{"id":11924,"date":"2021-04-08T04:19:25","date_gmt":"2021-04-08T04:19:25","guid":{"rendered":"https:\/\/lavascular.com\/?p=11924"},"modified":"2021-04-08T04:19:25","modified_gmt":"2021-04-08T04:19:25","slug":"y90-hepatic-radioembolization-technique-and-dictation","status":"publish","type":"post","link":"https:\/\/lavascular.com\/y90-hepatic-radioembolization-technique-and-dictation\/","title":{"rendered":"y90 hepatic radioembolization technique and dictation"},"content":{"rendered":"
PROCEDURE:\u00a0<\/span><\/p>\n <\/p>\n INDICATION:\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n MEDICATIONS: Versed \u00a0 \u00a0 mg IV, fentanyl \u00a0 \u00a0 mcg IV, Ancef 1 gram IV; Premedications given per protocol.<\/span><\/p>\n CONTRAST: \u00a0 \u00a0 ml of nonionic contrast<\/span><\/p>\n FLUORO TIME: \u00a0 \u00a0 minutes<\/span><\/p>\n ACCESS SITE: Right common femoral artery<\/span><\/p>\n <\/p>\n PROCEDURE:<\/span><\/p>\n The risks, benefits, and alternatives to the procedure and sedation were explained to the patient, and written informed consent obtained.<\/span><\/p>\n The patient was placed in supine position on the angiography table and right groin was prepped and draped in sterile fashion.\u00a0 The skin and subcutaneous tissue overlying the right common femoral artery were infiltrated with 2% lidocaine for local anesthetic. Using ultrasound guidance, the right common femoral artery was punctured using a micropuncture needle. A 0.018″ wire was advanced through the needle into the artery. The needle was exchanged for a 5 French transitional catheter. The inner dilator and the 0.018″ wire were removed and a 0.035″ Bentson wire was advanced into the artery. The transitional catheter was exchanged for a 5 French vascular sheath, which was attached to a heparinized pressure bag of normal saline. A 5 French Sim-I Glidecath was advanced over the wire and was used to cannulate the celiac axis. Digital subtraction angiography was performed.\u00a0<\/span><\/p>\n A Renegade Hi-Flo microcatheter was coaxially loaded and advanced over a 0.014″ Transend guidewire into the \u00a0 \u00a0 hepatic artery and a corresponding arteriogram was obtained.\u00a0<\/span><\/p>\n Once the catheter was in adequate position, approximately \u00a0 \u00a0 mCi of 90-Yitrium radioactive particles (\u00a0 \u00a0 were infused into the \u00a0 \u00a0 hepatic artery. The microcatheter was flushed and the catheters were disposed of appropriately.\u00a0<\/span><\/p>\n A right common femoral angiogram was obtained through the sheath.\u00a0 The sheath was removed and the arteriotomy was closed with a StarClose device. A sterile dressing was applied.<\/span><\/p>\n\n