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. 279 Dissecting Wire Senses with Dr. Hady Lichaa

Ep. 279 Dissecting Wire Senses with Dr. Hady Lichaa

In this episode, host Ally Baheti interviews interventional cardiologist Dr. Hady Lichaa of Ascension St. Thomas Heart about wire senses, including ways to build tactile and visual skills, selection o...

6 Jan 202349min

Ep. 278 Minimizing Complications for Lung Biopsies with Dr. Robert Suh

Ep. 278 Minimizing Complications for Lung Biopsies with Dr. Robert Suh

In this episode, host Dr. Chris Beck interviews chest and interventional radiologist Dr. Robert Suh about his lung biopsy technique, including how he approaches pain management, and his take on the be...

2 Jan 202346min

Ep. 277 Private Equity and the Radiology Job Environment with Dr. Ben White

Ep. 277 Private Equity and the Radiology Job Environment with Dr. Ben White

In this episode, co-hosts Drs. Ally Baheti and Mike Barraza interview diagnostic radiologist and blogger Dr. Ben White, who speaks about private equity (PE) ownership of radiology practices, the natio...

30 Dec 202255min

Ep. 276 Chiba Needle Technique for Tough CTO's with Dr. Michael Cumming

Ep. 276 Chiba Needle Technique for Tough CTO's with Dr. Michael Cumming

In this episode, host Dr. Aparna Baheti interviews interventional radiologist Dr. Michael Cumming about his Chiba needle technique for difficult CTOs, including how to perform the technique safely and...

26 Dec 202239min

Ep. 275 E&M Coding Part 2 with Dr. Ryan Trojan

Ep. 275 E&M Coding Part 2 with Dr. Ryan Trojan

In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Ryan Trojan about recent changes to the AMA’s evaluation and management (E&M) coding in the inpatient and outpatient set...

23 Dec 202233min

Ep. 274 Peritoneal Dialysis Catheters with Dr. Satyaki Banerjee

Ep. 274 Peritoneal Dialysis Catheters with Dr. Satyaki Banerjee

In this episode, host Dr. Aparna Baheti interviews interventional nephrologist Dr. Satyaki Banerjee about peritoneal dialysis, including indications, placement technique, and tips for preventing compl...

19 Dec 202247min

Ep. 273 Disc Disease and Intradiscal Therapies with Dr. Edward Yoon

Ep. 273 Disc Disease and Intradiscal Therapies with Dr. Edward Yoon

In this episode, host Dr. Jacob Fleming interviews Dr. Edward Yoon, interventional MSK radiologist and Chief of IR at the Hospital for Special Surgery. The doctors discuss novel intradiscal therapies ...

16 Dec 20221h 11min

Ep. 272 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

Ep. 272 Creating Culture Through Leadership and Mentoring with Dr. Christopher Kane

In this episode, Dr. Bagrodia discusses cultivating a healthy culture inside and outside of the operating room with Dr. Chris Kane, Dean of Clinical Affairs at UCSD and CEO of the UCSD Physician Group...

14 Dec 202257min

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