Procedure Kit For Pressure Directed Therapy in Y90 Radioembolization of HCC

[Nainesh Parikh]
“I've only used the Surefire catheter a handful of times, and a couple of those times were in training. What do you think of the actual usage of the catheter? So what I mean is, typically if we talk about tools for a second, since it is a tool ... we go in with a Five French Tig through the groin, or if I'm doing a treatment I go in radial, and I use some other catheter, a SOS, or if I'm going radial, I use a Sarah, and then I'll go microcatheter through that.

How do you find the actual tools themselves? Because I know that I asked some folks, and sometimes people complain that the catheter is big, or it's stiff, or it doesn't track, and also complain that you have to use the microcatheter that's supplied by surefire. I'm just curious to know what your experience is.”

[Charles Nutting]
“...So I've performed probably a couple hundred procedures with the Surefire devices and different iterations. I think with the precision microcatheter, if I know that I'm going in to do a pressure-directed therapy with radioembolization or drug-eluting beads, then I would use their proprietary guide catheter from the beginning. It's Five French, it'll fit through a Five French sheath, but it's got the larger ID.”

[Nainesh Parikh]
“What's the shape of it?”

[Charles Nutting]
“I tend to use a Sim 1.”

[Nainesh Parikh]
“Oh, so they have a whole array of proprietary microcatheters, got it. Okay.”

[Charles Nutting]
“Yes. So they have a C2, a SOS-like, and a Sim 1, and I tend to do most of my liver-directed therapy with a Simmons 1 shape reverse-curve catheter. And I think with the latest generation, the 021 precision catheters, it is very trackable over a wire, and it doesn't change my workflow if I know I'm gonna be using that from the beginning; then I'll use their guide catheter. There is a two to four millimeter device deployment, so it does work in small vessels, and I've been able to use that segmentally, sub-segmentally, and lobar.”

[Nainesh Parikh]
“Okay. And I guess my other question - because this is something that I started to think about over the course of the last week as we prepared for this discussion - you know, you have to purchase the guide catheter separately, is that right? They don't come packaged with microcatheters?”

[Charles Nutting]
“I believe that's true.”

[Nainesh Parikh]
“Okay, so for anyone that wants to try to use this, certainly, I'm sure the Surefire reps will let you know, but just keep in mind that you're gonna wanna have both the guide catheter and the microcatheter available to you.”