Embolization: Difference between revisions

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(Created page with "EMBOLIZATION *CONFIRM WITH PHYSICIAN REGARDING CATHETERS AND USE OF INJECTOR* ***Injector set up 100% contrast for Dr Olorunsola. The rest of the MD’s are 50/50 * 100% Contrast (hand injection) unless the Physician states otherwise. *Heparinized Saline 1000 ml Angio pack Gloves Fluoro drape U/S Prober cover Turtle shell cover 5Fr x 11cm sheath 3-way stopcock Tuohy 3cc Blue Medallion syringe (2) Green or Purple Medallion syringe for contra...")
 
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EMBOLIZATION
{{Warn|CONFIRM WITH PHYSICIAN REGARDING CATHETERS AND USE OF INJECTOR}}
 
*Injector set up 100% contrast for Dr Olorunsola. The rest of the MD’s are 50/50  
*CONFIRM WITH PHYSICIAN REGARDING CATHETERS AND USE OF INJECTOR*
*100% Contrast (hand injection) unless the Physician states otherwise.  
 
***Injector set up 100% contrast for Dr Olorunsola. The rest of the MD’s are 50/50  
 
* 100% Contrast (hand injection) unless the Physician states otherwise.  
 
*Heparinized Saline 1000 ml  
*Heparinized Saline 1000 ml  


==Open==
 
*Angio pack  
Angio pack  
*Gloves  
 
*Fluoro drape  
Gloves  
*U/S Prober cover  
 
*Turtle shell cover  
Fluoro drape  
*5Fr x 11cm sheath  
 
*3-way stopcock  
U/S Prober cover  
*Tuohy  
 
*3cc Blue Medallion syringe  
Turtle shell cover  
*(2) Green or Purple Medallion syringe for contrast  
 
*3J x 145cm guidewire  
5Fr x 11cm sheath  
*Glide wire 180cm  
 
3-way stopcock  
 
Tuohy  
 
3cc Blue Medallion syringe  
 
(2) Green or Purple Medallion syringe for contrast  
 
3J x 145cm guidewire  
 
Glide wire 180cm  
 
Fathom Guidewire  
Fathom Guidewire  
 
**Torque Device (if needed)  
Torque Device (if needed)  
*One way or blue cap  
 
*(2) 12cc syringe  
One way or blue cap  
*RIM (Postpartum bleed)  
 
*RBT catheter (Postpartum bleed)  
(2) 12cc syringe  
 
RIM (Postpartum bleed)  
 
RBT catheter (Postpartum bleed)  


   
   


BRONZO:
==Bronzo==
 
*SOS2 80cm catheter  
SOS2 80cm catheter  
*STS Straight Microcatheter  
 
*Hummingbird technique (Insertion tool attach to 20cc Hep saline syringe)  
STS Straight Microcatheter  
*Starclose (ask)  
 
Hummingbird technique (Insertion tool attach to 20cc Hep saline syringe)  
 
Starclose (ask)  


   
   


DARE:
==Dare==
 
*Cobra2 75cm catheter  
Cobra2 75cm catheter  
*Hi-Flo Microcatheter  
 
*Closure device (ask)  
Hi-Flo Microcatheter  
 
Closure device (ask)  


   
   


RAJ:
==Raj==
 
*Shape guidewire himself
Flow switch  
===Open===
 
*Flow switch  
Bentson guidewire  
*Bentson guidewire  
 
*Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)  
Shape guidewire himself
*Extra Prep stick (closure)  
 
*Mynx  
Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)  
*Omniflush (Postpartum Bleed)  
 
Extra Prep stick (closure)  
 
Mynx  
 
Omniflush (Postpartum Bleed)  


   
   
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BRITTANY:  
BRITTANY:  
 
*Always set up Injector  
Starclose
===Open===
 
*Starclose
Always set up Injector  
*C2 catheter (for Liver Embo)  
 
*Renegade HiFlo micro catheter  
C2 catheter (for Liver Embo)  
*Fathom wire  
 
*Extra Prep stick for closure  
Renegade HiFlo micro catheter  
*Extra gloves for closure  
 
Fathom wire  
 
Extra Prep stick for closure  
 
Extra gloves for closure  


   
   


EVAN:
==Evan==
*Micropuncture kit (Cook)


Micropuncture kit (Cook)


==Samir==


==Lynne==
===Open===
*Flow switch
*Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
*Bentson guidewire
*C2 catheter
*2.0 Fr True Select
*Synchro Soft guidewire
*Extra Prep stick (closure)
*Mynx
===Standby===
*2.4 Fr Microcatheter
*SOS 2


===Coils===
*Detacher – If using Concerto coils


===Coil Deployment Steps===
 
#Make sure the introducer sheath is nice and hubbed (seated) in microcatheter.  
#Take orange lock off – discard
 
#Start advancing wire
#Remove sheath with 5-10cm left
 
#Save sheath just in case you want to recapture coil
SAMIR:
#Dr takes over and when happy with coil – snap and pull two white markers on back end
 
#Check under fluoro that coil is fully out of microcatheter and that nothing moves when you go to deploy.
 
