Medications:

• Pre-procedure: 

  • Decadron 10mg IV

  • Zofran IV 4 mg

• Intra-procedure: 

  • 30 mg Toradol IV

  • If the stent is placed, IV heparin

  • Ancef 2 mg IV

• Post-procedure (at discharge): 

  • Medrol Dose Pack

  • Ibuprofen

  • Plavix if stent

Sedation:

• Moderate sedation

Venous Access:

• Left common femoral vein

Sheaths:

• 6-F Ansel curved-tip sheath for internal jugular vein access

• 9-F and 10-F short sheath for femoral vein access

  • Short sheath for subsequent internal iliac vein catheterization and stenting

Catheters:

• Left Ovarian Vein Catheterization:

  • Left renal vein catheterization first

  • Femoral approach:

    • Ovarian vein origin:

      • 7-F reverse-curve-shaped guiding catheter

      • 5-F Cobra catheter

    • Distal ovarian vein:

      • 4-F JB-1 hockey-stick-shaped catheter

  • Jugular approach:

    • 5-F Cobra

    • 5-F MPA

    • 5-F H-1

• Right Ovarian Vein Catheterization:

  • Femoral approach:

    • Ovarian vein origin:

      • 7-F reverse-curve-shaped guiding catheter

      • 5-F Simmons-2

    • Distal ovarian vein:

      • 4-F JB-1 hockey-stick-shaped catheter

  • Jugular approach:

    • 5-F Cobra

    • 5-F MPA

    • 5-F H-1

Ovarian Venography:

• Hand injection of 10 mL contrast medium while the patient is on Valsalva

• Document PCS using criteria

STENT PLACEMENT:

• IVUS:

  • Measuring vein diameters

• Balloon Angioplasty:

  • Pre-stent angioplasty using 12 mm and 14 mm balloons

• Sheaths:

  • 9-F and 10-F short sheaths

• Guidewires:

  • 035-inch Amplatz

  • 035-inch standard guidewires: Bentson, Glide, Rosen

• Stent Types:

  • ABRE

  • ZILVER

  • VENOVO