Embolisation
Link to General Principles, including redosing table.
For prescribing use Adult Interventional Radiology powerplan on EPR.
Post procedural antibiotics are not indicated for prostate, uterine or splenic embolisation.
Prostate Artery Embolisation
Preferred, including for penicillin allergy (non-severe or severe) or MRSA positive: gentamicin 3mg/kg iv
Uterine Artery Embolisation
NB: Use Uterine Artery Embolisation for Fibroids powerplan on EPR.
Preferred, including for penicillin allergy (non-severe): cefazolin iv (see dosing table below)
| cefazolin iv dose | |
| Weight under 50kg | 1g |
| Weight 50kg to less than 120kg | 2g |
| Weight 120kg or more | 3g |
| Creatinine Clearance less than 10ml/min or patient receiving Haemodialysis | 1g |
For penicillin allergy (severe) or MRSA positive patients: gentamicin 3mg/kg iv
Splenic Embolisation
If less than 70% of spleen embolised: Antibiotic prophylaxis is not routinely required
Where approximately 70% or more of spleen embolised:
Preferred, including for penicillin allergy (non-severe): cefazolin iv (see dosing table below)
| cefazolin iv dose | |
| Weight under 50kg | 1g |
| Weight 50kg to less than 120kg | 2g |
| Weight 120kg or more | 3g |
| Creatinine Clearance less than 10ml/min or patient receiving Haemodialysis | 1g |
For penicillin allergy (severe) or MRSA positive patients: gentamicin 3mg/kg iv