deployment 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/angioseal thumb.jpg Angioseal deployment This short video shows deployment of the 6F Angioseal VIP device following prostatic artery embolisation for BPH. Dr Phil Haslam, Consultant Interventional RadiologistDr Pete Littler, Consultant Interventional Radiologist, The Freeman hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/St%20Jude%20Medical/angioseal.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/353/raysafe-i2-dose-in-ir 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/i2 video thumb.jpg RaySafe i2 dose in IR This video demonstrates the variation in operator dose in the IR room, with and without lead protection measures in place. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/RaySafe%20i2.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/357/matrixrib-fixation-of-a-flail-chest 2020-02-16T04:20:39+00:00 daily 0.4096 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/matrix thumb.jpg MatrixRIB Fixation of a Flail Chest This video shows deployment of multiple MatrixRIB plates for fixation of a flail chest post trauma. Mr Sion Barnard, Consultant Cardiothoracic Surgeon Mr John Williams, Consultant Orthopaedic Surgeon Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Synthes/MatrixRIB.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/93/tavi-edwards-sapien-transcatheter-heart-valve-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/TAVI-deployed.jpg TAVI Edwards Sapien Transcatheter Heart Valve Insertion This video demonstrates insertion of the<a href="http://www.whichmedicaldevice.com/by-manufacturer/31/210/sapien-transcatheter-heart-valve-"> Edwards Sapien transcatheter heart valve</a>. This was a difficult case due to the presence of a prosthetic mitral valve. There was a significant risk of the new aortic valve compromising the function of the mitral valve if insertion was not in precisely the correct position. Ballon inflation across the aortic valve certainly caused valve malfunction and this is excellently demonstrated on the TOE which was used throughout the procedure to aid correct valve placement. Dr Richard Edwards, Consultant Cardiologist, Freeman Hospital, Newcastle upon Tyne Dr Azfar Zamman,Consultant Cardiologist, Freeman Hospital, Newcastle upon Tyne Dr Douglas Muir,Consultant Cardiologist, James Cook University Hospital, Middlesbrough Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital,Newcastle upon Tyne Mr Thasee Pillay, Consultant Cardiothoracic Surgeon,Freeman Hospital, Newcastle upon Tyne Dr S Tim Irvine, Consultant Cardiologist, Freeman Hospital, Newcastle upon Tyne Dr Antoinette Kenny,Consultant Cardiologist, Freeman Hospital, Newcastle upon Tyne Sr Amanda Hill,Sister, Freeman Hospital, Newcastle upon Tyne Grace Diploma, Scrub nurse, Freeman Hospital, Newcastle upon Tyne Helle Markusen, Edwards Lifesciences representative https://www.whichmedicaldevice.com/uploads/files/Videos/Edwards/TAVI.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/90/radial-access-closure-using-the-tr-band 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/terumo-radial-sheath-thumb.jpg Radial Access closure using the TR Band Illustration of haemostasis post radial access for PCI using the <a href="http://www.whichmedicaldevice.com/by-manufacturer/71/344/tr-band-radial-compression-device">TR Band</a> from Terumo. https://www.whichmedicaldevice.com/uploads/files/Videos/Terumo/TR%20Band/radial%20access%20closure.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/81/radial-access-for-pci 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/terumo-radial-sheath-thumb.jpg Radial Access for PCI This short video demonstrates the technique for radial access using the <a href="http://www.whichmedicaldevice.com/by-manufacturer/71/77/radifocus-introducer-ii-m-coat-hydrophilic-radial-access-introducer-kit">Radifocus Introducer II M Coat Hydrophilic Radial Access Introducer kit</a>.If you have used this kit then please<a href="http://www.whichmedicaldevice.com/by-manufacturer/71/77/radifocus-introducer-ii-m-coat-hydrophilic-radial-access-introducer-kit"> let us know what you think.</a> Dr Nev Mather, Specialist Registrar Cardiology Dr Asfar Zaman, Consultant Cardiologist Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Terumo/Radial%20access%20sheath/Radifocus%20Radial%20Access%20Introducer%20kit.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/56/exoseal-deployment 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/exoseal-thumb.jpg ExoSeal Deployment This video from Rodolfo Lanocita MD, of the Istituto Nazionale dei Tumori, Milan, demonstrates deployment of the <a href="http://www.whichmedicaldevice.com/by-manufacturer/25/208/exoseal">ExoSeal vascular closure device</a> from <a href="../../../by-manufacturer/25/cordis-johnson-and-johnson">Cordis</a>.Please note that you must be trained in the use of this device by a Cordis Johnson and Johnson representative. https://www.whichmedicaldevice.com/uploads/files/Videos/Cordis/Exoseal-deployment.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/11/perclose-deployment 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/perclose-deployment-thumb.jpg Perclose deployment This short video demonstrates our deployment of the Abbott perclose device following carotid stenting using a 9F sheath. Please note that this video is no substitute for training in the use of this device by a suitably trained individual. Dr Ralph Jackson, Consultant Interventional Radiologist Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/perclose%20deployment.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/383/emprint-needle-visibility-on-ultrasound 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/US thumb.jpg Emprint Needle visibility on ultrasound This video clip shows the extreme visibility of the Emprint ablation needle on ultrasound. I presume this is due to the cooling jacket around the metal causing increased reflection of the US beam.Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Covidien/Emprint%20US.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/381/swift-ninja-microcatheter 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/swift ninja.jpg Swift Ninja microcatheter This video shows the use of the Swift Ninja steerable microcatheter to selectively catheterise the prostatic artery during a PAE procedure. https://www.whichmedicaldevice.com/uploads/files/Ninja.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/380/emprint-microwave-renal-ablation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/empring thumb.jpg Emprint Microwave Renal Ablation This video demonstrates the ablation of a small renal tumour using the Covidien Emprint microwave ablation device. Dr Phil Haslam, consultant Interventional Radiologist Freeman Hospital, newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/emprint%20microwave%20wmd2.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/368/onyx-embolisation-of-renal-aml 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/AML emb Onyx thumb.jpg Onyx embolisation of renal AML This video shows the percutaneous embolisation of a renal AML using Onyx 18. This benign renal mass had been previously biopsied to prove the diagnosis. I usually embolise these using PVA (contour) 250-355u and coils but having started using onyx felt a renal AML could be very efficiently embolised using this or its competitor product PHIL. I initally injected the Onyx relativley quickly to alow it to flow into the most distal part of the vessel in which I had lodged the microcatheter. The onyx then flowed back along the microcatheter. At this point I waited to allow it to solidify around the catheter before injecting again more slowly. It then flowed out into the surrounding branch vessels giving an excellent embolisation. You will see that I injected a little too much near the end which started to flow into a vessel supplying normal renal tissue. I stopped at this point! Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/AML%20emb%20Onyx.