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Summarize the following:

INDICATION:  ___ year old woman with uterine fibroids, menorrhagia and pain.

COMPARISON:  MRI OF THE PELVIS ___.

TECHNIQUE:  OPERATORS: Dr. ___ (interventional radiology fellow) and
Dr. ___ radiology attending) performed the procedure. 
The attending was present and supervising throughout the procedure.

ANESTHESIA: Moderate sedation was provided by administrating divided doses of
200 mcg of fentanyl and 5 mg of midazolam throughout the total intra-service
time of 90 minutes during which the patient's hemodynamic parameters were
continuously monitored by an independent trained radiology nurse. 1% lidocaine
was injected in the skin and subcutaneous tissues overlying the access site

MEDICATIONS: 30 mg IV Toradol and 200mcg IV Nitroglycerin

CONTRAST: 168 ml of Optiray contrast.

FLUOROSCOPY TIME AND DOSE:  27 min, 727 mGy

PROCEDURE:  1. Right common femoral artery access.

2. Left uterine arteriogram.

3.  300-500 and 500-700 micron particle embolization of the left uterine
artery to near stasis.

4. Right uterine arteriogram.

5. 300-500 and 500-700 micron particle embolization of the right uterine
artery to near stasis.

6. Aortogram extending to the superficial femoral arteries.

PROCEDURE DETAILS:

Following a discussion of the risks, benefits and alternatives to the
procedure, written informed consent was obtained from the patient. The patient
was then brought to the angiography suite and placed supine on the exam table.
A pre-procedure time-out was performed per ___ protocol. Both groins were
prepped and draped in the usual sterile fashion.

Using palpatory, sonographic and fluoroscopic guidance, the right common
femoral artery was punctured using a micro puncture needle at the level of the
mid/upper third of the femoral head.  Through the micropuncture catheter a
___ wire was advanced easily under fluoroscopy into the aorta. A small
skin incision was made over the catheter and the catheter was exchanged for a
5 ___ sheath which was attached to a continuous heparinized saline side arm
flush.

An Omni flush catheter was advanced over the wire and the ___ wire was
advanced down the the left external iliac artery. The Omniflush catheter was
exchanged for a pudendal catheter. The pudendal catheter was used to cannulate
the left uterine artery. A left uterine arteriogram was performed. Using the
arteriogram as a road map a pre-loaded high-flow Renegade catheter and
Transcend wire was advanced distally into the uterine artery.  The pudendal
catheter was withdrawn slightly to improve flow
user
Based on the information provided, here is a summary of the procedure:
PROCEDURE:

1. Right common femoral artery access
2. Left uterine arteriogram
3. Embolization of the left uterine artery with 300-500 and 500-700 micron particles to near stasis
4. Right uterine arteriogram
5. Embolization of the right uterine artery with 300-500 and 500-700 micron particles to near stasis
6. Aortogram extending to the superficial femoral arteries

PROCATHETER INSERTION:

1. Puncture of the right common femoral artery using a micro puncture needle
2. Advance of a wire into the aorta through the micropuncture catheter
3. Exchange of the micropuncture catheter for a 5-French sheath attached to a continuous heparinized saline side arm flush
4. Advance of an Omniflush catheter over the wire and advance of the wire down the left external iliac artery
5. Exchange of the Omniflush catheter for a pudendal catheter
6. Cannulation of the left uterine artery using the pudendal catheter

MEDICATIONS:

1. Intravenous (IV) administration of 30 mg Toradol and 200 mcg Nitroglycerin

ANESTHESIA:

Moderate sedation administered through divided doses of 200 mcg of fentanyl and 5 mg of midazolam throughout the total intra-service time of 90 minutes

INCOMPARISON: MRI OF THE PELVIS ___.

INDICATION: 45-year-old woman with uterine fibroids, menorrhagia, and pain.
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