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
A 46 year old patient with a history of recurrent urinary tract infections and pyelonephritis presented with medullary sponge kidney disease. Dr. Nicole Miller summarizes the complexities of the case and discusses why a staged ureteroscopy was her preferred operative technique. She discusses the benefits of using a ureteral access sheath to atraumatically access the kidney repeatedly, why using an access sheath was invaluable to this particular case, and her general selection process when choosing a ureteral access sheath.
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.