Ep. 125 TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Lynskey

Ep. 125 TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Lynskey

It's Junior Year at TIPS University with Dr. Emmett Lynskey walking through advanced techniques for TIPS, including using Intracardiac Echocardiography (ICE) for placement, as well as transsplenic access for portal reconstruction. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/Il3qDw --- SHOW NOTES In this episode, Dr. Emmett Lynskey joins Dr. Chris Beck for the third edition of TIPS University to discuss intracardiac echo (ICE) and splenic access in TIPS procedures. We discuss the learning curve associated with ICE and Dr. Lynskey tells us about the early challenges he faced when learning this technique. We share why using ICE is helpful in TIPS and how to set up the procedure, depending on the type of access you want. We explain how to get a more medial throw by getting the catheter closer to the portal vein, and we discuss how to torque the needle for different throws. We discuss making throws using an ICE probe and why ICE is helpful for acutely thrombosed TIPS revisions. Dr. Lynskey tells us about some other good uses for the ICE catheter. We discuss splenic access, and we review the conditions that allow for safe splenic access. We explain how to do the ultrasound evaluation anterior to the probe. Dr. Lynskey shares why he dedicates one hand for the wire and one hand for the ultrasound, and he tells us how he picks the sheaths and wires that he uses to get splenic access. We discuss how to know that you have opened up the splenic vein. --- RESOURCES Edward Jones Financial Advisor Yaphet Tadesse: https://www.edwardjones.com/us-en/financial-advisor/yaphet-tadesse

Episoder(649)

Ep. 637 Navigating Healthcare & Surgery in Conflict Areas with Dr. Ahmad Hussain

Ep. 637 Navigating Healthcare & Surgery in Conflict Areas with Dr. Ahmad Hussain

Vascular trauma care looks a lot different when the OR is improvised, supplies are limited, and limb salvage decisions cannot wait. On this episode of the BackTable Podcast, host Dr. Sabeen Dhand inte...

24 Apr 41min

Ep. 636 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan Epelboym

Ep. 636 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan Epelboym

For patients who have exhausted conservative management but aren’t ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Ka...

21 Apr 1h 12min

Ep. 635 Methodical Approach to Adrenal Vein Sampling with Dr. Zoe Miller

Ep. 635 Methodical Approach to Adrenal Vein Sampling with Dr. Zoe Miller

Your guide to better planning, access, and sampling. In this episode of the BackTable Podcast, we revisit every IR’s favorite procedure with Dr. Zoe Miller, Assistant Professor of Clinical Interventio...

17 Apr 42min

Ep. 634 Understanding Intravascular Lithotripsy in the OBL with Dr. Nicholas Petruzzi

Ep. 634 Understanding Intravascular Lithotripsy in the OBL with Dr. Nicholas Petruzzi

What do the 2026 coding changes mean for the financial viability of IVL in the OBL? In this episode of the BackTable Podcast, host Dr. Ally Baheti sits down with Dr. Nicholas Petruzzi to break down ho...

14 Apr 26min

Ep. 633 Pelvic Venous Disease: Causes, Symptoms and Treatments with Dr. Deepak Sudheendra

Ep. 633 Pelvic Venous Disease: Causes, Symptoms and Treatments with Dr. Deepak Sudheendra

How do you differentiate between iliac vein compression, gonadal vein reflux, and Nutcracker syndrome in patients with chronic pelvic pain? Dr. Deepak Sudheendra, director and interventional radiologi...

10 Apr 49min

Ep. 631 Advancements in Carotid Stenting with Dr. Adnan Siddiqui

Ep. 631 Advancements in Carotid Stenting with Dr. Adnan Siddiqui

Clean lumen club! This week, BackTable meets you at the carotid bifurcation to discuss all things carotid angioplasty and stenting. Interventional neuroradiologist and cerebrovascular surgeon Dr. Adna...

7 Apr 37min

Ep. 630 Trauma Embolization Techniques Using Vascular Plugs with Dr. Nima Kokabi, Dr. Brian Funaki, and Dr. Alex Villalobos

Ep. 630 Trauma Embolization Techniques Using Vascular Plugs with Dr. Nima Kokabi, Dr. Brian Funaki, and Dr. Alex Villalobos

As interventional radiology cements its position as a primary clinical responder for acute arterial hemorrhage, what if you could achieve rapid and durable arterial occlusion with a single, highly del...

3 Apr 59min

Ep. 629 Optimizing Prostate Treatment with Embolization Strategies with Dr. Art Rastinehad and Dr. Don Garbett

Ep. 629 Optimizing Prostate Treatment with Embolization Strategies with Dr. Art Rastinehad and Dr. Don Garbett

From consult to catheter, success in prostate artery embolization is shaped by a series of decisions that directly impact patient outcomes. In the third installment of our 2026 PAE University series, ...

31 Mar 1h 5min

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