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. 383 Reflections on a Career in Clinical IR with Dr. Alan Matsumoto

Ep. 383 Reflections on a Career in Clinical IR with Dr. Alan Matsumoto

In this episode of the "History of IR" series on BackTable, Dr. Alan Matsumoto, Chair of the Department of Radiology at the University of Virginia and a fellow of the Society of Interventional Radiolo...

10 Nov 202350min

Ep. 382 Iliofemoral Stenting: Decision-Making and Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz

Ep. 382 Iliofemoral Stenting: Decision-Making and Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz

In this episode, host Dr. Chris Beck interviews interventional radiologist Dr. Kush Desai (Northwestern University Feinberg School of Medicine) and vascular surgeon Dr. Steve Abramowitz (MedStar Washi...

6 Nov 20231h 2min

Ep. 381 Anesthesia vs. Moderate Sedation: A Spectrum of Care with Dr. Vishal Kumar

Ep. 381 Anesthesia vs. Moderate Sedation: A Spectrum of Care with Dr. Vishal Kumar

In this episode, interventional radiologists Dr. Aaron Fritts, Dr. Vishal Kumar, and Dr. Chris Beck discuss types of sedation for IR procedures. --- CHECK OUT OUR SPONSOR Medtronic OBL https://www....

3 Nov 202350min

Ep. 380 Managing Venous Stent Rethrombosis with the RevCore Device with Dr. Steven Abramowitz and Dr. Angelo Marino

Ep. 380 Managing Venous Stent Rethrombosis with the RevCore Device with Dr. Steven Abramowitz and Dr. Angelo Marino

In this episode, host Dr. Ally Baheti interviews vascular surgeon Dr. Steven Abramowitz and interventional radiologist Dr. Angelo Marino on managing venous stent rethrombosis with the RevCore device. ...

30 Okt 202326min

Ep. 379 Management of HCC: Focus on Radiation Segmentectomy Part 2 with Dr. Juan Gimenez and Dr. Tyler Sandow

Ep. 379 Management of HCC: Focus on Radiation Segmentectomy Part 2 with Dr. Juan Gimenez and Dr. Tyler Sandow

In this episode, host Dr. Chris Beck continues the discussion on managing hepatocellular carcinoma (HCC) with Dr. Tyler Sandow and Dr. Juan Gimenez, interventional radiologists at Ochsner Health in Ne...

27 Okt 202352min

Ep. 378 Setting the Benchmark: Ablation Confirmation Software for Tumors with Dr. Bruno Odisio and Dr. Constantinos Sofocleous

Ep. 378 Setting the Benchmark: Ablation Confirmation Software for Tumors with Dr. Bruno Odisio and Dr. Constantinos Sofocleous

In this episode, Dr. Constantinos (Costi) Sofocleous, Dr. Bruno Odisio, and Dr. William Rilling discuss the history of percutaneous liver tumor ablation, takeaways from past and present clinical studi...

25 Okt 202348min

Ep. 377 Management of HCC: Focus on Radiation Segmentectomy Part 1 with Dr. Juan Gimenez and Dr. Tyler Sandow

Ep. 377 Management of HCC: Focus on Radiation Segmentectomy Part 1 with Dr. Juan Gimenez and Dr. Tyler Sandow

In this episode, host Dr. Chris Beck interviews Dr. Juan Gimenez and Dr. Tyler Sandow. Juan and Tyler are both interventional radiologists in New Orleans, Louisiana who practice at Ochsner Health Syst...

23 Okt 202324min

Ep. 376 New Frontiers in Spinal Tumor Ablation and Augmentation with Dr. Dana Dunleavy

Ep. 376 New Frontiers in Spinal Tumor Ablation and Augmentation with Dr. Dana Dunleavy

In this episode, host Dr. Jacob Fleming interviews Dr. Dana Dunleavy about spinal tumor ablation and vertebral augmentation. Dana is an interventional radiologist and Director of Windsong Intervention...

18 Okt 20231h 1min

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