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. 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

Ep. 231 Bullying in Vascular Training and Practice with Dr. Rachael Forsythe and Dr. Konstantinos Stavroulakis

Ep. 231 Bullying in Vascular Training and Practice with Dr. Rachael Forsythe and Dr. Konstantinos Stavroulakis

In this episode, host Dr. Aaron Fritts interviews Dr. Rachael Forsythe and Dr. Konstantinos Stravapoulas about their Research Collaborative for Peripheral Arterial Disease (RCPAD) survey on bullying i...

5 Elo 202230min

Ep. 230 The Physician's MBA - Is It Worth It, and Where to Start with Dr. Aneesa Majid and Dr. Roger Tomihama

Ep. 230 The Physician's MBA - Is It Worth It, and Where to Start with Dr. Aneesa Majid and Dr. Roger Tomihama

In this episode, host Dr. Aaron Fritts interviews Dr. Aneesa Majid and Dr. Roger Tomihama about how an MBA can benefit physicians and their career goals, and how they both went about getting their MBA...

1 Elo 20221h 12min

Ep. 229 Ultrasound Series: First Line Imaging for CLTI with Dr. Mary Costantino

Ep. 229 Ultrasound Series: First Line Imaging for CLTI with Dr. Mary Costantino

In this episode, guest host and vascular technologist Jill Sommerset interviews interventional radiologist Dr. Mary Costantino about the use of advanced arterial ultrasound in the setting of chronic l...

29 Heinä 202238min

Ep. 228 DC’ing FB’s with EP: A Collaborative Approach to Complex Foreign Body Retrievals with Dr. Kyle Cooper and Dr. Tahmeed Contractor

Ep. 228 DC’ing FB’s with EP: A Collaborative Approach to Complex Foreign Body Retrievals with Dr. Kyle Cooper and Dr. Tahmeed Contractor

In this episode, host Dr. Michael Barraza interviews Dr. Kyle Cooper, interventional radiologist and Dr. Tahmeed Contractor, electrophysiologist about how IR and EP work together at their institution,...

25 Heinä 202251min

Ep. 227 The Pregnant Interventionalist: with Dr Barbara Hamilton and Dr Aarti Luhar

Ep. 227 The Pregnant Interventionalist: with Dr Barbara Hamilton and Dr Aarti Luhar

Host Aparna Baheti interviews Barbara Hamilton and Aarti Luhar about navigating training and early career during a pregnancy. They discuss factors to consider such as scheduling, parental leave polici...

22 Heinä 202258min

Ep. 226 Better Neck Health with Dr. Gerry Mattia

Ep. 226 Better Neck Health with Dr. Gerry Mattia

In this special crossover BackTable episode, Dr. Aaron Fritts and Dr. Julie Wei talk with Dr. Gerry Mattia, Chiropractor and Director of Rehabilitation of ViscoGen Clinic in Orlando, Florida. The CME...

19 Heinä 202251min

Ep. 225 Approaches to IR Locums with Dr. Kavi Devulapalli and Dr. Vishal Kadakia

Ep. 225 Approaches to IR Locums with Dr. Kavi Devulapalli and Dr. Vishal Kadakia

Dr. Shamit Desai talks with Dr. Kavi Devulapalli and Dr. Vishal Kadakia about Locums work, including the current market and opportunities, different practice models, navigating finances and taxes, and...

18 Heinä 20221h 40min

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