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(637)

Ep. 154 Discussing the Complications Survey Results with The BackTable Team

Ep. 154 Discussing the Complications Survey Results with The BackTable Team

The BackTable hosts get together to discuss the results of the recent complications survey, including some stories from the audience as well some of their own experiences. --- EARN CME Reflect on h...

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Ep. 153 Mediport Placement with Dr. Chris Beck

Ep. 153 Mediport Placement with Dr. Chris Beck

Dr. Christopher Beck and Dr. Aaron Fritts discuss the Mediport placement procedure, including differences in technique (tie-down vs snug pocket), tips and tricks, and avoiding complications. The CE e...

10 Sep 202150min

Ep. 152 Treating Vascular Anomalies with Dr. Alex Barnacle

Ep. 152 Treating Vascular Anomalies with Dr. Alex Barnacle

We talk with Dr. Alex Barnacle about her approach to the workup of Vascular Anomalies, including the importance of correct nomenclature and multidisciplinary teams for accurate diagnosis and long-term...

6 Sep 20211h 6min

Ep. 151 Innovation MD: An Interview with Dr. David Liu

Ep. 151 Innovation MD: An Interview with Dr. David Liu

We talk with Dr. David Liu about the life cycle of innovation projects, developing ideas strategically, and his mentorship work with Creative Destruction Lab. --- CHECK OUT OUR SPONSOR RADPAD® Radi...

30 Aug 202148min

Edición Esp: Inclusión de la Comunidad Latina en la Conversación Endovascular con Dr. Gloria Salazar

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Nuestro primer episodio de Backtable en español está aquí. Las doctoras Gloria Salazar y Gina Landinez discuten COVID, las demandas médicas y endovasculres de nuestra población Iberoamericana y como c...

27 Aug 202139min

Ep. 150 Overcoming Imposter Syndrome with Dr. Robert Ryu

Ep. 150 Overcoming Imposter Syndrome with Dr. Robert Ryu

We talk with Dr. Robert Ryu about Imposter Syndrome. What is it, why is it so common in medicine, and how do we effectively deal with it? --- CHECK OUT OUR SPONSOR RADPAD® Radiation Protection http...

23 Aug 202136min

Ep. 149 Blockchain MD: Healthcare Applications with Dr. Leah Houston

Ep. 149 Blockchain MD: Healthcare Applications with Dr. Leah Houston

We talk with Dr. Leah Houston, founder of HPEC, about the healthcare applications of Blockchain Technology and Self-Sovereign Identity (SSI), including the importance of giving physicians control over...

20 Aug 202147min

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

We talk with Dr. Blake Parsons about his approach to Radial vs. Femoral access for Prostate Artery Embolization for BPH, including patient selection, device considerations, and practice pearls. --- ...

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