 
 
 
 
 
 
 
 
LYNNE:
 
Flow switch
 
Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
 
Bentson guidewire
 
C2 catheter
 
SOS 2 (standby)  
 
2.0 Fr True Select
 
2.4 Fr Microcatheter (standby)
 
Synchro Soft guidewire
 
Extra Prep stick (closure)
 
Mynx
 
 
COILS
 
Detacher – If using Concerto coils


   
   
 
===ONYX Liquid Embolic System===
ONYX Liquid Embolic System  
*Onyx 18 or Onyx 34 (Neuro cart)  
 
*Shaker machine (Neuro cart)  
Onyx 18 or Onyx 34 (Neuro cart)  
*Need a clean surface or extra table  
 
*New gloves  
Shaker machine (Neuro cart)  
*(2) 18G needles, one for drawing up Onyx and one for drawing up DMSO  
 
Need a clean surface or extra table  
 
New gloves  
 
(2) 18G needles, one for drawing up Onyx and one for drawing up DMSO  


   
   


OBSIDIO
===Obsidio===
 
*EP Fridge (Sterile core)   
EP Fridge (Sterile core)   


   
   
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*3cc Medallion syringe  
*3cc Medallion syringe  
*Postpartum Bleed – 20cc syringe with 7ml of contrast attach to 10cc syringe with gel foam (mix)
*Postpartum Bleed – 20cc syringe with 7ml of contrast attach to 10cc syringe with gel foam (mix)
EMBOLD STEPS:
#Make sure the introducer sheath is nice and hubbed (seated) in microcatheter.
#Take orange lock off – discard
#Start advancing wire
#Remove sheath with 5-10cm left
#Save sheath just in case you want to recapture coil
#Dr takes over and when happy with coil – snap and pull two white markers on back end
#Check under fluoro that coil is fully out of microcatheter and that nothing moves when you go to deploy.

Revision as of 22:43, 5 November 2024

Note Warning: CONFIRM WITH PHYSICIAN REGARDING CATHETERS AND USE OF INJECTOR

  • Injector set up 100% contrast for Dr Olorunsola. The rest of the MD’s are 50/50
  • 100% Contrast (hand injection) unless the Physician states otherwise.
  • Heparinized Saline 1000 ml

Open

  • Angio pack
  • Gloves
  • Fluoro drape
  • U/S Prober cover
  • Turtle shell cover
  • 5Fr x 11cm sheath
  • 3-way stopcock
  • Tuohy
  • 3cc Blue Medallion syringe
  • (2) Green or Purple Medallion syringe for contrast
  • 3J x 145cm guidewire
  • Glide wire 180cm

Fathom Guidewire

    • Torque Device (if needed)
  • One way or blue cap
  • (2) 12cc syringe
  • RIM (Postpartum bleed)
  • RBT catheter (Postpartum bleed)


Bronzo

  • SOS2 80cm catheter
  • STS Straight Microcatheter
  • Hummingbird technique (Insertion tool attach to 20cc Hep saline syringe)
  • Starclose (ask)


Dare

  • Cobra2 75cm catheter
  • Hi-Flo Microcatheter
  • Closure device (ask)


Raj

  • Shape guidewire himself

Open

  • Flow switch
  • Bentson guidewire
  • Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
  • Extra Prep stick (closure)
  • Mynx
  • Omniflush (Postpartum Bleed)



BRITTANY:

  • Always set up Injector

Open

  • Starclose
  • C2 catheter (for Liver Embo)
  • Renegade HiFlo micro catheter
  • Fathom wire
  • Extra Prep stick for closure
  • Extra gloves for closure


Evan

  • Micropuncture kit (Cook)


Samir

Lynne

Open

  • Flow switch
  • Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
  • Bentson guidewire
  • C2 catheter
  • 2.0 Fr True Select
  • Synchro Soft guidewire
  • Extra Prep stick (closure)
  • Mynx

Standby

  • 2.4 Fr Microcatheter
  • SOS 2

Coils

  • Detacher – If using Concerto coils

Coil Deployment Steps

  1. Make sure the introducer sheath is nice and hubbed (seated) in microcatheter.
  2. Take orange lock off – discard
  3. Start advancing wire
  4. Remove sheath with 5-10cm left
  5. Save sheath just in case you want to recapture coil
  6. Dr takes over and when happy with coil – snap and pull two white markers on back end
  7. Check under fluoro that coil is fully out of microcatheter and that nothing moves when you go to deploy.


ONYX Liquid Embolic System

  • Onyx 18 or Onyx 34 (Neuro cart)
  • Shaker machine (Neuro cart)
  • Need a clean surface or extra table
  • New gloves
  • (2) 18G needles, one for drawing up Onyx and one for drawing up DMSO


Obsidio

  • EP Fridge (Sterile core)


Embospheres

Note Protip: Make sure to let the beads settle against the plunger before wasting extra liquid

  • 100 - 300
  • 300 – 500
  • 500 – 700
  • 700 – 900
  • (2) 1cc White Medallion syringe, for bead injection
    • (2) 10cc syringes with contrast (100%)
  • 3-way stopcock


Trufil Glue

  • Clean surface or extra table
  • ¾ sheet (if using a separate table)
  • 5% Dextrose 500ml saline bag

Blue bowl

    • Medicine cup (Overstock cart – sterile core)
  • Gloves
  • (2) White 1cc medallion syringe
  • (2) 20cc syringes
  • (3) 3cc syringes
  • (3) 6cc syringes
  • (2) 18G needle


GEL FOAM

  • Pharmacy cart (ask RN)
  • 3-way stopcock
  • 10cc syringe
  • 6cc syringe
  • 3cc Medallion syringe
  • Postpartum Bleed – 20cc syringe with 7ml of contrast attach to 10cc syringe with gel foam (mix)
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