· PROGRAMA
·
· Tuesday, December 14th, 2021
· 08:00
· Needle / Ultrasound interaction physics.
· Are there better needles for ultrasound (US)
· - guided acces? Are there better equipments?
· How to face the barriers of transition from X
· rays to ultrasound.
· Is it just about changing machines ?
· Am I “too old” for new learnings?...Am I “too
· young” ?
·
· 08:15
· Kidney percutanoeus ultrasound – guided acces
· for non-sonographers.
· Lowering the « radiation bill » in renal
· enter procedures.
· Overcoming the false dilemma: « See vs. Be
· exposed to radiation »
· How far urologists are from that challenge ?
· Myths and misunderstandings about US – guided
· renal entry in the urological community.
· Learnings after 27 years training urologists
· in Interventional Ultrasound.
·
· 08:10
· Strategies to enhance needle visualization.
·
· 08:20
· Could the needle not be, where the ultrasound
· screen shows it ?
· How to detect and correct it ?
· Special situations on the US screen:…”needle
· is seen in the calyx…but no urine comes out"
· Most frequent troubleshooting situations
· during US – guided renal entry.
· Sonometrics in the US learning curve.
·
· 08:25
· Ergonomic changes during the fluoroscopy to
· ultrasound transition?
·
· 08:30
· Ultrasound check-list of all the percutaneous
· relevant structures in the renal
· enviroment. Percutaneous US – guided office
· based treatment of renal cysts. Long term
· follow – up. Tips to prevent recurrence.
·
· 08:35
· Preventive ultrasound maneuvers of all the
· undesired targets : spleen, duodenum, gut,
· lung, aorta and inferior cava vein.
·
· Is there a “colon avoider knob” in the
· ultrasound equipment keyboard ?
· How to deal with its “absence” ?
·
· 08:50
· Planning a safe US - guided renal entry.
· The US – guided lower calyx route.
·
· 09:00
· Safe maneuvers in ultrasound - guided enter
· to the upper calyx
·
· 09:10
· US - guided accesing to the anterior valve
· calyces. Best positions. The mirror mode
· acces.
·
· 09:20
· Uronephrosys : Most common ultrasound imaging
· errors.
·
·
· 09:30
· Depicting the stones in percutaneous US –
· guided entry. Ultrasound manage of the
· vanishing lithiasis
· US scaning of migrating stones. Stone
· «mimicking» US images that can jeopardise the
· procedure. Identifying 1 or 2 mm stone
· fragments.
·
· 09:40
· US-guided urinary tract renal enter in the
· prone position.
·
· 09:50
· US-guided urinary tract renal enter in the
· supine position.
·
· 10:00
· Coffe-break.
·
· 10:10
· Strategies in mild and moderate dilated
· urinary tracts entry
· The highly accurate US - guided acces to the
· selected calyx.
· 10:20
· Tips in handling the US transducer for
· needling the kidney.
·
·
· 10:30
· Videos of Necochea ‘s successfull US entries.
· (the “shining side” of our learning curve)
· Videos of Necochea’s pitfalls in kidney US
· renal access ( the “dark side” of our
· learning curve)
·
· 10:45
· Our technical changes in US – guided renal
· access along the time.
· 11:00
· Necochea’s Ultrasound - guided renal entry
· procedures : Period 1988 – 1994.
· 11:30
· Necochea’s Ultrasound – guided renal entry
· procedures : Period 1995 - 2005
· 11:55
· Necochea’s Ultrasound - guided renal entry
· procedures : Period 2006 – 2020
·
·
· 12:00
· Lunch
·
· 13:00
· Hands – On training with the Ultrasound
· equipment
·
·
·
· 18:00
· End of Saturday’s activities
·
·
· Wednesday 15th December, 2021
·
· 08:00
· Ultrasound dynamic imaging of the local
· anaesthesia needle in the operative
· area.
·
·
· 08:30
· Ultrasound dynamic imaging of fluids
· injection inside the urinary tract
·
· 09:00
· Ultrasound dynamic imaging of the needle
· entering the urinary tract
·
· 09:30
· Ultrasound dynamic imaging of the guide-wire
· entering the kidney
·
· 10:00
· Ultrasound dynamic imaging of the plastic
· fascial dilators during dilatation
·
·
· 10:30
· Coffe - break
·
·
· 11:00
· Ultrasound dynamic imaging of the metal
· telescopic Alken fascial dilators during safe
· renal entry. Ultrasound monitoring of
· thesmall bore (9 – 20 Fr) and large bore ( 22
· – 30 Fr )
·
· 11:30
· Ultrasound placement of percutaneous renal
· catheters
·
· 11:40
· Experience with the Necochea’s Remote
· Distance Advising Program. Some take home
· messages about zero – radiation renal enter
· training models
·
· 12:00
· Lunch
·
· 13:00
· Hands – On training in the Percutaneous US
· – guided laboratory
·
·
·
· 18:00
· Evaluation / Diplomas
·
· 19:00
· End of the Workshop