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/107/cobb-procedure-for-acquired-flatfoot-deformity 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cobb3.jpg Cobb procedure for acquired flatfoot deformity This procedure was described in the UK by Cobb and used to treat an acquired flatfoot deformity due to tibialis posterior insufficiency.The technique involves the splitting of the tibialis anterior tendon which is passed through the medial cuneiform or the tibialis posterior insertion, then through the tibialis posterior sheath and attached to the tibialis posterior stump proximally. This gives a large, strong reconstruction.Mr Malik Siddique, consultant foot and ankle surgeon, Freeman HospitalMr Craig Gerrand, consultant orthopaedic surgeon, Freeman Hospital https://www.whichmedicaldevice.com/uploads/files/cobb3.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/96/vidacare-oncontrol-bone-access-system-demonstration 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/VideoThumb.jpg Vidacare OnControl Bone Access System demonstration This video shows the OnControl bone biopsy system from Vidacare, whilst being used on a polymer block for demonstration purposes. https://www.whichmedicaldevice.com/uploads/files/Videos/vidacare.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/92/triathlon-knee-arthroplasty 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/triathlon knee_FF_1.jpg Triathlon Knee Arthroplasty Mr Andrew Port, Consultant Orthopaedic Surgeon, James Cook University Hospital, Middlesbrough discusses his approach to primary knee arthroplasty using the<a href="http://www.whichmedicaldevice.com/by-manufacturer/68/176/triathlon-total-knee-replacement-system">Stryker Triathlon Knee System</a>in conversation withMr Craig Gerrand,Consultant Orthopaedic Surgeon. https://www.whichmedicaldevice.com/uploads/files/Videos/Stryker/triathlon%20knee2.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/84/ceramic-surface-engineering-in-hip-replacement 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/ron woering.jpg Ceramic Surface Engineering in Hip Replacement In this video, Ron Woering of Implantcast discusses the development of the ACCIS hip, ceramic surface engineering, and whether or not it is a good time to be marketing a metal on metal hip replacement. https://www.whichmedicaldevice.com/uploads/files/Videos/accis%20hip/ron%20woering.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/95/renal-sympathetic-denervation-using-the-ardian-symplicity-catheter 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/ardian thumb.jpg Renal Sympathetic Denervation using the Ardian Symplicity Catheter This was our first case of renal sympathetic denervation using the Ardian (Medtronic) <a href="http://www.whichmedicaldevice.com/by-manufacturer/113/198/symplicity-catheter-system">Symplicity Catheter</a>. The procedure is simple but there are various points of technique that need to be adhered to for successful ablation. The aim is for a spiral of ablation points around the renal artery from distal to proximal. We found that the more proximal ablations were the most painful and required careful titration of analgesia. We were guided in this procedure by Louise Fountaine of Medtronic.An excellent overview of renal sympathetic denervation can be found in our <a href="http://www.whichmedicaldevice.com/editorial/article/112/renal-sympathetic-denervation-rationale-evidence-and-future-implications" target="_blank">recent editorial.</a>(In our centre the cases are split between interventional radiology and cardiology) Dr Ralph Jackson, Consultant Interventional Radiologist, Freeman Hospital Dr Alan Bagnall, Consultant Cardiologist,Freeman Hospital Dr Phil Haslam,Consultant Interventional Radiologist, Freeman Hospital https://www.whichmedicaldevice.com/uploads/files/Videos/Ardian/Ardian.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/88/renal-tumour-microwave-ablation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/microwave CT thumb.jpg Renal tumour microwave ablation This video demonstrates microwave ablation of a small renal tumour using the <a href="http://www.whichmedicaldevice.com/by-manufacturer/123/241/acculis-microwave-tissue-ablation-mta-system">Acculis Microwave Tissue Ablation (MTA) system</a> by <a href="http://www.whichmedicaldevice.com/by-manufacturer/123/microsulis-medical">Microsulis</a>. The procedure is identical to RF ablation but quicker. In our limited experience with the device it also appears to less painful. Dr Phil HaslamConsultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/microsulis/mcrowave%20ct%20guided.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/86/microwave-renal-tumour-ablation-at-open-surgery 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/micro-thumb.jpg Microwave renal tumour ablation at open surgery This video was taken using a laparoscopic camera and demonstrates the Microsulis Acculis Microwave Tissue Ablation (MTA) system in use during open surgery. The patient had a solitary kidney due nephrectomy for RCC some years before. The remaining kidney developed multiple tumours, a larger tumour in the upper pole and multiple small tumours in the lower pole. We decided to perform an open partial nephrectomy of the upper pole and use ablation for the lower pole. We chose intraoperative ultrasound guided microwave ablation for the multiple small tumours. RFA was an alternative but would have taken much longer and was not practical in this situation. The tumours measured between 0.5 cm and 2cm. We used 60W power with ablation times between 30 seconds and 120 seconds. The patient was on dialysis for 2 weeks post procedure is now dialysis free. Follow up MRI at 4 weeks has shown no evidence of residual enhancing tumour indicating successful ablation. Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne. Mr Naeem Soomro,Consultant Urologist, Freeman Hospital, Newcastle upon Tyne. Krishna Narahari Specialist Registrar Urology, Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/microsulis/micro-open.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/102/nephrostomy-insertion-with-12f-locking-pigtail 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcn 12f-thumb.jpg Nephrostomy insertion with 12F locking pigtail This video shows the technique for combined ultrasound and xray screening insertion of a 12 French locking pigtail nephrostomy catheter.A large bore 12F tube was used in this situation for chronic sepsis. Te locking mechanism helps prevent tube dislodgement. The tube is also placed in a stoma bag to also reduce the chances of it being caught and pulled out.The tube used was a <a href="http://www.whichmedicaldevice.com/by-manufacturer/24/78/mac-loc-catheter" target="_blank">Cook Mac-Loc catheter</a>Dr Phil Haslam, Consultant Interventional RadiologistDr Sebastian Mafeld, Specialist Registrar, Radiology https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/pcn%2012f.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/24/renal-abscess-drainage 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/renal-abcess-drainage-thumb.jpg Renal abscess drainage This short video demonstrates ultrasound guided drainage of a large renal abscess using a trocar technique. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/renal-abcess-drainage.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/71/fistula-haemostasis-with-purse-string-suture 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/thumb.jpg Fistula haemostasis with purse-string suture This short video illustrates a useful technique for achieving rapid haemostasis after removal of a sheath used for a dialysis fistula plasty. The small piece of plastic used has been cut from a vascular dilator (used with the sheath). I have seen this technique used in several centres and seems to work well. The suture can be cut when the patient attends for dialysis. An alternative and ellegant solution is the <a href="http://www.whichmedicaldevice.com/by-manufacturer/51/197/slip-not-suture-retention-device">Merit Slip-Not suture retention device</a> that can be used with their sheaths when the patient is to go straight to dilaysis post procedure. Dr Rob Allison, Fellow Interventional Radiology, Freeman Hospital, Newcastle upon Tyne. Dr Phil Haslam, Consultant Interventional Radiologist,Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/fistula%20haemostasis/fistula%20haemostasis%20purse%20string%20suture.