Microcatheter-microwire combinations:

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some good choices:

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Progreat 2.8F and included wire which is a glidewire GT (terumo product)

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BosSci renegade Hi flo- lots of academic institutions seem to like this

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per MH, best choice which has never failed him:

Cook Cantata 2.9 micro with Synchro super soft wire (stryker neurovascular wire)

soft enought to get through tons of loops

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When using microcatheters- keep in mind the internal diameter

if not well matched to the embolization product, ie coil diameter, could have product exit into cathter and screw up you case

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coils:

detachable or pushable

trend is towards detachable as its more precise, idea coming from neurovascular (another trend)

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good detachable coils:
Terumo hydrocoils

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Hydrocoil

Azur Cx (cross sectional) has a loop that is transverse to the plane of the previous

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Framing coil:  per rep good for framing but not good for actual embolization.  framing means providing a network for other coils to form better.  this coil is set to be a big bird's nest

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to deploy coil, ask for "cucumber" or "pickle" and place distal wire end into opening

hold the wire in place

pusht he button

there will be abeeping sequence

if the detacher errors out, means there is heme or contrast on tip, wipe with wet sponge

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pushable coils:

Nesters and Tornado, Cook

tornados are tapered like a well tornado

useful for avms

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dont ever forget we dumped $30k of coils in a 8 d old with MH and cured him/her of a periumbilical AVM

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