Ep. 604 Mythbusters: Provocative Mesenteric Angiography for GI Bleeds with Dr. Sabeen Dhand

Ep. 604 Mythbusters: Provocative Mesenteric Angiography for GI Bleeds with Dr. Sabeen Dhand

A negative angiogram in a patient with recurrent lower GI bleeding often calls for provocative angiography. In this episode of the BackTable Podcast, IR hosts Mike Barraza and Sabeen Dhand team up to talk tools, techniques, and tPA dosing for safe and effective treatment of lower GI bleeds with provocative mesenteric angiography.---This podcast is supported by:RADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISDr. Dhand describes the utility of provocative angiography in recurrent lower GI bleed patients with negative CTA and angiography, addressing common myths and concerns that may contribute to its underutilization. The conversation covers detailed procedure steps for both targeted and untargeted angiography, including access sites, dosing of tPA, and angiographic technique. Dr. Dhand emphasizes the importance of gradual increases in tPA dosage in 2 mg increments, and clear communication with care teams and the patient about the nature of the procedure. He also emphasizes the effectiveness and safety of this procedure by sharing real-world cases.---TIMESTAMPS00:00 - Introduction02:04 - Provocative Angiography for Lower GI Bleeds04:09 - Detailed Protocol for Provocative Angiography11:13 - Technical Details and Best Practices20:07 - Challenges in GI Bleeding Studies22:40 - Selective Embolization Techniques27:44 - Handling Negative Angiograms32:56 - Real-World Case Studies35:15 - Final Thoughts---RESOURCESThiry et al. Provocative Mesenteric Angiography: Outcomes and Standardized Protocol for Management of Recurrent Lower Gastrointestinal Hemorrhagehttps://pubmed.ncbi.nlm.nih.gov/34506023/

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Ep. 486 Winning the Revenue Cycle Game with Teri Yates

Ep. 486 Winning the Revenue Cycle Game with Teri Yates

Is your practice profitable? The success of a private medical practice often hinges on effective revenue cycle management (RCM). In this episode of the BackTable Podcast, private practice consultant T...

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Ep. 485 Mastering Microwave Ablation in HCC Treatment with Dr. Zach Berman

Ep. 485 Mastering Microwave Ablation in HCC Treatment with Dr. Zach Berman

Are you up-to-date on microwave ablation for hepatocellular carcinoma (HCC) treatment? Dr. Zachary Berman and host Dr. Michael Barraza discuss this treatment modality. They cover the spectrum of pre-p...

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Ep. 484 Toolbox Essentials for CLI in the OBL with Dr. Kevin Herman

Ep. 484 Toolbox Essentials for CLI in the OBL with Dr. Kevin Herman

Is your critical limb ischemia (CLI) toolbox up to date? Dr. Kevin Herman and host Dr. Sabeen Dhand discuss treating CLI in the outpatient based lab (OBL) and ambulatory surgery center (ASC) settings....

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Ep. 483 Endovascular Innovations: The Ellipsys Story with Dr. Jeff Hull

Ep. 483 Endovascular Innovations: The Ellipsys Story with Dr. Jeff Hull

Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical devic...

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Ep. 482 Performing PAE and Practice Building in 2024 with Dr. Jason Hoffman

Ep. 482 Performing PAE and Practice Building in 2024 with Dr. Jason Hoffman

Get caught up on prostate artery embolization (PAE) best practices and learn the ins-and-outs of building a PAE program in 2024. Dr. Jason Hoffmann covers this and more, with host Dr. Michael Barraza....

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Ep. 481 Genicular Artery Embolization: How I Do It with Dr. Osman Ahmed

Ep. 481 Genicular Artery Embolization: How I Do It with Dr. Osman Ahmed

Genicular artery embolization (GAE) is quickly emerging as a treatment option for knee osteoarthritis when other therapies have failed. In this episode of the BackTable Podcast, Dr. Osman Ahmed discus...

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Ep. 480 Venous Treatments: How Low Do You Go? with Dr. Adam Raskin

Ep. 480 Venous Treatments: How Low Do You Go? with Dr. Adam Raskin

Get caught up on the current best practices and guidelines in venous interventions. Dr. Adam Raskin covers this and more, with host Dr. Sabeen Dhand in this discussion of DVT and PE treatments. Dr. Ra...

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Ep. 479 World of Hurt: A New Film About Medical Malpractice with Viknesh Kasthuri

Ep. 479 World of Hurt: A New Film About Medical Malpractice with Viknesh Kasthuri

In a society where discussions about medical malpractice are often concealed from the public eye, this episode of BackTable shines a spotlight on the powerful documentary ‘A World of Hurt: How Medical...

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