Non-Tunneled + Tunneled Hemodialysis Catheter

  1. Ultrasound unit + Probe cover
  2. Small Tray
  3. Micropuncture set
  4. Short amplatz wire (Some physicians) Small J wire (Other Docs)
  5. Dilators 8/10F
  6. Soft silk suture
  7. Lidocaine in control top syringe
  8. Heparin 1000 Units/cc
  9. Heparinized Saline
  10. Some physicians uses a ruler, dermabond and steristrips with tunneled HD catheter placement

Triple Lumen Catheter – Non Tunneled

  1. Ultrasound unit + Probe cover
  2. Triple lumen kit (contains dilator and J wire)
  3. Soft silk suture
  4. Lidocaine in control top syringe
  5. Heparin 100Units/cc
  6. Saline

Note: when passing catheter over wire for placement leave red lumen open.  Prime white and blue ports with heparinized saline

Broviac – Tunneled small bore central venous catheter

  1. Ultrasound unit + Probe cover
  2. Small tray/small drape
  3. Micropuncture set
  4. Broviac Catheter (single or double)
  5. Soft silk suture
  6. Lidocaine in control top syringe
  7. Heparin 100Units/cc
  8. Hep Saline
  9. Some physicians uses steri strips and dermabond, Some physicians also use a glow switch

Tunneled Catheter removal

  1. Medium Drape
  2. Large laceration tray which includes 27G needle
  3. Control top syringe for lido
  4. Labels
  5. 4 x 4 gauze pack
  6. Blue towels
  7. Chloro prep
  8. Tegaderm

RFA – Saphenous vein ablation

  1. Ultrasound unit + Probe cover
  2. Large tray
  3. Micropuncture set
  4. Tumecent from inpatient pharmacy (Take RFA requisition to inpt pharmacy at least 2 hrs prior to appt)
  5. Saline

Venaseal – Saphenous vein ablation

  1. Ultrasound unit + Probe cover
  2. Large tray
  3. Micropuncture set
  4. Saline
  5. Control top syringe for lido

IVC filter placement

  1. Ultrasound unit + Probe cover
  2. Small tray
  3. Control top syringe for lido
  4. Micropuncture set
  5. Contrast
  6. Heparinized saline
  7. Bentson

Tunneled Central Line Exchange with Possible revision

  1. 1 Stiff angled 180cm Glide wire
  2. Large tray or small tray and a curved kelley from suture removal kit
  3. Control top syringe for lido
  4. Soft silk suture
  5. New hemodialysis catheter
  6. Heparin 1000 Units/cc
  7. Heparinized saline
  8. Possibly will need (10 or 11 F sheath, Contrast, 12mm Balloon)

AV fistulagram

  1. Ultrasound unit + Probe cover
  2. 5ml of 1000units per cc heparin
  3. K50 Tubing
  4. Small tray
  5. Large drape
  6. Micropuncture set
  7. Hep saline
  8. 100ml contrast
  9. 1 x  6F short sheath open (have a second one ready but not open) 
  10. Control top syringe for lido
  11. Micropuncture set
  12. Flow switch
  13. Nitrix (Every Day wire)
  14. 3-0 stitch
  15. May ask for Kumpe Catheter 65cm (some physicians use glidewire and glidecath)
  16. If intervening may need (Insufflator (Some physicians hand inflates), balloon, stents…)

AV fistula declot

  1. Ultrasound unit + Probe cover
  2. 5ml of 1000units per cc heparin
  3. K50 Tubing
  4. Large tray + Small laceration kit for cissors
  5. Large drape
  6. Micropuncture set + (Entry needle 18G x 4cm for some doctors)
  7. Hep saline
  8. 100ml contrast
  9. 2 x  6F short sheath open 
  10. Control top syringe for lido
  11. 5mm fogarty balloon
  12. Flow switch
  13. Nitrix (Every Day wire)
  14. Two 3-0 stitch
  15. TPA
  16. Insufflator open on table (some doctors hand inflates)
  17. Kumpe Catheter 65cm open on table
  18. Teratola (Open if asked for)
  19. If intervening may need ( balloon, stents…)

