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Similar Publications

Regarding "Double prepuncture as a valuable adjunctive technique for complex endovenous ablation".

J Vasc Surg Venous Lymphat Disord

November 2018

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, Mich; Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, Alexandria, Va.

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Objective: To evaluate the effect of prepuncture on the double-tract percutaneous nephrolithotomy (PCNL) under ultrasound guidance for renal staghorn calculi.

Method: Double-tract or even multi-tract is necessary for the treatment of staghorn calculi. However, intraoperative injury, exudation, bleeding, and influence of original tract might lead to difficulty in second puncture, thus prolonging operating time, and even lead to puncture failure.

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Objective: The objective of this study was to characterize the technique and to report the results of double prepuncture used during complex radiofrequency ablation (RFA) in cases of treating multiple incompetent veins or encountering focal obstruction to catheter advancement.

Methods: A double prepuncture technique was applied in patients requiring endovascular ablation of multiple veins and patients with great saphenous vein cannulation failure. We treated 13 limbs in 12 patients during a 24-month period with RFA in which the double prepuncture technique was used.

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