Embolization
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 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:
Flow switch
Bentson guidewire
Shape guidewire himself
Hummingbird technique (cut micro puncture dilator and attach to 20cc Hep saline syringe)
Extra Prep stick (closure)
Mynx
Omniflush (Postpartum Bleed)
BRITTANY:
Starclose
Always set up Injector
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:
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 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)
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.