Vertebroplasty

  1. Small tray
  2. Chiba needle
  3. Avamax
  4. 30ml lidocaine
  5. Hep saline
  6. (extension tubing for numbing)

Nephrostomy tube placement

  1. Good Ultrasound unit + Probe cover
  2. Small tray
  3. Accu-stick
  4. Nitrex wire (every day wire)
  5. Bentson
  6. Chiba needle
  7. Control top syringe for lido
  8. Dr. may ask for 4F kumpe catheter
  9. 8F Nephrostomy tube and Uresil bag

Nephrostomy tube Exchange

  1. Control top syringe for lido
  2. Small tray
  3. Large Drape
  4. Contrast
  5. Bentson Wire
  6. 8F Nephrostomy tube and Uresil bag

Double J stent placement When pt already has a Nephrostomy tube 

  1. Small Tray
  2. 5F Kumpe Catheter
  3. Bentson and glidewire
  4. Peel away sheath

Lower extremity or other arterial (Splenic) Angiogram

  1. Ultrasound unit + Probe cover
  2. Large tray
  3. Micropuncture set
  4. Hep saline (Some physicians uses heparinized flush to attach and drip into access sheath)
  5. 100ml contrast
  6. 6F 10cm Sheath 
  7. Control top syringe for lido
  8. Power injector tubing
  9. Flow switch
  10. Bentson, Angled glidewire
  11. some physicians use 90cm pigtail catheter Some physicians uses Ominiflush
  12. If intervening may need ( Straight flush, navicross, road runner, 45cm sheath, rosen…)
  13. Minx closure, Angioseal or Starclose

Splenic Artery Angiogram and Embolization

  1. Same as above but add Microcatheter 
  2. Possible coils
  3. 3cc seringes – 6 total with 3 marked contrast and 3 marked hep saline

Uterine fibroid embolization

  1. Ultrasound unit + Probe cover
  2. Large tray
  3. Micropuncture set
  4. Hep saline (Some physicians uses heparinized flush to attach and drip into access sheath)
  5. 100ml contrast
  6. 6F 10cm Sheath open 
  7. Control top syringe for lido
  8. Flow switch
  9. Bentson 180, Angled glidewire 180
  10. Open RUC catheter and Microcatheter 
  11. Some physicians use Angiodynamics Cobra 2 Some physicians/Other physicians use Ominiflush
  12. 3cc syringes for microcatheter
  13. Minx closure, Angioseal or Starclose

Transjugular Liver Biopsy

  1. Ultrasound unit + Probe cover
  2. Small tray
  3. Micropuncture set
  4. 50ml contrast
  5. Control top syringe for lido
  6. Transjugular liver biopsy kit
  7. Bentson 180
  8. 9F 30cm Sheath
  9. Dilators 7/8/10

IVC Filter Placement

  1. Ultrasound unit + Probe cover
  2. Small Tray
  3. Large Drape
  4. 50cc Contrast
  5. Control top syringe for lido
  6. Micropuncture set
  7. Argon Option Elite Filter Kit

IVC Filter Removal

  1. Ultrasound unit + Probe cover
  2. Micropuncture set
  3. Filter removal kit
  4. Small Tray
  5. Large Drape
  6. Control top syringe for lido
  7. Bentson wire
  8. Flow Switch
  9. Pigtail.  Some physician do not use pigtail

Groin Pseudoaneurysm.

  1. Ultrasound unit + Probe cover
  2. Small Drape
  3. Towels
  4. Laceration kit
  5. Control top syringe for lido
  6. Micropuncture set
  7. Gauze pack
  8. Chloraprep
  9. 3 way stop cock
  10. 1 cc syringe (Additional 3 cc syringes)
  11. Thrombin medication kit

Ultrasound Guided Biopsy

  1. Ultrasound unit + Probe cover
  2. Medium drape
  3. Towels
  4. Control top syringe for lido
  5. Biopsy Tray from CT
  6. If 18 gauge core bx open appropriate length biopence and matching introducer
  7. If smaller 20 gauge core bx open appropriate length Bard
  8. For liver and kidney bx open Gelfoam/3 way stop cock/ 2x 5cc seringes
  9. For livers and kidney bx Some physicians uses a 10cm 22 gauge chiba needle