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/16/subintimal-angioplasty 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/subintimal-angioplasty-thumb.jpg Subintimal angioplasty This short video illustrates the technique of subintimal angioplasty using a 4F angioplasty balloon and 018 guidewire (Biotronik Passeo 018). Normally I would start with an 035" guidewire for access, 4F sheath insertion and catheter insertion. The catheter is placed up against the edge of the occlusion/plaque. I then insert an 035" curved hydrophilic guidewire and start dissecting in the subintimal plane by pushing a loop of wire forward ahead of the catheter. The catheter and wire are then advanced together in the subintimal plane through the occlusion. When relatively normal vessel is encountered the loop of wire is shortened and hopefully will pop back into the true lumen. Its usually obvious when the wire is back in the vessel as it will rotate freely. Its best to check this with a small injection of contrast prior to angioplasty. The 035 wire is then exchanged for an 018 wire over which to insert the 4F balloon. I usually perform angioplasty using a roadmap which demonstrates the exact site of the occlusion and also confirms correct balloon sizing. Once the occlusion is crossed with the wire I inject 2500iu of heparin prior to angioplasty. Angioplasty often has to be performed using a pressure inflation device starting from the most distal lesion moving proximally. Once flow is restored I usually finish the procedure. Second angioplasty for a smooth 'perfect' result can sometimes lead to distal embolization. The vessel will remodel and I think flow is more important than the actual radiological appearance. Stenting can also be considered if flow is not good. Dr Phil Haslam Consultant Interventional Radiologist, Freeman Hospital, Newcastle, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/subintimal-angioplasty.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/38/pleurx-drain-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pleurx-video-thumb.jpg Pleurx drain insertion This short video demonstrates our technique for insertion of a pleurx drain for malignant ascites. This patient had a current drain in situ in the midline (due to abdominal wall hernias). This drain had stopped working after 9 months and a new drain was inserted.Dr Phil Haslam, Consultant Interventional Radiologist Dave Briarley, Radiographer (cameraman)Freeman Hospital, Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Training/pleurx-insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/9/ev3-turbohawk-plaque-excision-system 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/turbohawk-homepage.jpg EV3 Turbohawk plaque excision system The TurboHawk™ Super Cutter blade is the newest advancement specifically designed to treat challenging plaque morphologies. Unmatched versatility is delivered by combining the Super Cutter blade with an improved drive shaft and catheter jog. Designed to treat moderately to severely calcified lesions in varying vessel diameters, TurboHawk is designed to elevate your treatment efficiency, flow, and outcomes. https://www.whichmedicaldevice.com/uploads/files/Videos/EV3/turbohawkall.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/17/biliary-drainage-and-stent-insertion-ptc 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/biliary-drainage-thumb.jpg Biliary Drainage and stent insertion (PTC) This video demonstrates a biliary drainage procedure or PTC (percutaneous transhepatic cholangiogram) with drainage catheter and stent insertion. It also illustrates a problem with advancement of the initial puncture set into the biliary system. Dr Philip Haslam, Consultant Interventional Radiologist Dr Hazel Halbert, SPR Radiology https://www.whichmedicaldevice.com/uploads/files/Videos/Training/biliary-drainage.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/80/adrenal-biopsy-using-ultrasound 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/adrenal biopsy thumb.jpg Adrenal biopsy using ultrasound This patient had a right nephrectomy for RCC several years ago and was found to have a left adrenal mass on routine ultrasound follow up.Adrenal masses are often biopsied under CT guidance however a mass of this size is often easily seen with ultrasound and biopsy is much quicker than under CT guidance.<img alt="Sagittal view adrenal metastasis" width="675" height="659" src="/uploads/files/Videos/Adrenal biopsy/sagittal view.jpg" /><img alt="adrenal metastasis sagittal view" width="675" height="506" src="/uploads/files/Videos/Adrenal biopsy/us adrenal met.jpg" />Dr Phil HaslamConsultant Interventional RadiologistDr Hazel halbertSpecialist Registrar Radiology https://www.whichmedicaldevice.com/uploads/files/Videos/Adrenal%20biopsy/ultrasound%20adrenal%20biopsy.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/8/large-core-spirotome-biopsy-for-head-and-neck-diseases 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/spirotome-headneck-thumb.jpg Large-core Spirotome biopsy for head and neck diseases. Large-core Spirotome biopsy for head and neck diseases. https://www.whichmedicaldevice.com/uploads/files/Videos/Medinvents/Spirotome/spirotome-headandneck.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/6/spirotome-direct-and-frontal-macrobiopsy 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/spirotome-direct-thumb.jpg Spirotome direct and frontal macrobiopsy Direct and frontal macrobiopsy using the Spirotome device. https://www.whichmedicaldevice.com/uploads/files/Videos/Medinvents/Spirotome/spirotome-ecr.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/5/spirotome-demonstration-video 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/spirotome-screen.jpg Spirotome demonstration video Demonstration of the Spirotome device by Dr. Richard Harries of Diana, Princess of Wales Hospital. https://www.whichmedicaldevice.com/uploads/files/Videos/Medinvents/Spirotome/spirotome-demo.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/7/spirotome-macrobiopsy-from-thoracic-wall 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/spirotome-macrobiopsy-thumb.jpg Spirotome macrobiopsy from thoracic wall Macrobiopsy from thoracic wall using the Spirotome device. https://www.whichmedicaldevice.com/uploads/files/Videos/Medinvents/Spirotome/spirotome-macrobiopsy.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/27/bone-rfa-osteoid-osteoma 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/bone-rfa-thumb.jpg Bone RFA Osteoid Osteoma This short video demonstrates our technique for ablating an osteoid osteoma under general anaesthetic and CT guidance. The Bonopty biopsy system is supplied by Apriomed Dr Geoff Hide Consultant Musculoskeletal Radiologist Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/bone-RFA-meta.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/44/misonix-bone-scalpel-egg-demonstration 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/bone scalpel.jpg Misonix Bone scalpel egg demonstration The Misonix Bone Scalpel is an ultrasonic tissue-specific bone cutting device particularly suited to spinal surgery.This short video demonstrates this scalpel being used to cut through the shell of a raw egg without damaging the membrane beneath, as demonstrated at COMOC 2010 in Glasgow. <a href="http://www.whichmedicaldevice.com/by-manufacturer/104/178/misonix-bone-scalpel">Have you used the Misonix BoneScalpel in clinical practice? Please contribute with a review.</a> https://www.whichmedicaldevice.com/uploads/files/Videos/Misonix%20bone%20scalpel/bone%20scalpel.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/12/carotid-stent-flow-reversal 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/carotid-stent-flow-reversal-thumb.jpg Carotid stent flow reversal This video shows carotid stenting using the Gore Neuroprotection system (NPS) which works by reversing the flow in the ICA being treated. This is a 9F system and incorporates a sheath through which the carotid stenting procedure is performed. The 'Gore balloon sheath' has an elastomeric balloon mounted at the end. The 'Gore balloon wire' is a 0.014" guidewire with premounted elastomeric balloon for occluding the ipsilateral ECA. Rather than using the central dilator with the Gore balloon sheath we preload the catheter with a 6.5F 125cm headhunter catheter (Cook shuttle Celect) and use a coaxial technique to engage the ipsilateral ICA. The stent used is a 6-9mm <a href="http://www.whichmedicaldevice.com/by-manufacturer/39/779/cristallo-ideale" onclick="window.open(this.href,'','resizable=yes,location=no,menubar=no,scrollbars=no,status=no,toolbar=no,fullscreen=no,dependent=no,status'); return false">Cristallo Ideale stent (Invatec)</a>. Dr Sumaira Macdonald, Consultant Interventional Radiologist Dr Ralph Jackson, Consultant Interventional Radiologist Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/csfr-video.