Bilateral nephrostomy
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How to perform a bilateral nephrostomy

  • 00'00" - 00'49" : Case presentation
  • 00'49" - 01'29" : Equipment presentation
  • 01'29" - 02'08" : Ultrasound localisation in right kidney
  • 02'08" - 02'51" : Chiba needle insertion
  • 02'51" - 03'28" : Opacification
  • 03'28" - 03'56" : Ultrasound / renal cavity puncture
  • 03'56" - 04'26" : Fluoroscopic control
  • 04'26" - 04'55" : Ultrasound / reaching undilated renal cavity
  • 04'55" - 05'40" : Fluoroscopic control / dilatation of the cavity with air injection
  • 05'40" - 06'10" : 0.018 guidewire insertion
  • 06'10" - 07'04" : 5 french catheter insertion over guidewire
  • 07'04" - 08'35" : Hydrophilic guidewire insertion trough 5 french catheter
  • 08'35" - 08'56" : Stiff guidewire placement
  • 08'56" - 09'36" : Dilators insertion (7 french and 9 french)
  • 09'36" - 10'43" : Nephrostomy tube insertion and placement
  • 10'43" - 12'27" : Ultrasound localisation in left kidney / chiba needle insertion
  • 12'27" - 13'10" : Opacification
  • 13'10" - 13'39" : Renal cavity dilatation
  • 13'39" - 14'05" : Opacification
  • 14'05" - 14'58" : Guide wire placement / 5 french catheter placement / opacification
  • 14'58" - 15'34" : 0.035 stiff guidewire placement / 7 & 9 french dilators placement
  • 15'34" - 16'17" : Nephrostomy tube placement
  • 16'17" - 16'49" : Fluoroscopic control of the nephrostomy tube positions
  • 16'49" - 17'11" : Post-operative conclusion