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. 197 CERAB Technique for Aortoiliac Disease with Dr. Martin Schroeder

Ep. 197 CERAB Technique for Aortoiliac Disease with Dr. Martin Schroeder

Vascular surgeon Dr. Martin Schroeder discusses the Covered Endovascular Reconstruction of Aortic Bifurcation (CERAB) technique for treating aortoiliac disease, including patient workup, procedure ste...

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Ep. 196 Building a PE Response Team with Dr. Carin Gonsalves

Ep. 196 Building a PE Response Team with Dr. Carin Gonsalves

We talk with Interventional Radiologist Dr. Carin Gonsalves about how her practice built a multidisciplinary Pulmonary Embolism (PE) Response team, including where to start, developing efficient workf...

28 Mar 202239min

Ep. 195 Disclosures of Conflicts of Interest with Dr. Mina Makary

Ep. 195 Disclosures of Conflicts of Interest with Dr. Mina Makary

Our hosts Dr. Aparna Baheti and Dr. Michael Barraza talk with Dr. Mina Makary about what constitutes a conflict of interest, and how we can reduce bias in research without stifling innovation. Reflec...

25 Mar 202230min

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How We Talk About Race, and the Language of Oppression with Tawny Newsome and Elaine Martin

Dr. Vishal Kumar invites Tawny Newsome and Elaine Martin to the show to discuss how we talk about race, and the language of oppression. --- EARN CME Reflect on how this Podcast applies to your day-...

21 Mar 202235min

Ep. 194 Financial Basics from the White Coat Investor with Dr. James Dahle

Ep. 194 Financial Basics from the White Coat Investor with Dr. James Dahle

Special guest The White Coat Investor James M. Dahle talks with Christopher Beck about where physicians can start when it comes to financial literacy, including common financial mistakes docs make whe...

18 Mar 20221h

Ep. 193 Managing Supplies in your Outpatient Facility with Dr. Krishna Mannava and Chas Sanders

Ep. 193 Managing Supplies in your Outpatient Facility with Dr. Krishna Mannava and Chas Sanders

Vascular surgeon Krishna Mannava and Chas Sanders (founder of MARGIN) discuss their approach to choosing which disposables and devices to stock up on in the outpatient facility, and how to plan for su...

14 Mar 202250min

Edición Esp: Enfermedad Arterial Periférica y Salvamento de Extremidades en la Comunidad Latino Americana con Dr. Miguel Montero-Baker

Edición Esp: Enfermedad Arterial Periférica y Salvamento de Extremidades en la Comunidad Latino Americana con Dr. Miguel Montero-Baker

En este episodio de BackTable Español, Dra. Gina Landinez entrevista a Dr. Miguel Montero-Baker sobre la enfermidad arterial periférica y salvamento de extremidades en la comunidad latinoamericana. I...

11 Mar 20221h 3min

Ep. 192 Going All In on the OBL and Finding Your Ikigai with Dr. John Lipman

Ep. 192 Going All In on the OBL and Finding Your Ikigai with Dr. John Lipman

In this episode we talk with Dr. John Lipman about his journey to going solo and opening an Outpatient Based Lab (OBL) dedicated to minimally invasive women's interventions, including Uterine Fibroid ...

7 Mar 202239min

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