Senin, 27 Juni 2016

Prosedur coiling

Materials
1. 2% lignocaine loaded in 10 ml syringe
2. 7F arterial sheats(orange)
3. puncture needle (16G/18G)
4. 5 F/6F diagnostic cath
5. Standart length guide wire 0,035"150 cm
6. Exchange guidewire 0,035" 300 cm
7. Guiding cath7F acculink
8. microcatheter Excelsor SL-10 straight (ID: 0,0165 in)
9. microwire Transend EX (OD : 0,014 in)
10. 3 way stopcocks
11. small bowl
12. large bowls with heparinized saline 10.000 units/1 liter
13. pressure saline bags with heparinized saline 10.000 units/1 liter each-->two bags
13. contrast non ionic (omnipaque)
14. coil

technique
1. insert anestesia, insert needle
2. insert 7 F arerial sheath
3. 2.000 heparin iv
4. if tortuous vesels: insert diagnostic cath first
    if good vessels : directly insert guiding cath
5. After reaching CCA-->park exchange wire (terumo 300 cm, 0,035"/0,038") in  ECA
6. place guiding cath into infra petrousal ICA--> connect with saline bags by 3 waystopcocks making coaxial system
8. place microcath over microwire into desired aneurysm 

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