Bilateral nephrostomy
Bilateral nephrostomy
By Pr. Thierry Debaere
Head of Interventional Radiology department, Gustave Roussy, Villejuif, France
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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