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/28/carotid-stent-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/carotid-stent-insertion-thumb.jpg Carotid stent insertion This 61 year old patient was stented as part of ACST 2. Doppler had shown a left sided stenosis of 50-79% at the origin of the ICA. MRI had demonstrated a lacunar infarct in the left caudate nucleus and a stenosis of at least 70% in the left ICA with significant stenosis in the mid left vertebral artery. This video demonstrates stenting of this lesion using the EV3 protege stent and the EV3 spider FX filter. Dr Sumaira Macdonald Consultant Interventional Radiologist Dr Ralph Jackson Consultant Interventional Radiologist Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/carotid-stent-insertion-meta.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/89/dc-bead-tace-for-hepatocellular-carcinoma 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/DC Bead Rodolfo thumb.JPG DC Bead TACE for hepatocellular carcinoma This video demonstrates the technique of TACE using <a href="http://www.whichmedicaldevice.com/by-manufacturer/14/215/dc-bead-drug-eluting-bead">DC beads</a>. The patient has a small HCC in hepatic segment VIII.The catheter used at 3 minutes in is the <a href="http://www.whichmedicaldevice.com/by-manufacturer/4/366/sos-omni-selective-catheter">SOS Omni Selective Catheter</a>.Marcello Shiavo, MD Rodolfo Lanocita, MD Carlo Spreafico, MD Vincenzo Mazzaferro, MD Instituto Nazionale Tumori, Milano GI Surgery and Liver Transplantation Unit Interventional Radiology Unit https://www.whichmedicaldevice.com/uploads/files/Videos/Biocompatibles/DC%20beads%20Rodolfo.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/335/medcomp-split-stream-insertion-2 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/medcomp.jpg Medcomp Split Stream Insertion 2 This video shows the insertion of the Medcomp Splitsream Dialysis catheter using an over the wire technique and no peelaway sheath. This new version of the line has a new type of extension for connection. Dr Phil Haslam, Consultant Intervenional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Medcomp/medcomp%20splitstream.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/83/medcomp-split-stream-catheter-over-the-wire-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/OTW pic.jpg Medcomp split stream catheter over the wire insertion This video demonstrates the technique for inserting the Medomp Split Stream Dialysis catheter using an 'over the wire' technique without a peelaway sheath. This is particularly useful for left sided punctures where you may not be able to pass the sheath into the SVC.Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon TyneDr Bhaskar Ganai, Specialist Registrar, Freeman Hospital, Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Medcomp/splitstream-otw.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/75/medcomp-split-stream-catheter-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/medcomp-split stream.jpg Medcomp Split stream catheter insertion This video shows our first attempt to insert the <a href="http://www.whichmedicaldevice.com/by-manufacturer/47/258/split-stream-catheter">Split Stream catheter</a> from Medcomp, a variation on the Ash split catheter. The advantage of this catheter is that the tip can be accurately placed prior to tunneling. The catheter connectors can also be replaced if damaged similar to the Tessio catheter.In this video the catheter was placed through a peelaway sheath, but it can also be placed over the wire without the use of the sheath. Placement seems pretty simple. The attachment of the connectors is in fact a lot simpler than the IFU implies. https://www.whichmedicaldevice.com/uploads/files/Videos/Medcomp/medcomp%20split%20stream.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/35/dialysis-line-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/dialysis-line-thumb.jpg Dialysis line insertion This video demonstrates my technique for insertion of a tunelled dialysis line. The line used is a Medcomp split catheter, but the technique is essentially the same for other catheters. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/dialysis-line.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/142/varicocele-embolisation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/var thumb.jpg Varicocele embolisation Varicocele embolisation using Balt Spiral Coils. This shows the right jugular approach for embolisation of the left gonadal vein. Often one spirale coil is sufficient. Dr Phil Haslam, Consultant Interventional Radiologist Dr Hazel Halbert, specialist registrar in radiology. https://www.whichmedicaldevice.com/uploads/files/Videos/Pyramed/varicocele%20embolisation.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/99/amplatzer-vascular-plug-4-deployment 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/renal avf thumb.jpg Amplatzer vascular plug 4 deployment This large renal arterio venous fistula (AVF) was an incidental finding on CT performed for haematuria. The video shows occlusion of the fistula using an Amplatzer vascular plug 4. The plug was deployed through a 4F cobra and 5F Terumo destination sheath. Flow was occluded after 3 minutes.Dr Bhaskar Ganai, Lecturer in Interventional Radiology, Beaumont Hospital, DublinDr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/St%20Jude%20Medical/renal%20avf%20amplatzer%204.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/76/gelfoam-preparation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/gelfoam-thumb.jpg Gelfoam preparation This video demonstrates the mixing of Spongostan (gelfoam) into a slurry with contrast prior to injection. https://www.whichmedicaldevice.com/uploads/files/Videos/Cordis/gelfoam.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/73/azur-hydrocoil 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/azur-thumbnail.jpg AZUR Hydrocoil This short video demonstrates the preparation and deployment of the <a href="http://www.whichmedicaldevice.com/by-manufacturer/71/240/azur-peripheral-hydrocoil">AZUR Peripheral HydroCoil</a> in a varicocoele embolisation. https://www.whichmedicaldevice.com/uploads/files/Videos/Azur%20coil/azur-coil.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/10/thrombin-injection-of-femoral-pseudoaneurysm 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/thrombin-injection-thumb.jpg Thrombin injection of femoral pseudoaneurysm The components used are the human thrombin and calcium chloride solution from the <a href="http://www.whichmedicaldevice.com/by-manufacturer/131/259/tisseel-tissue-adhesive">Tisseel kit</a>. A further description of the components and actions can be found in the video <a href="http://www.whichmedicaldevice.com/videos/view/25/thrombin-injection-splenic-artery-pseudoaneurysm">'thrombin injection splenic artery pseudoaneurysm.'</a> Dr Hilary White, Interventional Fellow Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK Ultrasound performed using Zonare Z.one https://www.whichmedicaldevice.com/uploads/files/Videos/Training/femoral-pseudo-thrombin.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/13/onyx-demonstration 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/onyx-thumb.jpg Onyx demonstration This video demonstrates in-vitro how Onyx works. It was filmed during a discussion/demonstration of Onyx by Dr Andy Platts at the SERF course in Newquay, UK. It should be seen in conjunction with the review of Onyx written by Dr Andrew Wigham and Dr Andy Platts and of course is not a substitute for thorough proctored training in the use of this agent. Dr Andrew Platts, Consultant Neuro and Vascular Interventional Radiologist Royal Free Hospital, London, UK Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/onyx.