Access:

• Radial

  • Radial access set (needle, wire, 5Fr sheath)

  • Cocktail (2mg verapamil, 200mcg nitroglycerin, 3000U heparin)

  • Pressure bag set up

  • Tegaderm (poptart size)

• Femoral

  • 5-F micropuncture access set (needle, wire, transitional dilator)

  • Bentson wire

  • 5-F,  10-cm standard vascular sheath

  • Pressurized flush bag set up

• All procedures

  • Control syringe with 25-G needle (5mL 1% lidocaine)

Procedure:

• Radial

  • 5-F, 125cm vert catheter

  • 180-cm Glidewire + torque

  • 2.8-F or 2.4-F, 150-cm ProGreat microcatheter (includes Touhy)

  • Fathom guide wire (includes torque)

• Femoral

  • 5-F, 80-cm Cobra-2 catheter

  • 150-cm Glidewire + torque

  • 2.8-F or 2.4-F 130-cm ProGreat microcatheter (includes Touhy)

  • Fathom guide wire (includes torque)

• All procedures

  • Contrast Syringes:

    • 10 mL blue  medallion for 70% contrast + 30% saline mix

    • 3 mL blue medallion with 100% contrast

  • Saline syringes

    • 20 mL standard syringes

    • 3 mL white medallion

  • 4 x 4 gauze & standard blue towels

  • Disposable instruments (scissors, clamp, needle driver, curved pickups)

  • Round bowls (at least one filled with saline)

  • Clave (separate from short extension tubing)

  • 1-way stopcock

  • Sharps stop

  • #11 blade

  • Power injector set up & tubing (70/30 mix)

  • 5-F 100-cm pigtail-tip Omni-Flush catheter 

Embolization:

• Separate sterile set up on mayo stand

• 3-way stopcock

• Colored medallion syringes (green & purple) from Embokit

• Medallion 1mL saline syringes (white & red) from Embokit

• Stack of 4 x 4 gauze set

Closure

• Radial

  • TR band

• Femoral

  • 5-F Mynx: < 45 years old

  • 6-F AngioSeal: > 45 years old

Superior hypogastric nerve block

• 21-G x 15-cm Chiba needle

• Short extension tubing

• 50mL syringe

• Nerve block agents:

  • 30 mL, 0.25% Bupivacaine or 15 mL 0.5% Bupivacaine

  • 80 mg Triamcinolone Acetonide