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. 176 Dealing with Complications: Advice From a Mentor with Dr. David Ball

Ep. 176 Dealing with Complications: Advice From a Mentor with Dr. David Ball

Dr. Aaron Fritts talks with mentor Dr. David Ball about dealing with complications throughout our professional career, including why physicians have trouble with it, and advice for what not to do when...

3 Tammi 202230min

Ep. 175 Treating Below the Knee Calcium with Dr. Kumar Madassery

Ep. 175 Treating Below the Knee Calcium with Dr. Kumar Madassery

CLI fighters Dr. Kumar Madassery and Dr. Sabeen Dhand discuss their approach to treating calcified arteries below the knee, including looking at newer technologies and choosing the appropriate device ...

27 Joulu 202139min

Ep. 174 Making the Switch: Transitioning from Private Practice to Academics with Dr. Amy Taylor

Ep. 174 Making the Switch: Transitioning from Private Practice to Academics with Dr. Amy Taylor

Dr. Aparna Baheti and Dr. Amy Taylor discuss the considerations around returning to academic interventional radiology after starting a career in private practice. --- CHECK OUT OUR SPONSOR RADPAD® ...

20 Joulu 202127min

Ep. 173 IR Residency Interviews: Tips from a Program Director with Dr. Luke Wilkins

Ep. 173 IR Residency Interviews: Tips from a Program Director with Dr. Luke Wilkins

In this Trainee Focus episode, guest host Sunny Murthy talks with Universtiy of Virginia program director Dr. Luke Wilkins about what it takes to become an interventional radiology resident, including...

17 Joulu 202130min

Ep. 172 Treating Above the Knee Calcium with Dr. Bryan Fisher

Ep. 172 Treating Above the Knee Calcium with Dr. Bryan Fisher

CLI fighters Dr. Bryan Fisher and Dr. Sabeen Dhand discuss their approach to treating calcified arteries above the knee, including looking at newer technologies and choosing the appropriate device to ...

13 Joulu 202134min

Ep. 171 The Making of a “Good” IR with Dr. Lola Oladini

Ep. 171 The Making of a “Good” IR with Dr. Lola Oladini

Dr. Eric Keller talks with Dr. Lola Oladini from Stanford Medicine Department of Radiology about what makes optimal training for Interventional Radiologists, including discussion on the variety of str...

6 Joulu 202140min

Ep. 170 Operate With Zen with Phil Pierorazio

Ep. 170 Operate With Zen with Phil Pierorazio

Dr. Aditya Bagrodia and Dr. Aaron Fritts talk with Dr. Phillip Pierorazio from Penn Urology about his Operate with Zen podcast and tips for surgeon wellness. They cover Dr. Pierorazio's motivation for...

3 Joulu 202149min

Ep. 169 Fallopian Tube Recanalization with Dr. Renato Abu Hana

Ep. 169 Fallopian Tube Recanalization with Dr. Renato Abu Hana

Dr. Renato Abu Hana walks us through how to perform fallopian tube recanalization for infertility, including patient selection, HSG and recanalization technique, as well as pitfalls to avoid. --- CH...

29 Marras 202145min

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