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/

Avsnitt(634)

Ep. 375 How to Get Independent IR Hospital Privileges with Dr. Bill Julien

Ep. 375 How to Get Independent IR Hospital Privileges with Dr. Bill Julien

In this episode, host Dr. Ally Baheti interviews Dr. Bill Julien about strategies to secure independent IR hospital privileges. Bill is an experienced vascular interventional physician at South Florid...

16 Okt 202343min

Ep. 374 Independent IR: More Than Locums, It's a Calling with Dr. Ian Wilson and Dr. Kavi Devulapalli

Ep. 374 Independent IR: More Than Locums, It's a Calling with Dr. Ian Wilson and Dr. Kavi Devulapalli

In this episode, host Dr. Dana Dunleavy engages in a thought-provoking discussion about independent interventional radiology practice with two esteemed IRs, Dr. Kavi Devulapalli and Dr. Ian Wilson. To...

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Ep. 373 Sharp Recanalization Using the RF Wire with Dr. Marcelo Guimaraes

Ep. 373 Sharp Recanalization Using the RF Wire with Dr. Marcelo Guimaraes

In this episode, host Dr. Ally Baheti interviews Dr. Marcelo Guimaraes about using radiofrequency wires for sharp recanalization. Marcelo is an interventional radiologist at the Medical University of ...

9 Okt 202355min

Ep. 372 IR Pathways Unveiled: Matching, Training, and Beyond with Dr. Neil Jain

Ep. 372 IR Pathways Unveiled: Matching, Training, and Beyond with Dr. Neil Jain

In this episode, host Christopher Beck discusses the current landscape of IR training with Dr. Neil Jain, a fourth-year IR/DR resident at Georgetown University. Neil, who attended medical school in Ne...

6 Okt 20231h

Ep. 371 Transverse Sinus Stenting for Idiopathic Intracranial Hypertension with Dr. Aaron Bress

Ep. 371 Transverse Sinus Stenting for Idiopathic Intracranial Hypertension with Dr. Aaron Bress

In this episode, host Dr. Michael Barraza interviews neurointerventional radiologist Dr. Aaron Bress about transverse sinus stenting for benign intracranial hypertension. --- CHECK OUT OUR SPONSORS ...

2 Okt 202332min

Ep. 370 Recan In Benign Venous Occlusions with Dr. Minhaj Khaja

Ep. 370 Recan In Benign Venous Occlusions with Dr. Minhaj Khaja

In this episode, host Ally Baheti interviews Dr. Minhaj Khaja about iliocaval reconstruction. Minhaj is a Clinical Professor of Radiology and Cardiac Surgery and Associate Program Director of Interven...

29 Sep 202358min

Ep. 369 Advancing Vascular Medicine: Inside VIVA’s Multidisciplinary Approach with Dr. Maureen Kohi and Dr. Niten Singh

Ep. 369 Advancing Vascular Medicine: Inside VIVA’s Multidisciplinary Approach with Dr. Maureen Kohi and Dr. Niten Singh

In this episode, host Dr. Aaron Fritts interviews Dr. Maureen Kohi and Dr. Niten Singh on the VIVA Foundation’s multidisciplinary approach to advancing vascular medicine. --- CHECK OUT OUR SPONSORS ...

27 Sep 202331min

Ep. 368 The Recent Trend of Insurance Denials for CLI Interventions with Dr. Bret Wiechmann

Ep. 368 The Recent Trend of Insurance Denials for CLI Interventions with Dr. Bret Wiechmann

In this episode, host Dr. Aaron Fritts and Dr. Krishna Mannava engage in a discussion with Dr. Bret Wiechmann about a concerning trend in the field—insurance denials for critical limb ischemia (CLI) i...

25 Sep 202353min

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