Special case info

RFA / Cryoablation

  • Ancef 1 gram IV prior
  • No scan while in house
  • Outpatient:
    • Discharge follow up with Onc, GI or GU and IR with follow up imaging in 2 months

Chemo Embolization (TACE)

  • Labs daily
  • CT scan WITHOUT contrast on PPD#1
  • Dexamethasone 10 mg po / IV for 3 days
  • Outpatient:
    • ? labs - check with MD
    • Scan in 1 month with follow up appointment with Onc, Gi, IR

TIPS

  • Unasyn 1.5-3 grams IV prior
  • No scan while in house
  • Outpatient:
    • US at 2 weeks, 3 months and 6 months

UAE

  • Start Doxycycline 100 mg BID for 5 days (will need to complete as an outpatient)
  • Outpatient:
    • Clinic appointment vs. phone call in one month

PTX

  • Chest tube to LWS~20 cm H20
  • CXR to show re-expansion
  • Once no air leak and re-expansion on CXR patient may go to water seal
  • Repeat CXR in 2-4 hours
  • Outpatient:
    • No follow up with IR

Coiling / Stenting

  • Heparin Orders
  • ? when to stop heparin
  • ? when to pull sheath
  • Coiling patients ONLY get MRA aneurysm protocol PPD#1
  • Outpatient / Discharge
    • See attending in 3 weeks
    • MRA@ 3 months, ? angiogram 1-3 years