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/19/ovarian-vein-embolisation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/embolisation-ovarian-thumb.jpg Ovarian vein embolisation This short video demonstrates my technique for ovarian vein embolisation. This patient had chronic pelvic pain and was thought to have pelvic congestion syndrome on a recent ultrasound (a contentious diagnosis). Embolisation is essentially the same as bilateral varicocoele embolisation, easy on the left and a bit harder on the right. Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/embolisation-ovarian-vein.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/22/embolisation-renal-artery-post-pcnl 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/embolisation-renal-thumb.jpg Embolisation renal artery post PCNL This short video demonstrates embolisation for renal haemorrhage post pcnl. The PCNL procedure was uneventful apart from a minor lower pole calyceal tare with no haemorrhage at the time. An antegrade ureteric catheter was left through the tract half way down the ureter post procedure in case subsequent renal access was required. The patient had been bleeding for overa day post procedure and it was not settling down. The urologists wanted a tamponading balloon catheter to be placed in the tract under screening guidance. In my experience this will only temporarily stop haemorrhage unless it is venous ooze. The bleeding seen in the angio suite was persisitant and not felt to be venous. The angiogram speaks for itself. Dr Phil Haslam, Consultant Interventional Radiologist. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/embolisation-renal.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/25/thrombin-injection-splenic-artery-pseudoaneurysm 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/thrombin-injection-splenic-artery-thumb.jpg Thrombin injection splenic artery pseudoaneurysm This video demonstrates the use of thrombin in the percutaneous treatment of a narrow necked splenic artery pseudoaneurysm:The thrombin component of <a href="http://www.whichmedicaldevice.com/by-manufacturer/131/259/tisseel-tissue-adhesive">Tisseel</a> was used. The first reported cases of thrombin injection for aneurysms and pseudoaneurysms were in 1986: Cope C, Zeit R. Coagulation of Aneurysms by Direct Percutaneous Thrombin Injection.AJR 1986;147:383-7. Since then we reported our experience using percutaneous thrombin injection with and without balloon occlusion of the parent vessel: Loose HW,.Haslam PJ. The management of peripheral arterial aneurysms using percutaneous injection of fibrin adhesive. Br.J.Radiol. 1998;71:1255-9. (13 cases balloon) Owen RJ, Haslam PJ, Elliott ST, Rose JD, Loose HW. Percutaneous ablation of peripheral pseudoaneurysms using thrombin: a simple and effective solution. Cardiovasc.Intervent.Radiol. 2000;23:441-6. (25 cases, 19 with balloon) The technique has become widely established in the treatment of pseudoaneurysms. Dr Phil Haslam Consultant Interventional Radiologist Dr Rob Williams Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/thrombin-injection-splenic-artery.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/29/varicocoele-embolisation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/varicocoele-embolisation-thumb.jpg Varicocoele embolisation This video demonstrates our technique for left varicocoele embolisation. The patient was 24yrs old and had a large painful varicocoele. We generally use long Spirale coils (Balt) 8x300mm or 10x400mm. Usually one coil is sufficient. We occasionally use microcoils if access is difficult. Dr Phil Haslam Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/varicocoele-embolisation.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/345/evar-endoleak-with-us-microbubbles-and-ct-image-fusion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/endoleak bubbles thumb.jpg EVAR endoleak with US microbubbles and CT image fusion This short video shows 2 EVAR patients examined with SonoVue US contrast microbubbles. The real time US image is fused with a recent CT showing the anatomy well.(Philips Epiq). The second part of the video shows a patient with a fenestrated graft and a leak originating possibly from the fabric of the left renal stent graft (Atrium V12) or from the join between the device and the Atrium stent graft. This should be easily remedied with a further stent. Dr Andy McNeill, Specilaist Registrar Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/EVAR%20bubbles.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/45/cook-low-profile-zenith-graft-deployment 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cook-evar-thumb.jpg Cook low profile Zenith graft deployment This short video shows Dr John Rose deploying the new Cook Low profile Zenith device.Dr John Rose, Freeman Hospital Newcastle upon TyneDr Phil Haslam.Freeman Hospital Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/cook%20evar%20flash.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/329/google-glass-use-in-a-fistuloplasty 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/Glass fistuloplasty thumb.jpg Google Glass use in a fistuloplasty This concept video illustrates how Google Glass could not only be used to show a head up display of the procedure but also integrated with apps would be able to perform useful tasks during the procedure. This could be the display of specific device specifications, stock levels or real time radiation levels. https://www.whichmedicaldevice.com/uploads/files/Videos/Fistulaplasty%20Google%20Glass.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/277/redial-4cm-high-flow-introducer 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/galt 6f sheath.jpg RedIal 4cm High Flow Introducer This video shows insertion of this sheath into a tough prosthetic dialysis graft. The sheath slid in without predilatation over a 0.018inch guidewire. The sheath was then used for fistulaplasty and left in for haemodialysis. Dr Phil Haslam, Consultant Interventional Radiologist Dr Hazel Halbert, Specialist Registrar in Radiology https://www.whichmedicaldevice.com/uploads/files/Videos/galt/Galt%206F%20sheath.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/101/straub-rotarex-demonstration 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/rotarex thumb.jpg Straub Rotarex demonstration This short video is a nice illustration of how this device works. I saw it demonstrated at CIRSE 2012 (Lisbon). We would really like to hear from anyone who has used this. Are there any tips and tricks? does it work well in dialysis fistulas especially aneurysmal ones? <a target="_blank" href="http://www.whichmedicaldevice.com/by-manufacturer/67/69/rotarex-system#product-description">How many stars would you give it?</a> https://www.whichmedicaldevice.com/uploads/files/Videos/straub%20medical/rotarex%20demo.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/49/merit-slip-not 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/slip-not-thumb.jpg Merit Slip Not This short video from CIRSE 2010 shows the Merit representative demonstrating how to use the slip-Not device to aid purse-string suture closure of fistula access post dialysis. The idea is that you use the special large lumen sheaths for your fistula intervention (plasty/thrombectomy etc). Then you place your suture with the slip-not device. The patient goes for dialysis and the device can be used to close the suture securely post dilaysis when the sheaths are removed. A neat and simple idea. https://www.whichmedicaldevice.com/uploads/files/Videos/Merit/merit-slip-not.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/358/cook-entuit-gastropexy-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cook gastropexy.jpg Cook Entuit gastropexy insertion This is the new gastropexy from Cook. Its pretty easy to use. This short video shows how. Dr Phil Haslam, Consultant Interventional Radiologist Dr Francis Colgan, Interventional Fellow. https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/cook%20gastropexy.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/346/primary-button-gastrostomy-the-interventionists-view 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/gastrostomy thumb.jpg Primary Button Gastrostomy The Interventionists View This video shows my technique for insertion of a primary button gastrostomy in a patient with a head and neck tumour. The technique is simple but the potential for misplacement is high unless the correct procedure is followed. Careful checks of tube position should always be made once the tube is inserted. Cone beam CT can be helpful if in doubt. The procedure was recorded with a GoPro Hero 3 camera. Dr Phil Haslam, Consultant Interventional RadiologistGastrostomy Information <div>Indications: https://www.whichmedicaldevice.com/uploads/files/Videos/prg%20gopro.