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After completion of an intra-luminal procedure and removal of the procedural device, a vascular closure system is used to close arteriotomy 132, as follows. As shown in FIG. 2, a guiding system including a pair of stabilization wire guides 114 is inserted into sheath 106, which may be indwelling at the end of the procedure, or inserted anew, or sheath 106 may replace a sheath that was used during the procedure.
The key advantage of this internal-external stent is that it can be removed in the clinic, thus not exposing the patient to another general anesthetic or cystoscopy for removal. In the field of pediatric urology the debate on whether to use a ureteral stent for an open pyeloplasty continues.urrently, the most popular choice is a double-J internal stent, which is retrieved by cystoscopy 6 to 8 weeks later, although it can remain in place for up to 6 months. Another option, commonly used during open surgery, is the use of variations of a nephrostomy/nephroureteral drainage system.