Dr. Stoller discusses the surgical challenges of removing a highly encrusted stent, including setting expectations with patients. He also covers selecting a strategy and stone clearance objective for various potential approaches and ensuring the most appropriate equipment is available to treat the patient in a productive fashion.Click here to access video and forum
Dr. Chew discusses the importance of strategic device selection to gain access through a ureter obstructed by a stone.
Highlights include specific maneuvers required and different types of catheters and wires necessary for performing these difficult cases.Click here to access video and forum
This case examines how Dr. Ghani used a laser lithotripsy dusting approach to treat a 55-year-old patient with multiple stones and gross hematuria with the goal of completing the procedure without leaving a stent. He covers pre-operative planning, stone positioning, fiber and dynamic laser setting selection, and both contact and non-contact strategies. He also discusses the keys to a successful dusting procedure, and his decision-making criteria regarding the need for stent placement.
Kidney stones are a common problem among adult patients with a horseshoe kidney, a congenital disease. Dr. Nakada presents the case of a 68-year-old male patient who has recurrent kidney stone infections and a horseshoe kidney. He discusses the epidemiology of a horseshoe kidney, how to navigate and treat kidney stones with an altered anatomy, and reviews the patient’s two different stone presentations, which included two different strategies of treatment.
NOTE 1: The thoughts and opinions expressed in the procedural video/demonstration are those of the presenter/physician alone and do not necessarily reflect those of Boston Scientific. Decisions surrounding patient care depend on the physician’s professional judgment in light of all available information for the case at hand. Case studies are not necessarily representative of clinical outcomes in all cases as individual results may vary. These materials are intended to describe common clinical considerations and procedural steps for the on-label use of referenced technologies as well as current standards of care for certain conditions. Of course, patients and their medical circumstances vary, so the clinical considerations and procedural steps may not be appropriate for every patient or case. As always, decisions surrounding patient care depend on the physician’s professional judgment in light of all available information for the case at hand. Boston Scientific does not promote or encourage the use of its devices outside of their approved labeling.