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. 95 Needs Driven Innovation with Dr. Todd Brinton

Ep. 95 Needs Driven Innovation with Dr. Todd Brinton

In this episode, Dr. Brinton tells us how he started as a biomedical engineer and why he eventually went to medical school. We discuss how important mentorship can be, and we talk about how he was abl...

16 Marras 202051min

Ep. 94 Innovation in Spine Interventions with Dr. Douglas Beall

Ep. 94 Innovation in Spine Interventions with Dr. Douglas Beall

In this episode, Dr. Douglas Beall joins Dr. Michael Barraza to discuss innovation in spine interventions. Dr. Beall tells us how he got his training in spine interventions and shifted to a more clini...

9 Marras 202047min

Ep. 93 Deep Venous Arterialization for CLI with Dr. Fadi Saab

Ep. 93 Deep Venous Arterialization for CLI with Dr. Fadi Saab

In this episode, Dr. Fadi Saab joins Dr. Sabeen Dhand to discuss deep venous arterialization for critical limb ischemia. Dr. Saab explains how gained experience in this procedure and the changes in tr...

2 Marras 202048min

Ep. 92 Interventional Oncology in Private Practice- Part II Approach to HCC with Dr. Justin Lee

Ep. 92 Interventional Oncology in Private Practice- Part II Approach to HCC with Dr. Justin Lee

In this episode, Dr. Justin Lee joins Dr. Christopher Beck to discuss hepatocellular carcinoma (HCC) and interventional oncology in private practice. Dr. Lee tells us how he frames his HCC patients an...

28 Loka 202043min

Ep. 91 Interventional Oncology in Private Practice- Part I Practice Building with Dr. Justin Lee

Ep. 91 Interventional Oncology in Private Practice- Part I Practice Building with Dr. Justin Lee

In this episode, Dr. Justin Lee joins Dr. Christopher Beck to discuss interventional oncology in private practice. We talk about challenges that come with developing a private practice, the transition...

26 Loka 202028min

Ep. 90 Pedal Acceleration Time for Limb Salvage with Jill Sommerset and Dr. Mary Costantino

Ep. 90 Pedal Acceleration Time for Limb Salvage with Jill Sommerset and Dr. Mary Costantino

In this episode, Jill Sommerset joins Dr. Mary Costantino to discuss how she developed Pedal Acceleration Time (PAT) for limb salvage. She begins by talking about what got her into vascular ultrasound...

19 Loka 202051min

Ep. 89 Online Education in Vascular Medicine: do we have the best format? with Dr. Theodosios Bisdas

Ep. 89 Online Education in Vascular Medicine: do we have the best format? with Dr. Theodosios Bisdas

In this episode, Dr. Theodosios Bisdas joins Dr. Aaron Fritts to discuss online education and his e-learning platform, Vascupedia. Dr. Bisdas talks about how he started the platform and the three main...

13 Loka 202029min

Ep. 88 Intro to Structural Heart Disease with Dr. Raj Narayan

Ep. 88 Intro to Structural Heart Disease with Dr. Raj Narayan

In this episode, Dr. Rajeev Narayan joins Dr. Achal Sahai to discuss structural heart disease and the (Transcatheter aortic valve replacement) TAVR procedure. Dr. Narayan talks us through what an aver...

10 Loka 202053min

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