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/85/safe-t-pexy-gastropexy-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/safe-t pexy pic.jpg Safe-T Pexy gastropexy insertion A short demonstration of gastropexy using the safe-T pexy gastropexy kit. This is designed to make gastropexy easy and safe, minimising the risk of sharp injury. The sutures are desolvable making manual removal unnescessary however in our practice we tend to cut them at 48hrs. The skin surface disks also have the advantage of not absorbing blood and are probably less likely to get infected as a result. Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne. Dr Rob Allison, Interventional Fellow,Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/Vygon/Safe-t%20pexy%20only.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/18/gastrostomy-insertion-using-safetpexy-kit 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/safetplexy-thumb.jpg Gastrostomy insertion using SafeTpexy kit This video demonstrates gastrostomy insertion using the new MIC G-12 Introducer kit which contains a novel type of gastropexy device and tract dilator. The kit is distributed in the UK by Vygon (UK) Ltd. The video was produced by: Dr. Hans-Ulrich Laasch, MRCP, FRCR Consultant Radiologist Christie Hospital NHS Foundation Trust Wilmslow Road Manchester M20 4BX UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/safetypexy.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/31/primary-button-gastrostomy 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/gastrostomy-insertion-thumb.jpg Primary button gastrostomy This video demonstrates my technique for insertion of a button gastrostomy as a primary procedure. The video is made using the discontinued Brown-Muller T fasteners, now replaced by the Balt equivalent. The gastrostomy tube is the Corflo Cubby button. The procedure is identical for other balloon retained button gastrostomy devices. Dr Phil Haslam Consultant Interventional Radiologist Dr Dominic Fay Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/gastrostomy-insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/98/ultrasound-guided-gastrostomy 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/ultrasound gastrostomy thumb.jpg Ultrasound guided gastrostomy This technique is very useful in patients in whom NG access to inflate the stomach is not possible. An ultrasound puncture is made using a <a href="http://www.whichmedicaldevice.com/by-manufacturer/5/449/skater-introducer-system-" target="_blank">Skater set</a> or other micropuncture set. Contrast is trickled in as the needle is withdrawn until it is seen to flow freely into the stomach. The Skater set can then be advanced over a guidewire into the stomach and used for air insuflation followed by standard gastrostomy insertion.(The background noise is due to the suction machine for the patients productice tracheostomy) <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=(ultrasound%5BTitle%5D)%20AND%20gastrostomy%5BTitle%5D" target="_blank">Pubmed references can be found here</a> Dr Phil Haslam, Consultant Interventional Radiologist, Freeman hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/US%20guided%20gastrostony.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/60/bard-recovery-filter-removal 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/Bard-recovery-thumb.jpg Bard Recovery Filter Removal This short video shows our technique for removing the <a href="http://www.whichmedicaldevice.com/by-manufacturer/12/219/recovery-filter">Bard recovery filter</a>. The filter had been in place for 6 weeks during the perioperative period in a patient who has had recent PEs. Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne. Dr Rob Allison, Interventional Fellow,Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/Bard%20recovery%20filter/Bard%20recovery%20filter%20removal.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/54/ivc-filter-retrieval 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/IVC-filter-removal-thumb.jpg IVC Filter retrieval This video demonstrates how we retrieve the <a href="http://www.whichmedicaldevice.com/by-manufacturer/24/67/celect-vena-cava-filter">Cook Celect IVC filter</a>. The filter had been in for 6 weeks to cover a high risk patient during the perioperative period. This is the same patient featured in the<a href="http://www.whichmedicaldevice.com/videos/view/53/ivc-filter-insertion"> insertion video</a>. The technique is similar for removing other filters. Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne Dr Anna Zaltowski, Radiology SPR, Freeman Hospital, Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/IVC-filter-removal.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/53/ivc-filter-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/filter-thumb.jpg IVC Filter Insertion This short video demonstrates insertion of a <a href="http://www.whichmedicaldevice.com/by-manufacturer/24/67/celect-vena-cava-filter">Cook Celect IVC filter</a>. The principle is similar for other filters. Indications for IVC filter use are open to debate! Dr Hilary White, Radiology SPR, Freeman Hospital Newcastle upon Tyne.Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/IVC%20filter%20insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/328/google-glass-and-ultrasound-guided-liver-biopsy 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/glass liver biopsy thumb.jpg Google Glass and Ultrasound guided liver biopsy This concept video shows how Google Glass could be used to assist in image guided procedures such as this ultrasound guided liver biopsy.Note how the operator constantly is looking between the patient and the ultrasound display. Having a 'head up display' using Google Glass would make this procedure considerably easier and possibly safer. https://www.whichmedicaldevice.com/uploads/files/Videos/Google%20Glass%20liver%20biopsy.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/34/nephrostomy-with-microintroducer-set 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcn-neff-thumb.jpg Nephrostomy with microintroducer set This is the technique I teach for those who are not so confident with their ultrasound guidance technique or where access may be difficult. The 22g needle in microintroducer sets may well be less traumatic than other larger needles. The disadvantage is that the needle is much more flexible and doesnt always go where you intend! Its possible to use a larger needle such as 20g and then pass the 0.018 wire through that. Note that there are in fact two ultrasound machines in the room ( I am not looking at the blue screen!) Kit available for this includes the Neff set (Cook) and Skater set (Angiotech) amongst many others. I now prefer the skater set as the wire is more robust and kink resistant. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/pcn-neff-set-meta.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/36/nephrostomy-insertion-using-seldinger-technique 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcn-18g-thumb.jpg Nephrostomy insertion using Seldinger technique This video demonstrates my most frequently used technique for nephrostomy insertion. Its based on the Seldinger technique. I tend to use a large 18g Cook 'diamond tip' needle as it is fairly rigid and less traumatic as it is non cutting. Those less confident should use a finer 20/22g needle eg Neff set. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/pcn-18g.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/37/nephrostomy-insertion-using-trocar-technique 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/itu-pcn-thumb.jpg Nephrostomy insertion using trocar technique This video demonstrates the trocar technique that can be used with ultrasound guidance for nephrostomy insertion. Usefulin well dilated systems and on ITU where screening may not be available. I usually perform this with the patient prone. Its possible with the patient on their side but the kidney usually then falls away from you and it is more difficult. Dr Phil Haslam Consultant interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/itu-pcn.