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. 184 Mentorship: Buzzword or Benefit? With Dr. Robert Vogelzang

Ep. 184 Mentorship: Buzzword or Benefit? With Dr. Robert Vogelzang

In this episode, our host Dr. Eric Keller interviews his longtime mentor, interventional radiologist Dr. Bob Vogelzang about the evolution of their mentor mentee relationship overtime and ways to crea...

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Ep. 183 Solid Organ and Pelvic Trauma with Dr. Chris Ingraham

Ep. 183 Solid Organ and Pelvic Trauma with Dr. Chris Ingraham

Interventional Radiologist Dr. Chris Ingraham discusses his approach to treating solid organ and pelvic trauma, including embolization technique and IR's role in workflow efficiency for better trauma ...

31 Jan 202259min

Ep. 182 Thyroid Nodule Ablation with Dr. Tim Huber

Ep. 182 Thyroid Nodule Ablation with Dr. Tim Huber

Dr. Aparna Baheti talks with Dr. Timothy Huber about performing thyroid nodule ablation procedures, including patient selection, technique pearls and pitfalls, and how to incorporate the procedure int...

28 Jan 202232min

Ep. 181 Surgical Versus Endovascular Management of CFA Disease with Dr. Mazin Foteh

Ep. 181 Surgical Versus Endovascular Management of CFA Disease with Dr. Mazin Foteh

Vascular Surgeon Dr. Mazin Foteh and our host Dr. Sabeen Dhand consider various factors that can influence the choice of treatment methods for calcified common femoral artery (CFA) disease, including ...

24 Jan 202250min

Ep. 180 Environmental Impact of Interventional Radiology with Dr. Jonathan Gross

Ep. 180 Environmental Impact of Interventional Radiology with Dr. Jonathan Gross

Interventional Radiologist Dr. Jonathan Gross and host Dr. Aaron Fritts discuss the results from his recent JVIR Media article on the quantifiable environmental impact of operating an interventional r...

21 Jan 202233min

Ep. 179 Happiness is a Warm Coil: Treating GI Bleeds with Dr. Donald Garbett

Ep. 179 Happiness is a Warm Coil: Treating GI Bleeds with Dr. Donald Garbett

Interventional Radiologist Donald Garbett and our host Sabeen Dhand discuss their standard workups and procedural decision making for GI bleeds, including radial vs. femoral approach and preferred emb...

17 Jan 202242min

Ep. 178 Challenging Stroke Thrombectomies with Tough Clot with Dr. Matt Gounis and Dr. Hannes Nordmeyer

Ep. 178 Challenging Stroke Thrombectomies with Tough Clot with Dr. Matt Gounis and Dr. Hannes Nordmeyer

Interventional Neuroradiologist Dr. Hannes Nordmeyer and Biomedical Engineer Dr. Matt Gounis discuss compositions of tough clots, approaches to stroke thrombectomy, and bailout stenting. --- CHECK O...

10 Jan 202236min

Ep. 177 Doctors and Litigation: The L Word with Dr. Gita Pensa

Ep. 177 Doctors and Litigation: The L Word with Dr. Gita Pensa

Emergency medicine physician and podcast founder Dr. Gita Pensa and our co-hosts Dr. Chris Beck and Dr. Aaron Fritts discuss methods of navigating malpractice lawsuits, maintaining professional identi...

7 Jan 20221h 3min

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