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. 149 Blockchain MD: Healthcare Applications with Dr. Leah Houston

Ep. 149 Blockchain MD: Healthcare Applications with Dr. Leah Houston

We talk with Dr. Leah Houston, founder of HPEC, about the healthcare applications of Blockchain Technology and Self-Sovereign Identity (SSI), including the importance of giving physicians control over...

20 Elo 202147min

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

We talk with Dr. Blake Parsons about his approach to Radial vs. Femoral access for Prostate Artery Embolization for BPH, including patient selection, device considerations, and practice pearls. --- ...

16 Elo 202149min

Ep. 147 Passion Projects and Entrepreneurship with Dr. Sahil Mehta

Ep. 147 Passion Projects and Entrepreneurship with Dr. Sahil Mehta

We talk with Dr. Sahil Mehta, founder of MedSchoolCoach, about how a side gig as an MCAT and med school tutor scaled up into a successful business. We also talk about the importance of passion project...

9 Elo 202148min

Ep. 146 Spyglass Interventions with Dr. Ravi Srinivasa and Dr. Jeff Chick

Ep. 146 Spyglass Interventions with Dr. Ravi Srinivasa and Dr. Jeff Chick

Interventional Radiologists Dr. Jeffrey Chick and Dr. Ravi Srinivasa tell us all about the latest and greatest in Spyglass Interventions, including how and where they're being used for lithotripsy, as...

2 Elo 202129min

Ep. 145 The History (and Future) of the STREAM conference with Dr. Isaacson and Dr. Bagla

Ep. 145 The History (and Future) of the STREAM conference with Dr. Isaacson and Dr. Bagla

We talk with STREAM meeting founders Dr. Ari Isaacson and Dr. Sandeep Bagla about its origin story, as well as what they have planned at STREAM 2021 for docs who want to learn Prostate Artery Emboliza...

30 Heinä 202141min

Ep. 144 Direct Aspiration vs Co-Aspiration for Ischemic Stroke with Dr. Baxter and Dr. Tateshima

Ep. 144 Direct Aspiration vs Co-Aspiration for Ischemic Stroke with Dr. Baxter and Dr. Tateshima

Dr. Sabeen Dhand talks with Dr. Blaise Baxter and Dr. Satoshi Tateshima about direct aspiration vs. co-aspiration technique when treating ischemic stroke. In this first episode of a multi-part series ...

26 Heinä 202146min

Ep. 143 Better Marketing Strategies with Dianne Keen

Ep. 143 Better Marketing Strategies with Dianne Keen

We chat with seasoned Marketing Director Dianne Keen about the strategies that are helping doctors build sustainable practices, add service lines, and work toward patient-centered collaborative care w...

19 Heinä 202149min

Ep. 142 Type B Aortic Dissections with Dr. Frank Arko

Ep. 142 Type B Aortic Dissections with Dr. Frank Arko

Interventional Radiologist Sabeen Dhand talks with Vascular Surgeon Frank Arko about endovascular treatment of Type B Aortic Dissections (TBAD), including patient selection, appropriate sizing, and co...

16 Heinä 202150min

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