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. 217 Building a Comprehensive Women’s Health Practice: Collaboration with GYN with Dr. Mark Hoffman and Dr. Merve Ozen

Ep. 217 Building a Comprehensive Women’s Health Practice: Collaboration with GYN with Dr. Mark Hoffman and Dr. Merve Ozen

Dr. Merve Ozen, interventional radiologist, and Dr. Mark Hoffman, minimally invasive gynecologic surgeon (MIGS), discuss how collaboration between IR and gynecologic surgery provides comprehensive med...

20 Kesä 202247min

Police Presence in Medical Spaces with Dr. Jamal Jefferson

Police Presence in Medical Spaces with Dr. Jamal Jefferson

In this episode of our Health Equity Series, guest host Dr. Vishal Kumar interviews emergency medicine resident Dr. Jamal Jefferson about the presence of law enforcement in emergency rooms and challen...

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Ep. 216 Stick It — Glue Embo with Dr. Ziv Haskal

Ep. 216 Stick It — Glue Embo with Dr. Ziv Haskal

In this episode, host Dr. Aparna Baheti interviews interventional radiologist Dr. Ziv Haskal about the use of glue in peripheral applications. They discuss how to prepare and inject glue for portal ve...

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Ep. 215 Radiologist as Spine and Pain Specialist with Dr. John Michels

Ep. 215 Radiologist as Spine and Pain Specialist with Dr. John Michels

Jacob Fleming interviews interventional pain specialist and former Super Bowl champion John S. Michels about his journey into the subspecialty, pathways for getting involved in interventional pain man...

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Ep. 214 Building a GAE Practice in the OBL with Dr. David Wood

Ep. 214 Building a GAE Practice in the OBL with Dr. David Wood

Dr. David Wood, interventional radiologist and chief medical officer of Advantage IR, tells us about his experiences with geniculate artery embolization (GAE) practice building in the office-based lab...

6 Kesä 20221h 8min

Ep. 213 Building an OBL Within an IR/DR Group with Dr. Don Garbett and Dr. Nicholas Petruzzi

Ep. 213 Building an OBL Within an IR/DR Group with Dr. Don Garbett and Dr. Nicholas Petruzzi

Dr. Aparna Baheti talks with Nicholas Petruzzi and Donald Garbett about their experiences in building an office-based lab (OBL) within their existing IR/DR practices. Learn how they campaigned and col...

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Ep. 212 New Tools to Treat Severe Distal Femoropopliteal Disease with Dr. John Rundback

Ep. 212 New Tools to Treat Severe Distal Femoropopliteal Disease with Dr. John Rundback

In this episode, host Dr. Sabeen Dhand interviews Dr. John Rundback, interventional radiologist, about distal femoropopliteal disease, including the unique pathophysiology of this area, which stents w...

30 Touko 202236min

Ep. 211 Extraspinal Augmentation and the Future of Vertebral Augmentation with Dr. Doug Beall

Ep. 211 Extraspinal Augmentation and the Future of Vertebral Augmentation with Dr. Doug Beall

In this episode, host Dr. Jacob Fleming interviews Dr. Douglas Beall, interventional radiologist, about extravertebral augmentation, new technology in interventional spine, and intrathecal drug pumps....

26 Touko 202252min

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