0:00

So let's look at a video of preparation of

0:03

this particular agent.

0:05

So here the thrombin is initially withdrawn from

0:08

a vial using a non-coring vile axis device.

0:13

It's place.

0:14

Through the norncoring device.

0:17

syringe

0:19

advanced

0:22

and the solution the thrombin solution is gently

0:25

aspirated into the syringe.

0:28

The Second Step would be that the thrombin then becomes reconstituted using

0:31

a liquid diluent compose a buffered

0:34

calcium chloride.

0:36

Now the thrombin is injected into that

0:39

liquid element calcium chloride

0:42

and then aspirated.

0:50

So now this reconstituted thrombin solution is

0:53

then used to hydrate a syringe of

0:56

collagen.

0:57

That solution is mixed back and forth until thickened.

1:06

As it's moved between both syringes, it

1:09

becomes more and more difficult in order

1:12

to trap it in a single syringe.

1:15

The next step is to get the air out.

1:17

from the

1:19

end of the syringe and that's then gently into a

1:22

gauze in order to ensure that the dstat is maintained

1:25

within the entirety of the syringe and

1:28

there is no air.

1:30

Here we see the reconstituted thrombin with

1:33

the collagen in a nice

1:36

Emulsion that almost resembles toothpaste, which

1:39

is the consistency we want to achieve and there is

1:42

no air within the syringe.

1:45

So what we then do is the solution is then

1:48

introduce undulcheson guidance.

1:50

using the provided tip

1:53

It's left to settle inside you and so what

1:56

we do is usually about two-thirds of the solution is

1:59

injected at the site.

2:01

where the introducer is

2:03

so which allows the solution to

2:06

permeate through our track distal to

2:09

our introducer site and then we then

2:12

using about a third of the remaining solution.

2:16

We then begin to withdraw and inject withdraw

2:19

and inject draw and

2:22

Jack and ultrasound guidance. So that tracked actually becomes

2:25

embolized.