{"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

    \n
  1. Celiac axis angiogram<\/span><\/li>\n
  2. \u00a0 ___hepatic artery angiogram\u00a0<\/span><\/li>\n
  3. Radioembolization of the \u00a0 \u00a0 hepatic artery<\/span><\/li>\n
  4. Right common femoral artery angiogram<\/span><\/li>\n
  5. Arteriotomy closure with Starclose\u00a0<\/span><\/li>\n<\/ol>\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

    The patient tolerated the procedure well and left the angiography suite in stable condition without any immediate postprocedural complications<\/a>.<\/span><\/p>\n

     <\/p>\n

    FINDINGS:<\/span><\/p>\n

      \n
    1. Celiac angiogram demonstrates conventional anatomy.\u00a0 Embolization coils are again noted in the mid gastroduodenal artery and there is no distal filling.<\/span><\/li>\n
    2. \u00a0 \u00a0 hepatic artery angiogram demonstrate multiple hypervascular lesions in the \u00a0 \u00a0 hepatic lobe.<\/span><\/li>\n
    3. Limited right common femoral arteriogram demonstrates arterial access above the femoral bifurcation and below the deep inferior epigastric artery, adequate for closure device.\u00a0\u00a0<\/span><\/li>\n<\/ol>\n

       <\/p>\n

      IMPRESSION: Successful radioembolization of the \u00a0 \u00a0 hepatic lobe utilizing\u00a0 \u00a0 .<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

      PROCEDURE:\u00a0 Celiac axis angiogram \u00a0 ___hepatic artery angiogram\u00a0 Radioembolization of the \u00a0 \u00a0 hepatic artery Right common femoral artery angiogram Arteriotomy closure with Starclose\u00a0   […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\ny90 hepatic radioembolization technique and dictation - 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