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. 295 Building an OBL Within an IR/DR Group Part 2 with Dr. Don Garbett and Dr. Nicholas Petruzzi

Ep. 295 Building an OBL Within an IR/DR Group Part 2 with Dr. Don Garbett and Dr. Nicholas Petruzzi

In the second part of this series, host Ally Baheti interviews interventional radiologists Donald Garbett and Nicholas Petruzzi about starting their outpatient based labs (OBLs) within a combined IR/D...

24 Feb 202353min

Ep. 294 How to Implement Advanced Vascular Ultrasound Techniques in Your Practice with Dr. Mary Costantino and Dr. Miguel Montero-Baker

Ep. 294 How to Implement Advanced Vascular Ultrasound Techniques in Your Practice with Dr. Mary Costantino and Dr. Miguel Montero-Baker

In this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Mary Costantino (interventional radiologist) and Dr. Miguel Montero-Baker (vascular surgeon) about their perspective...

22 Feb 20231h

Ep. 293 Advanced Pelvic Venous Duplex: Utility of Vascular Ultrasound with Dr. Kathleen Gibson

Ep. 293 Advanced Pelvic Venous Duplex: Utility of Vascular Ultrasound with Dr. Kathleen Gibson

In this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Kathleen Gibson, vascular surgeon and president of the American Vein and Lymphatic Society, about the role of RVTs a...

20 Feb 202341min

Ep. 292 Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More with Dr. Ari Kramer

Ep. 292 Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More with Dr. Ari Kramer

In this episode, Dr. Chris Beck interviews vascular access surgeon Dr. Ari Kramer about his management of arteriovenous (AV) access for dialysis patients. We cover his preferred imaging for identifyin...

17 Feb 20231h 5min

Ep. 291 Percutaneous Creation of a Distal Deep Venous Arterialization (dDVA) with Dr. August Ysa

Ep. 291 Percutaneous Creation of a Distal Deep Venous Arterialization (dDVA) with Dr. August Ysa

In this episode, host Dr. Sabeen Dhand interviews Dr. August Ysa, vascular surgeon in Spain, about distal deep venous arterialization, including indications, patient selection, and how to perform his ...

13 Feb 20231h

Ep. 290 SVC Sharp Recanalizations with Dr. Abdulaziz Alharbi

Ep. 290 SVC Sharp Recanalizations with Dr. Abdulaziz Alharbi

In this episode, Dr. Aaron Fritts interviews interventional radiologist Dr. Abdulaziz Alharbi of the Ministry of National Guard Health Affairs in Saudi Arabia. They discuss Dr. Alharbi’s approach to p...

10 Feb 202358min

Ep. 289 Treating Clot in Transit with Dr. Rehan Quadri

Ep. 289 Treating Clot in Transit with Dr. Rehan Quadri

In this episode, host Dr. Michael Barraza interviews Dr. Rehan Quadri, interventional radiologist, about the definition, indications and techniques for treating clot in transit.  We begin by defining...

6 Feb 202334min

Ep. 288 Treating the Pregnant Patient with Dr. Nikki Keefe

Ep. 288 Treating the Pregnant Patient with Dr. Nikki Keefe

In this episode, our host Dr. Ally Baheti interviews interventional radiologist Dr. Nikki Keefe about safety considerations for pregnant and breastfeeding IR patients. Dr. Keefe’s personal experience ...

3 Feb 202327min

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