step one
ureteroscope entry
The flexible ureteroscope sets the puncture trajectory in perfect alignment with the infundibulum.
step two
Puncture Wire advancement
Puncture wire advanced.
step three
Load Exchange Catheter
Catheter loaded over puncture wire
step four
Withdraw Ureteroscope
Advance exchange catheter as Ureteroscope is drawn down
step five
Remove Ureteroscope
Remove ureteroscope, puncture wire, and inner catheter, leave in place outer catheter and ureteral access sheath
step six
Advance New 0.035” Nephrostomy Wire
Advance Nephrostomy Wire Through Outer Catheter, Then Remove Outer Catheter
step seven
0.035” Nephrostomy working wire in position
Through-and-through, 0.035” nephrostomy working wire in position.
step Eight
Nephrostomy balloon loaded over working wire
Nephrostomy balloon is advanced.
step Nine
Nephrostomy balloon inflated
Nephrostomy balloon is inflated.
step Ten
Nephrostomy sheath advanced over balloon
Nephrostomy sheath is advanced over nephrostomy balloon.
step eleven
Nephrostomy sheath in place, balloon removed
Nephrostomy sheath in perfect alignment with infundibulum, avoiding injury and bleeding.
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