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. 255 History of Ablative Procedures with Drs. Luigi Solbiati and Steven Raman

Ep. 255 History of Ablative Procedures with Drs. Luigi Solbiati and Steven Raman

In this episode, guest host Dr. Steven Raman interviews a founding father of percutaneous tumor ablation, Dr. Luigi Solbiati about the development of this revolutionary treatment, new therapies that h...

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Ep 254 Who is SIO? Past, Present and Future of Our Society with Drs. Bill Rilling, Sarah White, and Sean Tutton

Ep 254 Who is SIO? Past, Present and Future of Our Society with Drs. Bill Rilling, Sarah White, and Sean Tutton

In this episode, guest host Dr. Sean Tutton interviews Dr. Bill Rilling and Dr. Sarah White about the history of the Society of Interventional Oncology (SIO), their current research and volunteer invo...

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Ep. 253 How I Place Nephrostomy Tubes with Dr. Aaron Fritts

Ep. 253 How I Place Nephrostomy Tubes with Dr. Aaron Fritts

In this back to the basics episode, Dr. Christopher Beck interviews Dr. Aaron Fritts about his standard procedure for nephrostomy tube placement, preferred tools, and troubleshooting tips. --- CHECK...

21 Okt 20221h 27min

Ep. 252 How I Place Gastrostomy Tubes with Dr. Chris Beck

Ep. 252 How I Place Gastrostomy Tubes with Dr. Chris Beck

In this episode, Dr. Aaron Fritts interviews Dr. Christopher Beck about gastrostomy tubes, including the evolution of his method, tips for patients who pull their tubes out, and why g-tubes are such a...

17 Okt 20221h 10min

Ep. 251 Race and AI in Radiology with Dr. Judy Gichoya

Ep. 251 Race and AI in Radiology with Dr. Judy Gichoya

In this episode, Dr. Ally Baheti interviews interventional radiologist Dr. Judy Gichoya about her recent paper on artificial intelligence (AI) and the use of a deep learning model to recognize patient...

14 Okt 202234min

Ep. 250 The Evolution of Trauma Care in Interventional Radiology with Dr. Mark Wilson

Ep. 250 The Evolution of Trauma Care in Interventional Radiology with Dr. Mark Wilson

In this episode, Dr. Vishal Kumar interviews Dr. Mark Wilson, vice chair and professor of radiology and biomedical imaging at UCSF, and chief of diagnostic and interventional radiology at the Zuckerbe...

10 Okt 202246min

Ep. 249 Plumbers, Scientists and Educators: Is It Possible to Fit It All In and Have a Life? with Dr. Lorenzo Patrone

Ep. 249 Plumbers, Scientists and Educators: Is It Possible to Fit It All In and Have a Life? with Dr. Lorenzo Patrone

In this episode, BackTable is on location in Barcelona for CIRSE 2022! Dr. Aaron Fritts conducts a live video interview with interventional radiologist Dr. Lorenzo Patrone. They discuss their experien...

7 Okt 202253min

Ep. 248 Staff Culture with Dr. Peder Horner (on location at CIRSE)

Ep. 248 Staff Culture with Dr. Peder Horner (on location at CIRSE)

In this episode, Dr. Aaron Fritts interviews Dr. Peder Horner about the impact of staff culture on patient care, how to manage bad players, and how to maintain an active role in shaping a healthy work...

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