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/

Episoder(633)

Ep. 454 Moral Injury in Interventional Radiology with Dr. Mina Makary and Dr. Jeff Chick

Ep. 454 Moral Injury in Interventional Radiology with Dr. Mina Makary and Dr. Jeff Chick

In this episode of the BackTable Podcast, host Dr. Ally Baheti discusses the concept of moral injury with Dr. Mina Makary from Ohio State University and Dr. Jeff Chick from the University of Washingto...

14 Jun 202423min

Ep. 453 Thoracentesis Best Practices with Dr. Paul Lewis

Ep. 453 Thoracentesis Best Practices with Dr. Paul Lewis

In this episode, Dr. Paul Lewis discusses best practices for thoracentesis. He shares insights on using image guidance, managing complex effusions, and managing complications such as pneumothorax and ...

11 Jun 202454min

Ep. 452 The 'Woundosome' Concept with Dr. Lorenzo Patrone

Ep. 452 The 'Woundosome' Concept with Dr. Lorenzo Patrone

In this episode, Dr. Ally Baheti interviews interventional radiologist Dr. Lorenzo Patrone about his recent multidisciplinary editorial entitled "The 'Woundosome' Concept and Its Impact on Procedural ...

7 Jun 202429min

Ep. 451 Comprehensive DVT Care: CLOUT Study Impacts with Dr. Nicolas Mouawad and Dr. Raja Ramaswamy

Ep. 451 Comprehensive DVT Care: CLOUT Study Impacts with Dr. Nicolas Mouawad and Dr. Raja Ramaswamy

In this episode of the BackTable Podcast, vascular surgeon Dr. Nicolas Mouawad and interventional radiologist Dr. Raja Ramaswamy share their insights on the changing landscape of deep vein thrombosis ...

4 Jun 202458min

Ep. 450 The Hidden Struggles: Supporting Mental Health in Medicine Together, Not Alone with Dr. Jenanan Vairavamurthy

Ep. 450 The Hidden Struggles: Supporting Mental Health in Medicine Together, Not Alone with Dr. Jenanan Vairavamurthy

Trigger warning: This episode contains discussions about suicide. In this episode of the BackTable podcast, interventional radiologist Dr. Jenanan Vairavamurthy shares about the tragic loss of his ph...

31 Mai 202442min

Ep. 449 Percutaneous Transmural Arterial Bypass: Updates on Technique and Data with Dr. Peter Soukas

Ep. 449 Percutaneous Transmural Arterial Bypass: Updates on Technique and Data with Dr. Peter Soukas

In this episode, interventional cardiologist Dr. Peter Soukas joins us to discuss percutaneous transmural arterial bypass (PTAB) using the DETOUR system, a novel percutaneous treatment for extensive a...

28 Mai 202439min

Ep. 448 Below the Ankle Expertise: Distal Pedal Access with Dr. Marta Lobato

Ep. 448 Below the Ankle Expertise: Distal Pedal Access with Dr. Marta Lobato

In this episode, Dr. Marta Lobato explores advanced endovascular techniques in below the knee (BTK) and below the ankle (BTA) interventions for critical limb ischemia (CLI). She introduces various ski...

24 Mai 202445min

Ep. 447 Exploring GAE: Clinical Insights and Outcomes with Dr. Mark Little

Ep. 447 Exploring GAE: Clinical Insights and Outcomes with Dr. Mark Little

In this episode, Dr. Mark Little shares his insights about genicular artery embolization (GAE), implications for patients with knee osteoarthritis, possible applications in other MSK interventions, an...

21 Mai 202451min

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