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/72/power-picc-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/PICC-thumb.jpg Power PICC insertion This video illustrates Rodolfos technique for bedside insertion of a <a href="http://www.whichmedicaldevice.com/by-manufacturer/47/57/pro-picc-ct">Medcomp power injectable PICC</a>. Rodolfo Lanocita of the Istituto Nazionale dei Tumori, Milan. https://www.whichmedicaldevice.com/uploads/files/Videos/Medcomp/Power%20PICC.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/110/lma-stonebreaker-pneumatic-lithotripsy 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/lma stonebreaker 2.jpg LMA Stonebreaker pneumatic lithotripsy This video shows how to set up and use the LMA stonebreaker and illustrates its effectiveness in breaking hard renal stones during a PCNL procedure. Dr Phil Haslam, consultant interventional radiologist Mr Trevor Dorkin, consultant urologist Mr David Bryant, Specialist registrar urology Sister Jackie Maddick, urology theatre sister https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/LMA%20stonebreaker.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/42/use-of-metallic-dilators-during-pcnl 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcnl-dilators-thumb.jpg Use of metallic dilators during PCNL The video below demonstrates the use of the metallic dilators (Storz) during a PCNL masterclass we performed recently at the Freeman Hospital in Newcastle upon Tyne (UK). https://www.whichmedicaldevice.com/uploads/files/Videos/Karl%20Storz/pcnl-metal-dilators.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/43/use-of-nephromax-balloon-during-pcnl 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcnl-nephromax-thumb.jpg Use of Nephromax balloon during PCNL The following video shows the use of the Nephromax balloon (Boston Scientific) during the Newcastle PCNL Masterclass. https://www.whichmedicaldevice.com/uploads/files/Videos/Boston%20Scientific/pcnl-nephromax.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/30/percutaneous-nephro-lithotomy-pcnl 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/pcnl-thumb.jpg Percutaneous nephro-lithotomy (PCNL) This video demonstrates our technique for PCNL. We use metal dilators (Storz) as they are re-usable, easy, relatively atraumatic and most importantly allow dilatation all the way up to a staghorn calculus. The nephromax balloon is a good alternative but not really to be used for staghorns. Dr Dominic Fay, Consultant Interventional Radiologist Mr Tahseen Hasan, Consultant Urologist Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/pcnl.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/356/thrombin-treatment-of-post-renal-biopsy-haemorrhage 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/thrombin renal bleed thumb.jpg Thrombin Treatment of Post Renal Biopsy Haemorrhage This video shows the novel treatment of a post renal biopsy haemorrhage with percutaneous thrombin injection. The patient bled immediatley post biopsy and ultrasound showed a rapidly expanding haematoma. Given this observation it is difficult not to take action although this may have settled conservatively. We know that percutaneous thrombin injection is safe and we have been using this treatment in our centre for pseudoaneurysms since 1996. A percutaneous injection was an easy option that clearly solved the problem without the need for angiography.Dr Phil Haslam, Consultant Interventional RadiologistDr Andy McNeill, Consultant RadiologistDr Kiran Bonam, Specialist Registrar Radiology https://www.whichmedicaldevice.com/uploads/files/Videos/baxter/thrombin%20renal%20bleed.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/113/renal-tumour-rf-ablation-with-covidien-cooltip 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/cooltip-thumb.jpg Renal tumour RF ablation with Covidien Cooltip https://www.whichmedicaldevice.com/uploads/files/Videos/Covidien/RFA%20cooltip.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/295/sonovue-microbubble-ultrasound-contrast-evaluation-of-a-renal-mass 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/sonovue vid-thumb.jpg Sonovue microbubble ultrasound contrast evaluation of a renal mass This patient had a small renal mass, a solitary kidney and poor renal function. This renal mass was an incidental finding on a non enhanced CT scan. Enhancement with Sonovue demonstrates its perfusion and therefore the need for nephron sparing surgery or percutaneous ablation. Mr Ben Stenberg, Songrapher Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Bracco/sonovue%20RCC.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/15/renal-tumour-rf-ablation 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/renal-tumour-thumb.jpg Renal tumour RF ablation This video demonstrates my technique for renal RF ablation. The lesion treated was a 2.5cm RCC proven on biopsy results post procedure. The equipment used is Covidien Cooltip RF system which uses a closed circuit fluid cooled RF electrode. Remember that grounding pads must be placed on the patients legs prior to ablation. This is not shown in the video. Dr Phil Haslam Consultant Interventional Radiologist Freeman Hospital, Newcastle upon Tyne, UK https://www.whichmedicaldevice.com/uploads/files/Videos/Training/renal-tumour.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/48/orcamp 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/or-zone-thumb.jpg ORCamp We saw this training environment at CIRSE 2010. It is said to provide a more realistic training environment than the use of a simulator alone. I believe it can be linked to both the Simbionix and Mentice simulators.The short video shows some delegates at CIRSE using the equipment to simulate fibroid embolisation.Feel free to <a href="http://www.whichmedicaldevice.com/by-manufacturer/112/195/orcamp">comment on the simulator yourself</a> if you have any experience of its use.The trainer is Professor John Moss from Glasgow, UK. https://www.whichmedicaldevice.com/uploads/files/Videos/ORZone.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/79/transplant-ureteric-stone-removal 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/transplant ureter stone.jpg Transplant ureteric stone removal This patient was admitted with acute deterioration in renal function of a transplant kidney associated with sepsis. Ultrasound demonstrated a hydronephrosis and plain films showed a probable stone in the distal transplant ureter. A nephrostomy and stent were requested with a view to ureteroscopy and stone extraction once the acute episode had passed. Ureteroscopy of transplant ureters is very difficult due to the variable position of the ureteric anastamosis to the bladder. A nephrostomy was performed. There were two ureteric stones, a smaller proximal stone and a large distal obstructing stone. A 6mmx2cm angioplasty balloon (<a href="http://www.whichmedicaldevice.com/by-manufacturer/18/50/passeo-35-angioplasty-balloon">Biotronik Paseo</a>) was used to push the stone into the bladder relieving the obstruction and avoiding the need for stent. The balloon was then pushed back down the ueter to remove any smaller fragments and ensure the anastamosis was not stenotic. A 7F nephrostomy was left in situ to perform a check nephrostogram afer 48hrs.I have previously used this technique in CBD stones but never in a transplant ureter. I suspect this would be quite painful in the non transplant ureter.Dr Phil HaslamConsultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/transplant%20stone%20ureter.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/50/ngage-stone-extractor 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/ngage vid.jpg NGage stone extractor This short video demonstrates the NGage basket being used via a flexible ureteroscope to retrieve a stone from a lower pole calyx. https://www.whichmedicaldevice.com/uploads/files/Videos/Cook/ngage.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/78/outback-device-use 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/SB-thumb.jpg Outback device use Simon Bayes Consultant Interventional Radiologist from Stoke Mandeville and High Wycombe discusses the Outback Catheter at the 2011 SERF meeting.Dr Bayes discusses potential cost benefits and some tips to using the device for subintimal angioplasty. https://www.whichmedicaldevice.com/uploads/files/Videos/Cordis/Outback%20interview.