Jimmy Kyaw Tun

@Naif_87 @SIRspecialists @sirs_ksa @pairsmedia @PhillyAngio @cirsesociety @wais4100 @_backtable @IR_Juniors now I'm curious!

@JimmyKyawTun @SIRspecialists @sirs_ksa @pairsmedia @PhillyAngio @cirsesociety @wais4100 @_backtable @IR_Juniors Reverse curve with v18 and command14 failed. Stay tuned

Bilateral iliac occlusions, right crossed luminal. Left crossed subintimal but no readily available re-entry device. Whats next?

@Warren_IR @DocSBroderick @trauma_jm @markcfitz @grounds4riots @TheRealDoctorOs @keithppereira that's a bit nuts! I hope things will be better in 2025!! what do u think are the real underlying factors and how might we change this?

Just read this and honestly can't believe it. I think a little bit inside of me died. How can this happen?? doi.org/10.1007/s00068… Thoughts from #trauma and #irad? @DocSBroderick @trauma_jm @markcfitz @grounds4riots @TheRealDoctorOs @keithppereira

@Naif_87 @theblanketdog @SIRspecialists @sirs_ksa @cirsesociety @pairsmedia @SAGES_Updates @bsc_endoscopy @AmCollegeGastro @IHPBA @wais4100 @_backtable Damn! awesome

@theblanketdog @JimmyKyawTun @SIRspecialists @sirs_ksa @cirsesociety @pairsmedia @SAGES_Updates @bsc_endoscopy @AmCollegeGastro @IHPBA @wais4100 @_backtable Perc (poor ejection fraction, local only). Placed and removed by us

Cholecystoduodenostomy LAMS, couldnt wash out the bile pigment after removal.

Percutaneous anterograde embolisation for testicular varicocele via groin access is a safe, effective minimally invasive alternative to surgery and when conventional testicular vein embo not possible. jvir.org/article/S1051-… @JVIRmedia @cirsesociety @BSIR_News @MensHealthMag

@SahajRathi Call interventional radiology. Usually can Perc anterograde to place drain or if needed a retrievable covered stent. If unable to cross, can consider rendevous with ERCP by snaring through and through wire in the collection itself.

🙍‍♀️30s Lap CCx➡️CBD injury➡️Open repair 2 wks on, drain output ~400ml/d Pt toxic #ERCP 👉Wire keeps going into collection, cannot negotiate into intrahepatic ducts 👉Contrast - same ??CBD ligated #EUS RZV🙅‍♂️: Periph ducts decompressed+pneumobilia Options #GITwitter #Surgery?

@dr_cellini And who foots the bill for that?

@ChengaziMD @MattHawkinsMD @CHICKVIR @CVIR_Journal @_backtable @iRadRock @Eric_Monroe_MD @Hannah_Ireland @irhkch @keithppereira @LessneVIR gotta go with clinical, young patient but sounded like it was really needed! nice work!

Was hesitant stent this 15yo given age, but his symptoms trumped decision making. Walking into his room post op to see him laying flat and watching memes was all the validation I needed. #VIRad #pedsIR

@ChengaziMD @kmadass @keithppereira @ReneLizola @farkomd @CHICKVIR @iRadRock @_backtable @EricSecemskyMD @linemonkeymd @AmputationSuck Essentially micropuncture US guided puncture through pseudoA neck (more important to enter at the vessel defect rather than go through the entire neck esp if not a straight line) Then 7 fr sheath (rather than 6 as easier to get proglide in after I think?!), then proglide.

@ChengaziMD @kmadass @keithppereira @ReneLizola @farkomd @CHICKVIR @iRadRock @_backtable @EricSecemskyMD @linemonkeymd @AmputationSuck Must admit! have only done this a couple times hence asking if u thought was suitable!

Low access SFA puncture (for tx of contra PSA from TAVR access) failed thrombin x2 - successfully tx via tibial approach stenting. What would you do? #VIRad

IR does fab job in UK. Good info to GIRFTIR to enhance recognition of speciality &to address various issues that enable IRs to better serve patients with modern medicine in vasc and non vasc IR. @BSIR_News @TraineesBSIR @cirsesociety @RCRadiologists authors.elsevier.com/sd/article/S00…

@DrIHHashmi1 looks like a high puncture to me....

84y/f underwent CAG via 6F femoral route. Hemostasis was secured with manual compression. In CCU, she developed hypotension and massive Ant. Abdominal wall hematoma. Her groin was clean. Shifted back, did SFA stick, and took the femoral shot. What do you think what had happened

Absolute bargain and a no brainer to go for the membership option which gives access to a massive archive/volume of educational material and too many other benefits to mention - most of all joining the @BSGAR_UK family! 👍🏽👍🏽👍🏽

@TheRealDoctorOs IYKYK

Mango 🥭 is best eaten:

@SharanWad @saurabhmukewar prove it..... 😃

@JimmyKyawTun @saurabhmukewar Not necessarily needle size - more the ability to exclude vessels along a track including capsular/peri capsular and intrahepatic.

EUS guided Kidney Biopsy. Expanding the role of EUS..

@saurabhmukewar @SharanWad Lol, in this day and age, no one (in a properly equipped hospital) should perform non US guided liver biopsy. THAT should be banned

@JimmyKyawTun @SharanWad I’d say smaller needle, yes. Also, if perc Bx is not performed with live USG guidance.

@SharanWad @saurabhmukewar I think this when EUS might make sense- when it's coupled with other endo procedures.. variceal examination and direct portal pressure measurement. Do u think the safety profile is to do with EUS (and if so why?), or just the smaller size of EUS needle.

@JimmyKyawTun @saurabhmukewar We’re finding it useful in cases of CLD with indications for resection and in conjunction with EUS-PPG 👍🏽 As a solitary procedure, not comparable to gold standard perc approach for yield, although early data suggests better safety profile.

@SharanWad @saurabhmukewar So I agree with you. I reckon the real use case for EUS for kidney biopsies is for target biopsy of anteromedial lesion (difficult to reach perc). Just thought, would EUS be easier than perc for obese patients?

@JimmyKyawTun @saurabhmukewar Great views of the kidney (particularly upper pole right) with EUS. I’d say medial lesions probably better sampled with EUS having done both. Accurate targeting and better tolerance under sedation. But for non targeted, yield likely better with perc 16G.