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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Real-World Low-Density Lipoprotein Cholesterol Control After Transitioning From Evolocumab to Inclisiran.

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Guidewire Entry Into a Calcific Fracture Causing Stent Underexpansion: A Pitfall of Intravascular Lithotripsy.

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Related Experiment Video

Updated: Mar 21, 2026

Author Spotlight: Utilizing Venoplasty Balloon Model in Rodents to Simulate Surgical Interventions for Deep Veins
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Extensive Retrograde Dissection After Intravascular Lithotripsy Balloon Rupture: The Path of Least Resistance.

Marohito Nakata1, Tatsuya Tabata1, Toshiya Chinen1

  • 1Department of Cardiology, Urasoe General Hospital, Urasoe, Okinawa, Japan.

JACC. Case Reports
|March 19, 2026
PubMed
Summary

Intravascular lithotripsy (IVL) balloon rupture can cause serious coronary artery dissection. Careful post-rupture management, including limited contrast use, is crucial to prevent further complications.

Area of Science:

  • Cardiovascular Interventions
  • Medical Device Safety

Background:

  • Intravascular lithotripsy (IVL) is a key technique for coronary calcium modification.
  • Complications such as balloon rupture during IVL can pose significant clinical risks.
Keywords:
balloon rupturecalcificationcoronary artery dissectionintravascular lithotripsyoptical coherence tomography

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