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(635)

Ep. 210 Modern Vertebral Augmentation with Dr. Doug Beall

Ep. 210 Modern Vertebral Augmentation with Dr. Doug Beall

In this episode, host Dr. Jacob Fleming interviews Dr. Douglas Beall, interventional radiologist, about the latest advances in vertebral augmentation, how to reduce complications, and tips for produci...

25 Mai 202235min

Ep. 209 Primer on Medical Treatment of Osteoporosis and Non-surgical Management with Dr. Doug Beall

Ep. 209 Primer on Medical Treatment of Osteoporosis and Non-surgical Management with Dr. Doug Beall

In this episode, host Dr. Jacob Fleming interviews Dr. Douglas Beall about current osteoporosis diagnosis criteria, his treatment algorithm, and recent data showing efficacy of osteoanabolic agents an...

24 Mai 202246min

Ep. 208 Why We Need to Be Treating Osteoporosis for Our Compression Fracture Patients with Dr. Doug Beall

Ep. 208 Why We Need to Be Treating Osteoporosis for Our Compression Fracture Patients with Dr. Doug Beall

In this episode, host Dr. Jacob Fleming interviews Dr. Douglas Beall about the importance of interventional radiologists stepping up to address the entire picture of osteoporosis and taking the initia...

23 Mai 202232min

Edición Esp: Transplante de Higado: Nuestro Rol como Radiólogos Intervencionistas con Dr. Pilar Bayona y Dr.  Alejandro Mejia

Edición Esp: Transplante de Higado: Nuestro Rol como Radiólogos Intervencionistas con Dr. Pilar Bayona y Dr. Alejandro Mejia

En este episodio de BackTable, Dra. Gina Landinez habla con el Dr. Alejandro Mejia, cirujano trasplante de Methodist Dallas, y la Dra. Pilar Bayona, radiologista intervencionista de UT Southwestern, s...

20 Mai 202248min

Ep. 207 The Man Behind the Sheath: How Dr. Gary Ansel went from almost TV repairman to Endovascular Innovator

Ep. 207 The Man Behind the Sheath: How Dr. Gary Ansel went from almost TV repairman to Endovascular Innovator

We talk with interventional cardiologist Dr. Gary Ansel about his career in medical device innovation, including the development of the Ansel Guiding Sheath and the Pounce Thrombectomy System (which w...

16 Mai 202256min

Optimizing LGBTQ+ Care with Shane Snowdon

Optimizing LGBTQ+ Care with Shane Snowdon

As part of our Health Equity Series Dr. Vishal Kumar talks with Shane Snowdon about current challenges in healthcare for LGTBQ+ patients, how we can improve communication, reduce fear and misunderstan...

13 Mai 202254min

Ep. 206 Improving Workflow Efficiency: Starting with Paracentesis with Dr. Karen Brown

Ep. 206 Improving Workflow Efficiency: Starting with Paracentesis with Dr. Karen Brown

Dr. Karen Brown explains how she improved paracentesis workflow by creating a service that has shortened procedure time, decreased hospital length of stay, and improved patient and referring provider ...

9 Mai 202230min

Ep. 205 Update on Reimbursement Cuts for the OBL/ASC with Dr. Jim Melton and Dr. Blake Parsons

Ep. 205 Update on Reimbursement Cuts for the OBL/ASC with Dr. Jim Melton and Dr. Blake Parsons

In this episode Vascular Surgeon Jim Melton and Interventional Radiologist Blake Parsons give us the lay of the land on recent reimbursement cuts in the OBL/ASC space, including peripheral artery dise...

6 Mai 202237min

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