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/

Jaksot(634)

Ep. 239 Medicinal Cannabis: The Current State with PureVita Labs Founder Dr. Jason Iannuccilli

Ep. 239 Medicinal Cannabis: The Current State with PureVita Labs Founder Dr. Jason Iannuccilli

In this episode, our host Dr. Aaron Fritts and Dr. Jason Iannuccilli dive into the history, science, and future directions of medical cannabis. We discuss Dr. Iannuccilli’s founding vision for PureVit...

2 Syys 20221h 12min

Ep. 238 Pain and Veins: A Unique OBL Practice with Dr. Keerthi Prasad

Ep. 238 Pain and Veins: A Unique OBL Practice with Dr. Keerthi Prasad

In this episode, guest host Dr. Shamit Desai interviews Dr. Keerthi Prasad about his path to starting an IR practice alongside interventional pain specialists. --- CHECK OUT OUR SPONSORS Medtronic ...

29 Elo 202241min

Ep. 237 Endovascular Treatment of Stroke Training: An Update with Dr. Martin Radvany and Dr. Venu Vadlamudi

Ep. 237 Endovascular Treatment of Stroke Training: An Update with Dr. Martin Radvany and Dr. Venu Vadlamudi

In this episode, guest host Dr. Venu Vadlamudi interviews Dr. Martin Radvany about where neurointerventional training stands in 2022, including stroke training for residents, barriers that IRs face in...

26 Elo 202255min

Ep. 236 Building a Cross-Specialty Vascular Practice with Dr. Chad Laurich and Dr. Neal Khurana

Ep. 236 Building a Cross-Specialty Vascular Practice with Dr. Chad Laurich and Dr. Neal Khurana

In this episode, host Dr. Aaron Fritts interviews Drs. Chad Laurich and Neal Khurana about how they looked past traditional competition between IR and vascular surgery to build a multidisciplinary pra...

22 Elo 202253min

Ep. 235 The Right Job for You with STAT Careers Founders Drs. Kasie and Rockford Adkins

Ep. 235 The Right Job for You with STAT Careers Founders Drs. Kasie and Rockford Adkins

In this episode, our host Dr. Aaron Fritts interviews physician-entrepreneur couple Drs. Kasie and Rockford Adkins about the path to starting their healthcare recruiting platform, STAT Careers. --- ...

19 Elo 20221h 1min

Ep. 234 Veterinary IR with Dr. Chris Thomson

Ep. 234 Veterinary IR with Dr. Chris Thomson

In this episode, cohosts Dr. Michael Barraza and Dr. Aaron Fritts interview Dr. Chris Thomson, veterinary surgeon and interventional radiologist about how he learned veterinary IR, his area of focus i...

15 Elo 202243min

Ep. 233 Desmoid Tumors: IR's Role in Diagnosis and Management with Dr. Jack Jennings

Ep. 233 Desmoid Tumors: IR's Role in Diagnosis and Management with Dr. Jack Jennings

In this episode, host Dr. Jacob Fleming interviews Dr. Jack Jennings about cryoablation, multidisciplinary care, and practice building for the treatment of desmoid tumors. --- CHECK OUT OUR SPONSOR ...

12 Elo 20221h 7min

Ep. 232 Palliative Care in IR with Dr. Sean Tutton

Ep. 232 Palliative Care in IR with Dr. Sean Tutton

In this episode, host Dr. Eric Keller interviews Dr. Sean Tutton about palliative care as an interventionalist, how he became interested in palliative care, and why he believes it is a crucial aspect ...

8 Elo 202251min

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