Embolization: Difference between revisions
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*3J x 145cm guidewire | *3J x 145cm guidewire | ||
*Glide wire 180cm | *Glide wire 180cm | ||
Fathom Guidewire | *Fathom Guidewire | ||
*Torque Device (if needed) | |||
*One way or blue cap | *One way or blue cap | ||
*(2) 12cc syringe | *(2) 12cc syringe | ||
*RIM (Postpartum bleed) | *RIM (Postpartum bleed) | ||
*RBT catheter (Postpartum bleed) | *RBT catheter (Postpartum bleed) | ||
==Emobolization methods== | |||
===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 | |||
#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. | |||
===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=== | |||
{{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) | |||
| Line 51: | Line 110: | ||
*Omniflush (Postpartum Bleed) | *Omniflush (Postpartum Bleed) | ||
==Brittany== | |||
*Always set up Injector | *Always set up Injector | ||
===Open=== | ===Open=== | ||
| Line 87: | Line 143: | ||
*SOS 2 | *SOS 2 | ||
[[Category:IRProcedures]] | |||
Latest revision as of 22:46, 5 November 2024
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)
Emobolization methods
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
- 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.
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
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)
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
