Renegade hi flo microcatheter

Using US guidance, the right common femoral artery was accessed with a 21-gauge needle through which a 5F vascular access sheath was advanced. A Simmons one hydrophilic glidecath (Terumo, Tokyo Japan) was then carried through this to the proper hepatic artery. Subsequently, a Renegade Hi-Flo microcatheter was advanced (Boston Scientific, Natick MA), and used for sub-selective branch therapy [Figure 2]. Typical femoral vascular access closure was obtained by either STARCLOSE (Abbott Vascular, Chicago, IL), MYNXGRIP (Cardinal Health, Dublin, OH), ANGIO-SEAL (Terumo, Somerset, NJ) or manual compression. The patient was then transferred to the recovery area with their lower extremity straight for 2 hours before discharge.

Typical TRA UAE was performed after Barbeau’s eva-luation of the radial artery [17 (link)]. Patients with a type D response were excluded from the study. For every patient, an ultrasound image documented the radial artery to be 2 mm in size. Prior to the procedure, the skin overlying the left radial artery was anaesthetized with lidocaine and nitroglycerin paste. Under ultrasound guidance, the radial artery was accessed with a 21-gauge needle. After placement of a 5F vascular access sheath, a 5F angled tip hydrophilic Glidecath (Terumo, Tokyo, Japan) was advanced to the internal iliac artery. Through this, a Renegade Hi-Flo microcatheter was advanced (Boston Scientific, Natick, MA) and used to select the uterine artery (Figure 1). For each patient, a radial artery “cocktail” was utilized post-procedure which included 200 ug nitroglycerin, 2.5 mg verapamil, and 3000 units of heparin.
After embolization, all wires and catheters were removed. Before removal of the sheath, a TR Band (Terumo, Somerset, NJ) was placed on the left wrist over the arteriotomy site and inflated to obtain haemostasis. The haemostasis was subsequently maintained for 60 minutes. Arterial haemostasis was reconfirmed as the cuff was incrementally deflated. Upon cuff removal by nursing staff in the recovery unit, the patient was observed for an additional 30 minutes prior to discharge.