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. 446 Más Allá del Coil: El Bienestar del Intervencionista con Dr. Anna Alguersuari Cabiscol

Ep. 446 Más Allá del Coil: El Bienestar del Intervencionista con Dr. Anna Alguersuari Cabiscol

En este episodio de nuestro podcast, Dra. Anna Alguersuari Cabiscol, una radióloga intervencionista que dejó su especialidad hace cuatro años, comparte su experiencia personal sobre los desafíos relac...

17 Mai 202434min

Ep. 445 Inside the IR Suite: A clinician's own battle with Portal Vein Thrombosis with Dr. Jason Hoffmann

Ep. 445 Inside the IR Suite: A clinician's own battle with Portal Vein Thrombosis with Dr. Jason Hoffmann

In this episode, Dr. Jason Hoffmann shares his harrowing personal experience as a patient with massive portal vein thrombosis - recounting the onset of his symptoms, the subsequent diagnosis, treatmen...

14 Mai 202431min

Ep. 444 Género, Embarazo y Exposición a Radiación Ionizante: ¿Dónde Estamos? con Dr. Maite Velazquez

Ep. 444 Género, Embarazo y Exposición a Radiación Ionizante: ¿Dónde Estamos? con Dr. Maite Velazquez

En este episodio de BackTable la Dra. Maite Velázquez, hemodinamista del Hospital 12 de Octubre de Madrid, aborda el creciente porcentaje de mujeres que ingresan en el campo de la medicina y, en compa...

10 Mai 202438min

Ep. 443 Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava

Ep. 443 Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava

In this episode, Dr. Amit Srivastava discusses the transformation of peripheral interventional practices through radial access techniques, emphasizing reduced complication rates, the extensive range o...

7 Mai 202438min

Ep. 442 The Gender Gap in IR: Progress and Challenges with Dr. Nicole Lamparello

Ep. 442 The Gender Gap in IR: Progress and Challenges with Dr. Nicole Lamparello

In this episode, Dr. Nicole Lamparello discusses the strides and challenges in achieving gender equity in interventional radiology (IR), sharing insights from her research on gender disparities in IR,...

3 Mai 202442min

Ep. 441 Chilling Solutions: Cryoneurolysis in Clinical Practice with Dr. Aron Chary

Ep. 441 Chilling Solutions: Cryoneurolysis in Clinical Practice with Dr. Aron Chary

In this episode, Dr. Aron Chary provides an in-depth look into endovascular and minimally invasive treatments for pain management, specifically focusing on cryoneurolysis. He shares his experience of ...

30 Apr 202457min

Ep. 440 Ultrasound’s Role in Endoleak Monitoring with Dr. David Guez

Ep. 440 Ultrasound’s Role in Endoleak Monitoring with Dr. David Guez

In this episode, Dr. David Guez discusses the advancements in contrast enhanced ultrasound, its application in detecting endoleaks, and his journey of learning and applying this modality from residenc...

26 Apr 202431min

Ep. 439 Navigating the Aftermath: Change Healthcare’s Cyberattack and Response with Dr. Robert Tahara

Ep. 439 Navigating the Aftermath: Change Healthcare’s Cyberattack and Response with Dr. Robert Tahara

In this episode, guest host Dr. Krishna Mannava interviews Dr. Bob Tahara about the significant multilevel impacts, ripple effects, and fallout of cyberattacks on the healthcare industry, specifically...

25 Apr 202441min

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