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)

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Ep. 327 Building a Pain Interventions Service Line with Dr. Stephen Hunt

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Ep. 325 Recovering From a Major Injury as a Proceduralist with Dr. Deepak Sudheendra

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In this episode, host Dr. Ally Baheti interviews Dr. Deepak Sudheendra about obstacles that he has faced while practicing medicine, including dealing with a career-threatening injury, redefining bound...

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Ep. 324 Embolization for Treatment of Hemorrhoids with Dr. Alex Pavidapha

Ep. 324 Embolization for Treatment of Hemorrhoids with Dr. Alex Pavidapha

In this episode, host Dr. Aaron Fritts and interventional radiologist Dr. Alex Pavidapha give a primer on the emerging field of hemorrhoidal artery embolization (HAE), including patient presentations ...

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Ep. 323 El Camino Evolucionario de Francisco Carnevale: La Chispa que Encendió la Embolización de la Próstata

Ep. 323 El Camino Evolucionario de Francisco Carnevale: La Chispa que Encendió la Embolización de la Próstata

En los confines de la medicina, a veces es necesario un espíritu intrépido para desafiar las prácticas establecidas y abrir nuevos horizontes. El reconocido doctor Francisco Carnevale, una figura embl...

17 Maj 202350min

Ep. 322 Renal Trauma Embolizations with Dr. Nima Kokabi

Ep. 322 Renal Trauma Embolizations with Dr. Nima Kokabi

In this episode, host Dr. Chris Beck interviews Dr. Nima Kokabi about renal trauma embolizations, including imaging workup, embolization technique, and a warning on renal biopsies. --- CHECK OUT OUR...

15 Maj 202344min

Ep. 321 New Innovations in Lower GI Bleed Embolization with Dr. Kevin Henseler

Ep. 321 New Innovations in Lower GI Bleed Embolization with Dr. Kevin Henseler

In this episode, host Dr. Aaron Fritts and interventional radiologist Dr. Kevin Henseler discuss his treatment algorithm and new technologies for embolization of GI bleeds. --- CHECK OUT OUR SPONSOR...

12 Maj 202349min

Ep. 320 Appropriate Use of IVUS in Lower Extremity Interventions: Expert Consensus with Dr. Eric Secemsky

Ep. 320 Appropriate Use of IVUS in Lower Extremity Interventions: Expert Consensus with Dr. Eric Secemsky

In this episode, host Dr. Sabeen Dhand interviews interventional cardiologist Dr. Eric Secemsky about the role of intravascular ultrasound in lower extremity interventions, and how he published a cons...

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