Progreat microcatheter

Added Mar 14, 2011

Manufactured by Terumo

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This 8 minute video shows a simple embolisation of a peripheral renal pseudoaneurysm. I used Terumo Azur CX detachable coils https://www.whichmedicaldevice.com/by... My 'goto' catheter for small vessel embolisation is the 2F Progreat used with an Asahi Meister single angle wire giving lots of torque. https://www.whichmedicaldevice.com/by... https://www.whichmedicaldevice.com/by... Please add any comments on these devices, what you like, what you dont like and alternatives using the links above to Which Medical Device! Dr Phil Haslam Consultant Interventional...

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This tight ureteric stricture required a micro wire (Meister 0.018") and microcatheter to cross. This was then upsized to a 0.035" system to allow balloon dilatation (presumed ischaemic stricture) and stenting. It is very unusual to need a 0.018" systemt to cross ureteric strictures, but it can be very useful. Dr Phil Haslam, consultant interventional and uroradiologist Dr Georgia Priona, consultant interventional radiologist

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This pseudoaneurysm occured in the mid splenic artery in a patient with chronic pancreatitis. The presence of a cystogastric stent to decompress the pseudocyst led to the presentation with major intermittent haematemesis. We chose to use a Viabahn to preserve the splenic artery. An alternative would have been to exclude the pseudoaneurysm by occluding the artery across/either side of ther neck. Dr Phil Haslam Consultant Interventional Radiologist.

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Onyx embolisation of renal AML
Added 25 August 2015

This video shows the percutaneous embolisation of a renal AML using Onyx 18. This benign renal mass had been previously biopsied to prove the diagnosis. I usually embolise these using PVA (contour) 250-355u and coils but having started using onyx felt a renal AML could be very efficiently embolised using this or its competitor product PHIL. I initally injected the Onyx relativley quickly to alow it to flow into the most distal part of the vessel in which I had lodged the microcatheter. The onyx then flowed back along the microcatheter. At this point I waited to allow it to solidify...

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