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. 271 How Can AI Help with Acute Aortic Emergencies? with Dr. Ben Starnes

Ep. 271 How Can AI Help with Acute Aortic Emergencies? with Dr. Ben Starnes

In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Benjamin Starnes about artificial intelligence in aortic intervention, from aneurysm detection to procedural planning and coordin...

12 Joulu 202234min

Ep. 270 Treatment Algorithms for Splenic Artery Embolizations with Dr. Chris Grilli

Ep. 270 Treatment Algorithms for Splenic Artery Embolizations with Dr. Chris Grilli

In this episode, Dr. Aaron Fritts interviews Dr. Chris Grilli of Christiana Health about his treatment algorithms and procedural tips for splenic embolization as a treatment for splenic trauma, hypers...

9 Joulu 202247min

Ep. 269 Innovating on Educational Meetings (on site at Paris Vascular Insights) with Dr. Lorenzo Patrone and Dr. Isabelle Van Herzeele

Ep. 269 Innovating on Educational Meetings (on site at Paris Vascular Insights) with Dr. Lorenzo Patrone and Dr. Isabelle Van Herzeele

In this episode, guest host Dr. Lorenzo Patrone interviews vascular surgeon Dr. Isabelle Van Herzeele about the current state of vascular skills education and the future of vascular conferences. --- ...

7 Joulu 202222min

Ep. 268 Atherectomy Basics with Dr. Omar Saleh and Dr. Srini Tummala

Ep. 268 Atherectomy Basics with Dr. Omar Saleh and Dr. Srini Tummala

In this episode, host Dr. Sabeen Dhand interviews Drs. Srini Tummala and Omar Saleh about atherectomy in peripheral arterial disease, including indications, technique, and device selection. --- CHEC...

5 Joulu 202253min

Ep. 267 Treatment Algorithms for Severe Venous Disease with Dr. Raghu Kolluri

Ep. 267 Treatment Algorithms for Severe Venous Disease with Dr. Raghu Kolluri

In this episode, Dr. Aaron Fritts interviews Dr. Raghy Kolluri, the system medical director of Vascular Medicine at OhioHealth, about his workup and treatment algorithm for severe venous disease. ---...

2 Joulu 202258min

Ep. 266 Practice Building in a Traditional IR/DR Practice with Dr. David Johnson

Ep. 266 Practice Building in a Traditional IR/DR Practice with Dr. David Johnson

In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. David Johnson about practice building in an IR/DR group, including factors that make a good job, and how he formed o...

28 Marras 202250min

Ep. 265 The TheraSphere Story with Dr. Riad Salem and Peter Pattison

Ep. 265 The TheraSphere Story with Dr. Riad Salem and Peter Pattison

In this crossover episode between BackTable VI and BackTable Innovation, Dr. Chris Beck interviews Dr. Riad Salem (Chief of Interventional Radiology at Northwestern University) and Peter Pattison (Pre...

25 Marras 20221h 2min

Ep. 264 The Halo Effect with Dr. Sandeep Bagla

Ep. 264 The Halo Effect with Dr. Sandeep Bagla

In this episode, cohosts Dr. Aparna Baheti and Dr. Aaron Fritts interview interventional radiologist Dr. Sandeep Bagla about “The Halo Effect”, including how to recognize when you are being subjected ...

21 Marras 20221h 2min

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