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. 287 OBL/ASC Reimbursement Update Jan 2023 with Dr. Jim Melton and Dr. Blake Parson

Ep. 287 OBL/ASC Reimbursement Update Jan 2023 with Dr. Jim Melton and Dr. Blake Parson

In this episode, host Dr. Aaron Fritts interviews Dr. Jim Melton, vascular surgeon, and Dr. Blake Parsons, interventional radiologist, about progress in the OBL and ASC space, including reimbursement ...

30 Tammi 202336min

Ep. 286 Minimally Invasive Thyroid Interventions with Dr. Jawad Hussain and Dr. Alan Alper Sag

Ep. 286 Minimally Invasive Thyroid Interventions with Dr. Jawad Hussain and Dr. Alan Alper Sag

In this episode, our host Dr.Michael Barraza interviews Drs. Jawad Hussain and Alan Sag about how they implemented thyroid artery embolization into their respective private and academic practices. --...

27 Tammi 202345min

Ep. 285 TIPS with ICE Guidance with Dr. Merve Ozen

Ep. 285 TIPS with ICE Guidance with Dr. Merve Ozen

In this episode, host Dr. Aparna Baheti interviews Dr. Merve Ozen, interventional radiologist, about how to integrate ICE for TIPS, including why she uses a vampire stick, her needle preference, and t...

23 Tammi 202328min

Ep. 284 Ortho/IR Collaboration in Private Practice with Dr. Daniel Lerman and Dr. Anthony Brown

Ep. 284 Ortho/IR Collaboration in Private Practice with Dr. Daniel Lerman and Dr. Anthony Brown

In this episode, host Jacob Fleming interviews interventional radiologist Tony Brown and orthopedic oncologist Daniel Lerman about their multidisciplinary IR/orthopedics practice and innovative techni...

20 Tammi 20231h 2min

Ep. 283 Interspinous Spacers for Spinal Stenosis Part 2 with Dr. Luigi Manfre

Ep. 283 Interspinous Spacers for Spinal Stenosis Part 2 with Dr. Luigi Manfre

In this episode, host Dr. Jacob Fleming interviews Dr. Luigi Manfrè, spine interventional neuroradiologist and chair of the European Society of Neuroradiology about treatment of spinal stenosis and sp...

18 Tammi 202349min

Ep. 282 Interspinous Spacers for Spinal Stenosis Part I with Dr. Luigi Manfre

Ep. 282 Interspinous Spacers for Spinal Stenosis Part I with Dr. Luigi Manfre

In this episode, host Dr. Jacob Fleming interviews Dr. Luigi Manfrè, interventional radiologist and chair of the European Society of Neuroradiology about how he treats lumbar spinal stenosis using spi...

16 Tammi 20231h 3min

Ep. 281 Training in Open vs Endovascular Techniques with Neurosurgeon Dr. Pascal Jabbour

Ep. 281 Training in Open vs Endovascular Techniques with Neurosurgeon Dr. Pascal Jabbour

In this episode, our host Dr. Sabeen Dhand interviews Dr. Pascal Jabbour, Division Chief of Neurovascular Surgery & Endovascular Neurosurgery at Jefferson University. We discuss the current training l...

13 Tammi 202333min

Ep. 280 Current Controversies in Prostatic Artery Embolization with Dr. Sam Mouli

Ep. 280 Current Controversies in Prostatic Artery Embolization with Dr. Sam Mouli

In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. Samdeep Mouli about controversies in prostate artery embolization, including technique, durability, and how we can l...

9 Tammi 202341min

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