8.5 Fr Tour Guide 7 Fr Fogerty over the wire (requires 8 Fr) 2.8 Fr Progreat Right IJ access Use Kumpe or Cobra and glidewire for access to the varix Exchange for Fogerty and inflate Do a run Get up into the mid varix with microcatheter and embolize with gel foam or sclerose with STS Remove microcatheter and put coils through Fogerty