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/

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Ep. 494 Multidisciplinary Cancer Care: Lynn's Chemoembolization and More with Lynn Lazzaro

Ep. 494 Multidisciplinary Cancer Care: Lynn's Chemoembolization and More with Lynn Lazzaro

How do interventional oncologists fit into the bigger picture of multidisciplinary cancer care? Today we hear the patient’s perspective from Lynn Lazzaro, a liver cancer survivor who underwent multipl...

8 Nov 202430min

Ep. 493 Jillian’s Fight to Restore Blood Flow-A Long COVID Journey

Ep. 493 Jillian’s Fight to Restore Blood Flow-A Long COVID Journey

How can interventional radiologists help patients with long COVID? Today we hear directly from Jillian Angeline, a long COVID survivor that benefited tremendously from minimally invasive interventiona...

1 Nov 202438min

Ep. 492 Renal Tumor Ablations: Technique and Advancements with Dr. AJ Gunn

Ep. 492 Renal Tumor Ablations: Technique and Advancements with Dr. AJ Gunn

Looking to enhance your interventional oncology practice with renal tumor ablation? In this episode, host Dr. Don Garbett is joined by Dr. AJ Gunn to discuss the current landscape of renal tumor ablat...

29 Okt 202452min

Ep. 491 Surviving Cancer: Suzanne Martin's Radioembolization Journey

Ep. 491 Surviving Cancer: Suzanne Martin's Radioembolization Journey

As providers, we know firsthand how impactful interventional radiology procedures can be. Today, we hear the perspective of Suzanne Martin, a patient who underwent life-saving radioembolization for st...

25 Okt 202430min

Ep. 490 Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin

Ep. 490 Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin

Get a second opinion on your uterine fibroid embolization (UFE) technique. Dr. Gary Siskin joins host Dr. Chris Beck for an in-depth discussion on his approach to uterine fibroid embolization, detaili...

22 Okt 202457min

Ep. 489 Improving Public Awareness of Interventional Radiology with Dr. Mina Makary

Ep. 489 Improving Public Awareness of Interventional Radiology with Dr. Mina Makary

Historically, public recognition and understanding of IR has been limited, with a significant portion of patients unaware of interventional procedures and the field as a whole. How can we improve awar...

18 Okt 202428min

Ep. 488 Ablation Techniques for Acetabular Lesions with Dr. Jason Levy

Ep. 488 Ablation Techniques for Acetabular Lesions with Dr. Jason Levy

Acetabular lesions present unique challenges for interventionalists due to their location within the pelvis. In this episode of the BackTable Podcast, host Dr. Jacob Fleming interviews Dr. Jason Levy,...

15 Okt 202444min

Ep. 487 Musculoskeletal Tumor Embolizations with Dr. Gina Landinez

Ep. 487 Musculoskeletal Tumor Embolizations with Dr. Gina Landinez

Tumor embolization is a versatile procedure that can provide symptomatic and long-term benefits for patients. In this episode of BackTable MSK, host Dr. Michael Barraza discusses musculoskeletal tumor...

11 Okt 202436min

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