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. 303 Why Do I Need a Physician Coach? with Dr. Elsie Koh

Ep. 303 Why Do I Need a Physician Coach? with Dr. Elsie Koh

In this episode, host Dr. Aaron Fritts interviews Dr. Elsie Koh about physician coaching and leadership training, including the difference between mentorship and coaching, how to break through common ...

20 Mar 202336min

Ep. 302 Treating Cerebral Aneurysms with Dr. Aaron Bress

Ep. 302 Treating Cerebral Aneurysms with Dr. Aaron Bress

In this episode, neurointerventional radiologists Dr. Sabeen Dhand and Aaron Bress discuss treatment decisions and devices used in the endovascular treatment of cerebral aneurysms. --- CHECK OUT OUR...

17 Mar 202337min

Ep. 301 New Technologies for Treatment of Cerebral Aneurysms with Dr. David Altschul and Dr. Omar Tanweer

Ep. 301 New Technologies for Treatment of Cerebral Aneurysms with Dr. David Altschul and Dr. Omar Tanweer

In this episode, host Dr. Sabeen Dhand speaks with neurosurgeons Drs. David Altschul and Omar Tanweer about updates on cerebral aneurysms, including device innovation, risk stratification, and the imp...

13 Mar 202340min

Ep. 300 Which Medical Device, a Tool to Help you Choose with Dr. Philip Haslam

Ep. 300 Which Medical Device, a Tool to Help you Choose with Dr. Philip Haslam

In this episode, co-hosts Dr. Aaron Fritts and Dr. Diana Velazquez-Pimentel interview Dr. Phil Haslam, founder of Which Medical Device and current president of BSIR, about the process of creating a re...

10 Mar 202341min

Ep. 299 Robotics in Interventional Oncology with Lucien Blondel

Ep. 299 Robotics in Interventional Oncology with Lucien Blondel

In this episode, host Aaron Fritts interviews engineer Lucien Blondel, co-founder and CTO of Quantum Surgical. We discuss robotic applications for interventional oncology procedures and the Epione rob...

8 Mar 202346min

Ep. 298 New Innovations in the Treatment of PE: The Flow Medical Story with Founders Dr. Osman Ahmed and Dr. Jonathan Paul

Ep. 298 New Innovations in the Treatment of PE: The Flow Medical Story with Founders Dr. Osman Ahmed and Dr. Jonathan Paul

In this episode, host Dr. Aaron Fritts interviews FLOW Medical cofounders Dr. Osman Ahmed and Dr. Jonathan Paul about how they built a company with the goal of designing a data-driven thrombolytic dev...

6 Mar 202339min

Ep. 297 Flipping a Hospital-Based IR Practice with Dr. Sebouh Gueyikian

Ep. 297 Flipping a Hospital-Based IR Practice with Dr. Sebouh Gueyikian

In this episode, our host Ally Baheti speaks with interventional radiologist Dr. Sebouh Gueyikian about elevating the scope of IR procedures and leadership techniques to lead successful change within ...

3 Mar 202355min

Ep. 296 Building an Ambulatory Surgery Center with Dr. Sean Hislop

Ep. 296 Building an Ambulatory Surgery Center with Dr. Sean Hislop

In this episode, cohosts Dr. Aaron Fritts and Dr. Krishna Mannava interview vascular surgeon Dr. Sean Hislop about building an ambulatory surgery center, including where to purchase property, how to p...

27 Feb 202345min

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