Ep. 124 TIPS University Sophomore Year: Basic Procedure Techniques with Dr. Emmett Lynskey

Ep. 124 TIPS University Sophomore Year: Basic Procedure Techniques with Dr. Emmett Lynskey

It's Sophomore Year at TIPS University with Dr. Emmett Lynskey and Dr. Christopher Beck discussing basic procedure technique for Transjugular Intrahepatic Portosystemic Shunts (TIPS). --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/jfkcyQ --- SHOW NOTES In this episode, Dr. Emmett Lynskey joins Dr. Chris Beck for the second edition of TIPS University to discuss basic TIPS procedure techniques. Dr. Lynskey starts us off by talking through the steps of getting access for a basic TIPS procedure, and he tells us how to check if there is a large difference between wedge pressure and the true portal pressure. Next, we discuss doing a puff or a run of the vein to make sure that there is no obstruction of outflow. Dr Lynskey compares new and old techniques for getting the sheath into the vein, and he explains two different methods, bare back and over the wire, for getting the needle down for the TIPS procedure. We outline what you should expect to see after doing a puff of contrast, how to locate the central portal vein, and the differences between using CO2 and contrast. Dr. Lynskey shares what factors he considers when choosing a wire for TIPS and how he uses a pigtail and a sheath to perform a dual run. We review the purpose of a dual run and discuss the details of opening the tip once the sheath is down. We then compare the final steps of the TIPS procedure based on whether or not you will embolize, and give a brief overview of embolizing using a fogarty balloon. Dr. Lynskey goes over his goal frame rate for the final run of the TIPS, and he explains how to check the flow dynamic of blood going to the liver. He tells us about follow-up care and how it changes if a patient develops encephalopathy. We end the episode by discussing the importance of counseling patients and caretakers on medications.

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Ep. 23 Adrenal Vein Sampling with Dr. Mike Devane

Ep. 23 Adrenal Vein Sampling with Dr. Mike Devane

The procedure that everyone gets excited about! In this week's BackTable podcast Mike Devane talks us through adrenal vein sampling technique, including equipment/imaging tips and tricks, as well as pitfalls to avoid. Whether looking to build an AVS service, or just preparing for that once in a blue moon case, you're certain to take away a few pearls!

20 Feb 201822min

Ep. 22 Central and Upper Extremity Venous Interventions with Dr. Mark Lessne and Dr. Sabeen Dhand

Ep. 22 Central and Upper Extremity Venous Interventions with Dr. Mark Lessne and Dr. Sabeen Dhand

Central and Upper Extremity Venous Interventions with Dr. Mark Lessne of Charlotte Radiology and Dr. Sabeen Dhand of PIH Health. In this episode our docs discuss central recanalizations, ballooning versus stents, declot techniques, and get into a ton of tips and tricks!

6 Feb 201858min

Ep. 21 Vertebral Augmentation with Dr. Venu Vadlamudi and Dr. Kumar Madassery

Ep. 21 Vertebral Augmentation with Dr. Venu Vadlamudi and Dr. Kumar Madassery

Vertebral augmentation can be accomplished through various techniques - Dr. Venu Vadlamudi and Dr. Kumar Madassery shed light on the utility of kyphoplasty versus vertebroplasty when treating compression fractures of the spine.

28 Jan 201837min

Ep. 20 Pressure-Directed Therapy in TACE with Dr. Justin Lee and Dr. Terence Gade

Ep. 20 Pressure-Directed Therapy in TACE with Dr. Justin Lee and Dr. Terence Gade

Our 20th BackTable podcast episode featuring special guests Dr. Justin Lee of Florida Interventional Specialists, and Dr. Terence Gade of Hospital of University of Pennsylvania. They discuss experiences and utility of pressure-directed, antireflux infusion for TACE treatments.

20 Jan 201844min

Ep. 19 Lymphatic Interventions with Dr. Chick and Dr. Srinivasa

Ep. 19 Lymphatic Interventions with Dr. Chick and Dr. Srinivasa

Our holiday episode featuring Dr. Jeffrey Chick and Dr. Ravi Srinivasa of University of Michigan. They sit fireside with our host J. Michael Barraza Jr. to discuss lymphatic interventions in IR.

27 Des 201748min

Ep. 18 Complex LE Venous Interventions with Dr. Jeffrey Chick and Dr. Ravi Srinivasa

Ep. 18 Complex LE Venous Interventions with Dr. Jeffrey Chick and Dr. Ravi Srinivasa

Dr. Jeffrey Chick and Dr. Ravi Srinivasa discussing complex lower extremity venous interventions at University of Michigan VIR.

18 Des 201756min

Ep. 17 Prostate Artery Embolization with Dr. Ari Isaacson and Dr. Sandeep Bagla

Ep. 17 Prostate Artery Embolization with Dr. Ari Isaacson and Dr. Sandeep Bagla

Special guests Dr. Ari Isaacson and Dr. Sandeep Bagla sharing their experiences with prostate artery embolization, including a candid discussion on practice building, equipment, and a brief intro on what to expect at the upcoming STREAM PAE course Jan 13 in Washington DC.

20 Nov 201747min

Ep. 16 Pressure-Directed Therapy in Y90 with Dr. Nutting and Dr. Parikh

Ep. 16 Pressure-Directed Therapy in Y90 with Dr. Nutting and Dr. Parikh

In our first podcast on pressure directed therapy, Dr. Charles Nutting and Dr. Nainesh Parikh discuss some of the first principles of Y90 radioembolization delivery, and the potential advantages of pressure directed devices over end-hole catheters in the treatment of HCC.

5 Nov 201731min

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