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/293/amplatzer-1-deployment-in-subclavian-artery 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/amplatzer 1 thumb.jpg Amplatzer 1 deployment in subclavian artery This patient had a carotico-subclavian conduit formed prior to TEVAR. The video shows the amplatezer type 1 plug being deployed via the suture line of the conduit into the proximal subclavian artery to occlude the vessel proximal to the vertebral artery origin. Dr Sumaira Macdonald, consultant interventional radiologist Dr Phil Haslam, consultant interventional radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/St%20Jude%20Medical/amplatzer%20type%201.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/21/tipss-for-refractory-ascites 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/tipss-refractory-ascites-thumb.jpg TIPSS for refractory ascites This short video shows a recent TIPSS we performed in a patient for refractory ascites. The tract on this occasion is formed between the hepatic vein (possibly middle) and the proximal left portal vein. Dr Ralph Jackson, Consultant Interventional Radiologist Dr Phil Haslam, Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/tipss-refractory-ascites.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/23/tipss 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/tipss-thumb.jpg TIPSS This is a video made some years ago of a TIPSS procedure by Dr John Rose at the Freeman hospital (Newcastle, UK). The procedure has not really changed much over the years except the stent we use. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/tipss.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/352/uventa-covered-nitinol-ureteric-stent 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/IMG_8242.JPG Uventa covered nitinol ureteric stent This patient has an ileal conduit with recurrent tumour causing stricture and fistulation. The uventa covered stents were placed which have palliated symptoms completely. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Taewoong/uventa%20stent.f4v http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/26/antegrade-ureteric-stent-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/antegrade-stent-insertion-thumb.jpg Antegrade ureteric stent insertion This video demonstrates a technique for inserting a plastic double 'J' or pigtail stent via a nephrostomy. The nephrostomy has been performed using a Neff set and at this point both a 0.018 safety wire and 0.035 Bentson wire are in situ. I have to put my arms around the intensifier as its very difficult to work from the other side in this IR room. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Training/ureteric-stent-insertion-meta.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/51/vascular-stent-deployment-technique 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/stent-technique.jpg Vascular stent deployment technique This short video was made by Biotronik to illustrate the potentials for stent shortening and elongation during deployment. It shows the importance of fixing your 'back' hand to prevent advancement or withdrawal of the delivery system during deployment. A stent that is compressed or elongated will have compromised function. https://www.whichmedicaldevice.com/uploads/files/Videos/Biotronik/stent%20deployment%20technique.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/307/medcomp-dignity-venous-port-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/dignity port.jpg Medcomp Dignity Venous Port Insertion This short video shows my technique for insertion of the Medcomp Dignity venous port. The technique is virtually identical for other ports. I dont tend to suture the port in place unless the pocket seems lax and I think there is a possibility that the port will rotate. Dr Phil Haslam Consultant Interventional Radiologist https://www.whichmedicaldevice.com/uploads/files/Videos/Medcomp/Medcomp%20dignity%20port%20insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/61/bard-groshong-catheter-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/Groshong-thumb.jpg Bard Groshong Catheter Insertion Another excellent video from Rodolfo Lanocita of the Istituto Nazionale dei Tumori, Milan, demonstrating insertion of a Bard Groshong central venous catheter via the subclavian route. https://www.whichmedicaldevice.com/uploads/files/Videos/Bard%20Groshong%20Catheter/Bard-groshong-catheter-insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/59/subclavian-port-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/subclavian-port-thumb.jpg Subclavian port insertion This excellent step-by-step video from Rodolfo Lanocita MD, of the Istituto Nazionale dei Tumori, Milan, demonstrates insertion of a medcomp profuse port via the subclavian route. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/subclavian-port.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/14/port-insertion-headcam 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/port-insertion-thumb.jpg Port insertion (headcam) This video illustrates insertion of a Medcomp 'Dignity' low profile power injectable port. The headcam angle puts a slightly different perspective on things! Dr Phil Haslam, Consultant Interventional Radiologist Freeman Hospital. Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Training/port-insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/40/central-venous-access-with-micropuncture-kit 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/central-venous-access.jpg Central Venous access with micropuncture kit This short video demonstrates my technique for low jugular venous access using ultrasound and a micropuncture kit. This can be used as the first stage in the insertion of a central venous catheter. The micropuncture kit is particlularly useful in patients with small veins or where the operator has less confidence in ultrasound guidance. https://www.whichmedicaldevice.com/uploads/files/Videos/Training/dialysis-micro-puncture.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/20/bard-powerport-insertion 2020-02-16T04:20:39+00:00 daily 0.3277 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/bard-powerport-thumb.jpg Bard PowerPort insertion Video demonstrating the insertion of a Bard PowerPort for chemotherapy. Ports are rapidly becoming the method of choice for venous access for chemotherapy. This type of port is pump injectable meaning that patients can have contrast injected for imaging studies (CT) through a powered pump without the risk of line/port failure.<a href="http://www.whichinterventionaldevice.com/product-categories/vascular/venous-ports/bard-powerport.aspx"> </a> Dr Phil Haslam, Consultant Interventional Radiologist, Freeman Hospital, Newcastle upon Tyne Dr Hazel Halbert, Specialist Registrar, Freeman Hospital, Newcastle upon Tyne https://www.whichmedicaldevice.com/uploads/files/Videos/Training/bard-powerport-insertion.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/by-manufacturer/67/69/rotarex-system 2020-02-16T04:20:39+00:00 daily 0.2621 http://www.whichmedicaldevice.com/generator/generator/data/487b0e52b0a581c5691e3ec59f8bf3e6.jpg Error 404 (Not Found)!!1 Straub Medical | Rotarex System http://www.youtube.com/embed/d4UmJF2Vm-8 http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/108/the-stjude-medical-enlightn-multi-electrode-renal-denervation-system 2020-02-16T04:20:39+00:00 daily 0.2097 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/enligHTN-thumb.jpg The St.Jude Medical EnligHTN Multi-Electrode Renal Denervation System https://www.whichmedicaldevice.com/uploads/files/2229-12%20EnligHTN_MasterEdit_051013_MP4_iPad%20ID-%20FiNAL.flv http://www.whichmedicaldevice.com/https://www.whichmedicaldevice.com/videos/view/109/the-stjude-medical-enlightn-multi-electrode-renal-denervation-system-clinical-case 2020-02-16T04:20:39+00:00 daily 0.2097 https://www.whichmedicaldevice.com/uploads/videos/thumbnails/EnligHTN case-thumb.jpg The St.Jude Medical EnligHTN Multi-Electrode Renal Denervation System clinical case https://www.whichmedicaldevice.com/uploads/files/Videos/St%20Jude%20Medical/EnligHTN%20Case%201.flv