FIBROID EMBOLIZATION

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PREOP:

  • Patient will stay overnight
  • Foley catheter may be necessary
  • Pre-op meds:
    • oradol 30mg iv
    • Ancef 1g iv
    • solumedrol 125mg iv

ESTIMATED TIME: 20-30min

Equipment Always Necessary:

  • 19G needle
  • J-wire
  • 6Fr Pigtail
  • Wire: Glidewire
  • C2 catheter
  • Microcatheter
  • 0.018 Glide GT wires - Double angle
  • Embosphere particles (1 vial of each)
    • 300-500
    • 500-700
    • 700-900
  • 1cc Medallion syringes
    • Blue - Saline
    • Red - Contrast
    • Yellow or white
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PREP:

  • POSITION: Supine. 
  • DRAPE: standard groin prep
  • LOAD THE INJECTOR - 100cc
  • Scout image

 

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Dressing:

  • No dressing. Dermabond only.

PEARLS:

  • Make sure PCA is set up when patient is going to the room upstairs. 
  • Usually severe cramps starts right after the procedure.