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. 104 Bringing IR to East Africa: The Road2IR Story with Dr. Fabian Laage Gaupp

Ep. 104 Bringing IR to East Africa: The Road2IR Story with Dr. Fabian Laage Gaupp

Dr. Fabian Laage Gaupp tells us the origin story of Road2IR.org, an initiative to build self-sustaining IR training programs in East Africa. In collaboration with Yale and Emory Departments of Radiolo...

4 Tammi 202140min

Special 100th Episode Tribute Interview with Dr. Mary Costantino

Special 100th Episode Tribute Interview with Dr. Mary Costantino

Dr. Mary Costantino interviews the BackTable Team in honor of hitting the 100th episode mark. We had a great time telling the origin story of BackTable, reminiscing the early days of the podcast, and ...

31 Joulu 20201h 5min

Ep. 103 Getting it Right on Insurance Claims with Dr. Ezana Azene

Ep. 103 Getting it Right on Insurance Claims with Dr. Ezana Azene

Dr. Ezana Azene M.D., Ph.D. talks with us about how he found his side gig reviewing insurance claims, and shares tips on how to avoid insurance claim denials for procedures. --- EARN CME Reflect on...

28 Joulu 202029min

Ep. 102 Pelvic Congestion Syndrome Part II- Technique and FU with Dr. Meissner and Dr. Cumming

Ep. 102 Pelvic Congestion Syndrome Part II- Technique and FU with Dr. Meissner and Dr. Cumming

In Part 2 of their Pelvic Congestion Syndrome discussion, Dr. Mark Meissner and Dr. Michael Cumming get into their specific techniques, tips and tricks for embolization, and follow up care. --- SHOW...

24 Joulu 202031min

Ep. 101 Pelvic Congestion Syndrome Part I- Diagnosis and Planning with Dr. Meissner and Dr. Cumming

Ep. 101 Pelvic Congestion Syndrome Part I- Diagnosis and Planning with Dr. Meissner and Dr. Cumming

Vascular Surgeon Dr. Mark Meissner and Interventional Radiologist Dr. Michael Cumming discuss diagnosis and treatment planning for Pelvic Congestion Syndrome. This is Part 1 of 2 on Pelvic Congestion ...

22 Joulu 202033min

Ep. 100 Why Dr. Rusty Hofmann Built an Innovative Digital Health Company

Ep. 100 Why Dr. Rusty Hofmann Built an Innovative Digital Health Company

Bryan Hartley talks with Lawrence "Rusty" Hofmann MD about his experiences in device and digital health innovation, including the inspiring story behind building Grand Rounds, a digital health company...

18 Joulu 202022min

Ep. 99 Multidisciplinary Approach to Treating Spinal Metastases with Dr. Levy and Dr. Lavaf

Ep. 99 Multidisciplinary Approach to Treating Spinal Metastases with Dr. Levy and Dr. Lavaf

In this episode, Dr. Jason Levy and Dr. Amir Lavaf join Dr. Michael Barraza to discuss their multidisciplinary approach to treating spinal metastases. We examine the collaborative efforts between IR a...

14 Joulu 202032min

Ep. 98 Using AI to Improve Stroke Care with Dr. Ameer Hassan

Ep. 98 Using AI to Improve Stroke Care with Dr. Ameer Hassan

In this episode, Dr. Ameer Hassan joins Dr. Sabeen Dhand to discuss the use of artificial intelligence (AI) to improve stroke care. We explain the hub and spoke model and how the primary stroke center...

7 Joulu 202034min

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