Procedure: Selective____arteriography, embolization with follow-up angiogram
Indication:
Date:
Access site: Right common femoral artery with US
Operators: Drs.
Medications: mg IV Versed, mcg IV fentanyl
Embolic agent:
Contrast: mL non-ionic
Fluoro time: minutes
Complications: None immediate.
Technique:
The risk benefits, and alternatives to the procedure and sedation were explained to the patient. The specific risks of vascular damage, contrast induced renal injury, thromboembolic phenomena and non-target embolization were detailed and accepted. Written informed consent was obtained. A time out/call to order was performed prior to procedure initiation.
The patient was assessed for conscious sedation and found to be an adequate candidate. A dedicated nurse monitored heart rate, blood pressure, and oxygen saturation throughout the procedure.
The right groin was prepped and draped in sterile fashion. The common femoral artery was accessed via Seldinger technique and a vascular sheath placed. Over a 0.035″ wire, a 5 French Simmons I glide catheter was reformed in the descending thoracic aorta.
The____was selected and DSA images performed. These findings warrant embolization.
microcatheter?
Embolization was carried out using ____. Post embolization arteriography was performed through the ___to assess embolic effect.
The ____ was selected. Arteriography was performed.
The images were reviewed. The catheter was removed over a wire.
Hemostasis achieved with _____ . No immediate complication occurred, and the patient was discharged to the recovery area in satisfactory condition.
Findings:
interpret each vessel selected
interpret post embo run
Impression:
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