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. 263 How I Perform Renal Biopsies with Chris and Aaron

Ep. 263 How I Perform Renal Biopsies with Chris and Aaron

In this next installment of our Back to the Basics series, Drs. Aaron Fritts and Chris Beck discuss their techniques, considerations, and tips for ensuring safe and high quality renal biopsies. The C...

18 Marras 20221h 12min

Ep. 262 IR/OB Collaboration in Treating Post Partum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

Ep. 262 IR/OB Collaboration in Treating Post Partum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks

On this episode, BackTable VI host Dr. Christopher Beck shares the mic with two Maternal Fetal Medicine (MFM) specialists, Drs. Roxane Rampersad at Washington University and Tony Shanks at Indiana Uni...

17 Marras 202252min

Ep. 261 Essentials of a Multidisciplinary Team for PE with Dr. Rohit Amin

Ep. 261 Essentials of a Multidisciplinary Team for PE with Dr. Rohit Amin

In this episode, host Dr. Aaron Fritts interviews interventional cardiologist Dr. Rohit Amin about his private practice PE response team, including his treatment algorithm, follow-up protocol, and how...

14 Marras 20221h

Ep. 260 SAFARI Procedure with Dr. Luke Wilkins

Ep. 260 SAFARI Procedure with Dr. Luke Wilkins

In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Luke Wilkins about his approach to the subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) tech...

11 Marras 202240min

Ep. 259 Building an IR Department From Scratch with Dr. Doug Hidlay

Ep. 259 Building an IR Department From Scratch with Dr. Doug Hidlay

In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. Doug Hidlay about how he has built a solo IR practice in rural Virginia, including how he got equipment, employees a...

7 Marras 202245min

Ep. 258 GEST Hot Topic: Learn MSK Embolization in Paris! with Dr. Marc Sapoval

Ep. 258 GEST Hot Topic: Learn MSK Embolization in Paris! with Dr. Marc Sapoval

In this episode, host Dr. Aaron Fritts interviews Dr. Marc Sapoval about practicing IR in France, the origins of the Global Embolization Oncology Symposium Technologies (GEST) Conference, and an upcom...

4 Marras 202234min

Ep. 257 Microwave Ablation for Liver Lesions with Dr. Josh Kuban

Ep. 257 Microwave Ablation for Liver Lesions with Dr. Josh Kuban

In this episode, Dr. Chris Beck interviews Interventional Radiologist Dr. Josh Kuban about his liver tumor ablation practice at MD Anderson Cancer Center, including how it's evolved over time with new...

31 Loka 202224min

Ep. 256 Origins of TACE with Drs. Michael Soulen and Nicholas Fidelman

Ep. 256 Origins of TACE with Drs. Michael Soulen and Nicholas Fidelman

In this episode, guest host Dr. Nicholas Fidelman interviews Dr. Michael Solen, a key player in the development and widespread adoption of transarterial chemoembolization (TACE). The doctors discuss h...

28 Loka 202256min

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