Endovascular Rounds

Case 55: spot image - pulmonary air embolism during dilator exchange while placing tunneled dialysis catheter. What next? . #irad #virad #meded #MedTwitter #cardiotwitter #Cardiology #CardioEd @SIRRFS @SIR_ECS @SIRspecialists @cirsesociety @_backtable @Vascular_India

Never a dull moment in #realworld #CLI patient. Shearing off a V18 with pedal access then trouble shoot @AMPSymposium @_MCLIN_ @SCAI @ACCinTouch @PVDCouncil @SIRRFS @SriniTummala @t_intheleadcoat @vascularIR @kmadass @keithppereira @HadyLichaaMD @roblookstein @LessneVIR @drcostantino1 @docTPlive @dandu_n @PK_MountSinai @vascularIR @K_Stavroulakis @MacAnsari

Today on BackTable: @SDhandMD talks with Dr. Jos van den Berg about the benefits of joining the Critical Limb Ischemia (CLI) Global Society @AmputationSuck @SriniTummala @evascularrounds @FadiSaab17 @vascularIR @AMPSymposium @kmadass @JillSommerset open.spotify.com/episode/3WuSGI…

The profound impact of feeling recognized as F.S.I.R (Fellow of Society of Interventional Radiology) at #SIR24SLC is undeniable The strive to excellence in clinical care, teaching, research and EVERYTHING #VIrad will continue. 🅲🅰🅽🆃 🆂🆃🅾🅿 🆆🅾🅽🆃 🆂🆃🅾🅿

Transabdominal USG-guided left to left TIPS - step by step guide. Cannulate LHV ➡️ Insert RUPS over wire ➡️ USG probe in midsagittal plane in epigastrium ➡️ rotate stiffening cannula to bring it in the same plane as USG probe ➡️ PV puncture ➡️ stenting With @SudheerPargewar

@MumbaiIR @JVIRmedia @SIRRFS @ACRRFS @ISVIRIndia @cirsesociety @pairsmedia @_backtable @ZHaskal @JohnsHopkinsIR @keithppereira @vascularIR @dramitsahu AVM ? Jejunal ? Is there a CT Angio available ?

Recurrent intermittent GI bleeds ⏩️ enteroscopy neg. What does the Angio show ? What wud u do next? @JVIRmedia @SIRRFS @ACRRFS @ISVIRIndia @cirsesociety @pairsmedia @evascularrounds @_backtable #MedEd #MedTwitter #medicine @ZHaskal @JohnsHopkinsIR @keithppereira @vascularIR

Pancreatic pseudocyst wall pseudoaneurysm #embolization #coiling #irad #interventionalradiology #Mumbai #MedTwitter #vasculardoc @ETF_IRtrainees @evascularrounds @SIRspecialists @JVIRmedia @ISVIRIndia @thegestgroup @cirsesociety

Case 20: with @BhaveshPopat7 . 60/F; CTLI; posterior leg wound; distal PTA+arch occlusion; PTA+lateral plantar arch angioplasty . #irad #virad #meded #MedX #MedTwitter #radres #foamrad #foammed @SIRRFS @SIR_ECS @SIRspecialists @CLI_Global @CLIfighters @VascularForum @_backtable

@JHernandez_RX @ESUR_JN @residentesSERAM @_uroima @EsgarSociety FMD with renal infarct

Middle-aged female with left back pain. Diagnosis, please? Answer will be shown tomorrow. @ESUR_JN @residentesSERAM @_uroima @EsgarSociety

Diagnosis? Join the Dots . #MedEd #MedTwitter #rheumtwitter #rheumatology #cardiotwitter #radiology #radres #irad @SIRRFS @SIR_ECS @RadioGyan @radiology_rsna @RadiologyVibes @ACRheum @nihardesai7 @PanktiMehta24 @TraineesBSIR @SIRspecialists @cirsesociety @IndianRheum @Applied_Rad

After many years of waiting, PAE is finally in the AUA BPH guidelines! Big thanks to @SandeepBaglaMD for all his efforts in creating awareness with the AUA. @SamMouli @bonesz @SIR_ECS @SIRRFS @NaineshParikhMD @keithppereira @IR_Nutt @pryce227 @ZachBercuMD

Spot the anatomical variant . #irad #cardiovascular #MedEd #MedTwitter #medx #radtwitter #vascular #radres #radiology @SIRspecialists @TraineesBSIR @SIRRFS @SIR_ECS @iRadBIR_Chennai @radiology_rsna @Applied_Rad @RSNA @RadioGyan @kdah_radiology @RadiologyVibes @teachplaygrub

@danatsouza @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @HarvardMacy @CBRadiologia Is the patient spiking? Fever ? Symptoms? May require Dx if so, percut VS endoscopic

25-year-old female status post necrotizing pancreatitis with heterogeneous loculated collection with enhancing wall and internal debris >4 weeks: wall-off necrosis (WON)! Recommendations? @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @HarvardMacy @CBRadiologia #MedEd

@brunoveloso89 @RafaMalgor @farkomd Long sheath. Sharp recan.

And, how about this superior vena cava occlusion in a patient with a right superior limb fistulae and superior vein cava synd symptoms. I tried with 0.035 guidewires, support catheters. Tried femoral, jugular, and fistulae access. Failure. What would you do? @RafaMalgor @farkomd

Opinion/Poll: technically most demanding IR procedure? Open to Suggestions . #irad #virad #radres #radiology #foamrad #foammed #MedEd #MedTwitter #medx @SIRspecialists @SIRRFS @SIR_ECS @cirsesociety @RCRadiologists @radiology_rsna @_backtable @Interventional2 @MountSinaiIR

12/ For an emergency procedure, algorithm is as follows

11/ For an elective procedure, algorithm is as follows

A balancing act: Patient on anticoagulants for an IR procedure. How do you go about it? To stop antocoag or not? For how long? When to bridge? . 🧵 1/ #MedTwitter #MedEd #radres #irad #hematology #CardioTwitter @MedTweetMYHQ @MedTweetorials @Medtwitteer @nihardesai7 @PreMedTweets