Videos of the Terumo Glidewire | Which Medical Device
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This video shows how to perform bilateral nephrostomy and antegrade stent insertion in a patient with probable bladder TCC and bilateral obstruction. The procedure is mostly pain free but patients do experience discomfort with anything place in the bladder. It is virtually routine to give fentanyl at this point unless there are contraindications. Dr Phil Haslam Consultant Interventional Radiologist @iradsurgeon Percuflex ureteric stent (Boston Scientific) Trocar echotip needle (Cook) Peelaway sheeth (Cook) Hydrophilic guidewire (Terumo)...
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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 uroradiologist Dr Georgia Priona, consultant interventional radiologist
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