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. 247 Teaming up on Trauma, Gun Violence, and Addressing Trauma Care Deserts with Dr. Andre Campbell

Ep. 247 Teaming up on Trauma, Gun Violence, and Addressing Trauma Care Deserts with Dr. Andre Campbell

In this episode, Dr. Vishal Kumar interviews trauma surgeon Dr. Andre Campbell about his career path and policy interests, including gun safety, nationwide access to trauma care, and diversity and inc...

30 Sep 202252min

Ep. 246 Ultrasound Guided MSK Interventions with Dr. Jason Cox

Ep. 246 Ultrasound Guided MSK Interventions with Dr. Jason Cox

In this episode, guest host Dr. Jacob Fleming interviews Dr. Jason Cox about musculoskeletal interventions and how he uses ultrasound for diagnosis and intervention in his full spectrum musculoskeleta...

26 Sep 20221h 2min

Ep. 245 Y90 in the OBL with Dr. Jayson Brower

Ep. 245 Y90 in the OBL with Dr. Jayson Brower

In this episode, host Dr. Ally Baheti interviews Dr. Jayson Brower about building a Y90 service line in his outpatient based lab (OBL). --- CHECK OUT OUR SPONSOR Boston Scientific Lab Agent https:/...

23 Sep 202242min

Ep. 244  Learning an OBL Practice Before Going All In with Dr. Ali Alikhani

Ep. 244 Learning an OBL Practice Before Going All In with Dr. Ali Alikhani

In this episode, host Dr. Aaron Fritts interviews Dr. Ali Alikhani about his solo outpatient IR practice, how he leveraged his sales background in the OBL setting, and marketing advice for IRs in an o...

19 Sep 202252min

Ep. 243 Better Abscess Drainage with Dr. John Pavlus

Ep. 243 Better Abscess Drainage with Dr. John Pavlus

In this episode, our hosts Drs. Michael Barraza and Aaron Fritts interview Dr. John Pavlus about his methods of drain placement, monitoring, and removal, as well as his vision to design an ideal drain...

16 Sep 202249min

Ep. 242 Image-Guided Headache Interventions with Dan Nguyen

Ep. 242 Image-Guided Headache Interventions with Dan Nguyen

In this episode, guest host Dr. Jacob Fleming interviews Dr. Dan Nguyen about MSK and neurologic pain interventions, specifically how he evaluates and treats different types of headaches at his practi...

12 Sep 202258min

Ep. 241 Emerging Techniques of Advanced Ultrasound in No Options CLTI Patients with Dr. Miguel Montero-Baker

Ep. 241 Emerging Techniques of Advanced Ultrasound in No Options CLTI Patients with Dr. Miguel Montero-Baker

In this episode, guest host Jill Sommerset interviews vascular surgeon Dr. Miguel Montero-Baker about his evolving use of ultrasound throughout his career in caring for critical limb-threatening ische...

9 Sep 202251min

Ep. 240 Changing VIR Training Paradigms with Dr. Zaeem Billah, Dr. Kartik Kansagra, and Dr. Geogy Vatakencherry

Ep. 240 Changing VIR Training Paradigms with Dr. Zaeem Billah, Dr. Kartik Kansagra, and Dr. Geogy Vatakencherry

In this episode, guest host Dr. Donald Garbett interviews Drs. Geogy Vatakencherry, Zaeem Billah, and Kartik Kansagra about the IR integrated residency, how it’s evolving, and what students should be ...

5 Sep 20221h 6min

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