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. 168 Debunking Contrast Allergies with Dr. Cullen Ruff

Ep. 168 Debunking Contrast Allergies with Dr. Cullen Ruff

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Ep. 167 Equipment Decisions When Building an OBL with Dr. Mary Costantino and Dr. Goke Akinwande

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We talk with Dr. Mary Costantino and Dr. Goke Akinwande about their experiences and advice on making equipment purchase decisions for OBLs and outpatient centers, including pitfalls to avoid. --- CH...

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Ep. 166 OBL Practice Building in a Rural Setting, Adventures with Road2IR, and more with Dr. Joe Couvillon

Ep. 166 OBL Practice Building in a Rural Setting, Adventures with Road2IR, and more with Dr. Joe Couvillon

Dr. Donald Garbett interviews Dr. Joseph Couvillon about how he helped his group build an OBL practice in a rural setting, including the importance of hitting the pavement and phones to drive awarenes...

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Ep. 165 Unipedicular vs. Bipedicular Approach for Kyphoplasty with Dr. Thomas Andreshak

Ep. 165 Unipedicular vs. Bipedicular Approach for Kyphoplasty with Dr. Thomas Andreshak

Interventional radiologist Michael Barraza talks with orthopedic spine surgeon Thomas Andreshak about his approach to vertebral augmentation for compression fractures, including unipedicular vs. biped...

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Ep. 164 Collaborative Approach to Prostate Artery Embolization (PAE) for BPH with Dr. Claus Roehrborn and Dr. Sandeep Bagla

Ep. 164 Collaborative Approach to Prostate Artery Embolization (PAE) for BPH with Dr. Claus Roehrborn and Dr. Sandeep Bagla

Urologist Dr. Claus Roehrborn and Interventional Radiologist Dr. Sandeep Bagla discuss the pros and cons of Prostate Artery Embolization (PAE) compared to other Minimally Invasive Surgical Treatments ...

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Ep. 163 Treating False Lumen Perfusion in Chronic Aortic Dissections with Dr. Daniel Han

Ep. 163 Treating False Lumen Perfusion in Chronic Aortic Dissections with Dr. Daniel Han

Vascular Surgeon Daniel Han discusses management of persistent false lumen perfusion in chronic aortic dissection, including the Knickerbocker Technique. --- CHECK OUT OUR SPONSOR Medtronic IN.PACT...

1 Marras 202144min

Ep. 162 Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) with Dr. Butros and Dr. Tehrani

Ep. 162 Endovascular Management of CTEPH with Balloon Pulmonary Angioplasty (BPA) with Dr. Butros and Dr. Tehrani

Interventional Cardiologist Behnam Tehrani and Interventional Radiologist Reha Butros from Inova Health System tell us about their team approach to endovascular treatment of chronic thromboembolic pul...

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Ep. 161 RF Ablation for Painful Spinal Metastases with Dr. Nam Tran

Ep. 161 RF Ablation for Painful Spinal Metastases with Dr. Nam Tran

Neurosurgeon Dr. Nam Tran from Moffitt Cancer Center talks with us about RF ablation for painful spinal metastases, including patient selection and the importance of a multidisciplinary approach. ---...

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