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(634)

Ep. 415 Thyroid Ablation: Efficacy, Safety, and Procedure Overview with Dr. Gary Tse

Ep. 415 Thyroid Ablation: Efficacy, Safety, and Procedure Overview with Dr. Gary Tse

In this episode of the BackTable Podcast, host Dr. Chris Beck interviews guest Dr. Gary Tse about the innovative technique of thyroid ablation and its role in treating benign thyroid nodules. Dr. Tse ...

9 Feb 202445min

Ep. 414 HeRO Grafts in Dialysis: Techniques, Challenges, and Solutions with Dr. Jason Wagner

Ep. 414 HeRO Grafts in Dialysis: Techniques, Challenges, and Solutions with Dr. Jason Wagner

In this episode, host Dr. Chris Beck interviews Dr. Jason Wagner about his experience with using the Hemodialysis Reliable Outflow (HeRO) graft and the Surfacer system for treating patients with end s...

6 Feb 202445min

Ep. 413 TBAD Management: Best Practices in Aortic Dissection with Dr. Darren Klass

Ep. 413 TBAD Management: Best Practices in Aortic Dissection with Dr. Darren Klass

This week on the BackTable Podcast, Dr. Darren Klass shares his experiences in the treatment of aortic dissections. Dr. Klass is an interventional radiologist at the University of British Columbia. D...

2 Feb 202457min

Ep. 412 Intervencionismo Pediátrico: No Kits For Peds with Dr. Fernando Gómez Muñoz

Ep. 412 Intervencionismo Pediátrico: No Kits For Peds with Dr. Fernando Gómez Muñoz

En este nuevo episodio de BackTable, el Dr. Fernando Gómez Muñoz y la Dra. Sara Lojo Lendoiro profundizan en el complejo y específico campo de la radiología intervencionista pediátrica. Al enfatizar ...

31 Jan 202444min

Ep. 411 Innovating Pain Management: The Role of Spinal Cord Stimulators in Outpatient Care with Dr. Douglas Beall

Ep. 411 Innovating Pain Management: The Role of Spinal Cord Stimulators in Outpatient Care with Dr. Douglas Beall

In this episode, guest host Dr. Dana Dunleavy and guest Dr. Douglas Beall delve into the transformative potential of neuromodulation in the treatment of chronic pain, particularly for painful diabetic...

29 Jan 20241h 4min

Ep. 410 True Lumen Re-Entry with Pioneer Plus with Dr. Thomas Davis

Ep. 410 True Lumen Re-Entry with Pioneer Plus with Dr. Thomas Davis

In this episode of BackTable Podcast, host Dr. Ally Behati invites interventional cardiologist Dr. Thomas Davis, Director of the Cardiac Catheterization Lab at St. John Hospital and Medical Center, to...

25 Jan 202434min

Ep. 409 Thrombectomy for Large Core Infarctions: Balancing Benefits and Risks with Dr. Fawaz Al-Mufti

Ep. 409 Thrombectomy for Large Core Infarctions: Balancing Benefits and Risks with Dr. Fawaz Al-Mufti

In this episode of the BackTable Podcast, guest host Dr. Krishna Amuluru interviews Dr. Fawaz Al-Mufti about recent trials on large core strokes and how they may impact practice. Dr. Al-Mufti is a pra...

24 Jan 202445min

Ep. 408 Laser BTK Study Insights: Navigating Complex Lesions with Dr. Nicolas Shammas

Ep. 408 Laser BTK Study Insights: Navigating Complex Lesions with Dr. Nicolas Shammas

In this episode, host Dr. Aaron Fritts is joined by interventional cardiologists Dr. Sameh Sayfo (Baylor Scott & White in Plano, TX) and Dr. Nicolas Shammas (Cardiovascular Medicine in Davenport, IA) ...

23 Jan 202440min

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