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. 335 Transcranial Focused Ultrasound: Next Generation Imagine-Guided Therapy of the Brain with Dr. Bhavya Shah

Ep. 335 Transcranial Focused Ultrasound: Next Generation Imagine-Guided Therapy of the Brain with Dr. Bhavya Shah

In this episode, host Dr. Jacob Fleming interviews one of his attendings Dr. Bhavya Shah about the remarkable features of focused ultrasound technology and its applications. They discuss its dynamic n...

21 Juni 202347min

Ep. 334 New Balloon Technologies for CLI with Dr. Peter Soukas

Ep. 334 New Balloon Technologies for CLI with Dr. Peter Soukas

In this episode, host Dr. Aaron Fritts interviews Dr. Peter Soukas taking a deep dive into novel balloon technologies, appropriate uses below the knee, and how these new balloons are highly effective ...

19 Juni 202323min

Ep. 333 Empowering Patients Through Image Sharing: The PocketHealth Story with Rishi Nayyar

Ep. 333 Empowering Patients Through Image Sharing: The PocketHealth Story with Rishi Nayyar

In this episode, host Dr. Bryan Hartley interviews Rishi Nayyar, co-founder and CEO of PocketHealth, the first patient-centered medical image exchange platform. --- CHECK OUT OUR SPONSOR RADPAD® Ra...

16 Juni 202358min

Ep. 332 El Futuro de MSK: Embolizaciones Musculoesqueletas con Dr. Ana Fernandez Martinez

Ep. 332 El Futuro de MSK: Embolizaciones Musculoesqueletas con Dr. Ana Fernandez Martinez

En este episodio de BackTable, las Dras. Gina Landinez y Ana María Fernández Martínez hablan sobre el intervencionismo musculoesquelético y las técnicas para la embolización del hombre rígido. --- S...

14 Juni 202347min

Ep. 331 EVUS to IVUS: a Continuous Spectrum with Dr. Jill Sommerset and Dr. Fadi Saab

Ep. 331 EVUS to IVUS: a Continuous Spectrum with Dr. Jill Sommerset and Dr. Fadi Saab

In this episode, host Dr. Ally Baheti interviews Jill Sommerset and Dr. Fadi Saab about EVUS and IVUS in peripheral arterial cases, including when to use each, how to train an interventional sonograph...

12 Juni 202356min

Ep. 330 Early Days and Evolution of the TIPS Procedure with Dr. Richard Saxon

Ep. 330 Early Days and Evolution of the TIPS Procedure with Dr. Richard Saxon

In this episode, guest host Dr. Isabel Newton interviews Dr. Richard Saxon about his innovative approach of using stent grafts for transjugular intrahepatic portosystemic shunting (TIPS), the creation...

9 Juni 20231h 6min

Ep. 329 OBLs, Past, Present, and Future with Dr. Bill Julien

Ep. 329 OBLs, Past, Present, and Future with Dr. Bill Julien

In this episode, host Dr. Aparna Baheti interviews Dr. Bill Julien about the evolution of the outpatient based lab (OBL), its role in expanding patient access to IR care, and its relationship with oth...

5 Juni 202353min

Ep. 328 Adrenal Vein Sampling with Dr, Fritz Angle

Ep. 328 Adrenal Vein Sampling with Dr, Fritz Angle

In this episode, host Dr. Aparna Baheti interviews Dr. Fritz Angle about adrenal vein sampling, including indications, workup, and his technique for accessing the right adrenal vein. --- CHECK OUT O...

2 Juni 202337min

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