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. 343 Microwave Ablation: A Powerful but Underused Modality for Treatment of Spine Tumors with Dr. Majid Khan

Ep. 343 Microwave Ablation: A Powerful but Underused Modality for Treatment of Spine Tumors with Dr. Majid Khan

In this episode, Dr. Jacob Fleming interviews Dr. Majid Khan, a spine interventionalist and expert in neuroimaging, about microwave ablation, a new treatment modality that has garnered significant att...

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Ep. 342 Radial Access for PAD with Dr. Rami Tadros

Ep. 342 Radial Access for PAD with Dr. Rami Tadros

In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Rami Tadros about advantages and indications for radial access in PAD treatment and the current selection of radial access device...

10 Juli 202345min

Ep. 341 Design Thinking in Healthcare with Dr. Gregg Khodorov

Ep. 341 Design Thinking in Healthcare with Dr. Gregg Khodorov

In this episode, host Dr. Aaron Fritts interviews interventional radiologist Dr. Gregg Khodorov about design thinking to improve healthcare outcomes, getting involved with innovation as a trainee, and...

7 Juli 202343min

Ep. 340 Awake Spine Surgery with Dr. Alok Sharan

Ep. 340 Awake Spine Surgery with Dr. Alok Sharan

In this episode, Dr. Jacob Fleming interviews Dr. Alok Sharan about low back awake spinal surgery. This innovative approach offers patients a more pleasant surgical experience compared to traditional ...

5 Juli 202350min

Ep. 339 The Importance of a Multidisciplinary Filter Retrieval Team with Dr. Warren Clements and Dr. Premal Trivedi

Ep. 339 The Importance of a Multidisciplinary Filter Retrieval Team with Dr. Warren Clements and Dr. Premal Trivedi

In this episode, guest host Dr. Robert Ryu interviews Dr. Warren Clements and Dr. Premal Trivedi about the current state of IVC filter retrievals, obstacles to increasing retrieval rates, and their ex...

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Ep. 338 Surgical Options for Lymphedema with Dr. Kuldeep Singh

Ep. 338 Surgical Options for Lymphedema with Dr. Kuldeep Singh

In this episode, host Dr. Aparna Baheti interviews Dr. Kuldeep Singh who breaks down the three stages of lymphedema, their respective medical and surgical treatment options, all while sharing key insi...

30 Juni 202344min

Ep. 337 Management of Vulvar Varices with Dr. Brooke Spencer

Ep. 337 Management of Vulvar Varices with Dr. Brooke Spencer

In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Brooke Spencer about management of pelvic venous disease, endovascular therapies for pelvic varices, and important consi...

26 Juni 202344min

Ep. 336 My Algorithm for Below the Knee CLI with Dr. Peter Soukas

Ep. 336 My Algorithm for Below the Knee CLI with Dr. Peter Soukas

In this episode, host Dr. Christopher Beck interviews Dr. Peter Soukas about his algorithm for below the knee (BTK) critical limb ischemia (CLI) interventions as well as his implementation of new evid...

23 Juni 20231h 3min

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