Emeka Igwe retweetledi
Emeka Igwe
501 posts
Emeka Igwe
@igwe_emeka1
Medic | Radiology | Football | Data Science
Katılım Şubat 2023
347 Takip Edilen122 Takipçiler
Emeka Igwe retweetledi
@MrBoldOne @EmiratesFACup Enjoy your quadruple, pal.
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Emeka Igwe retweetledi
modern IV contrast dye for CT scans isn’t neprotoxic.
definitive imaging saves lives.
this is so simple but people & journals & textbooks keep on messing it up.
Dr. Chacón-Lozsán F .'.@franciscojlk
🩻Contrast-induced AKI: one of the biggest myths still shaping clinical decisions For decades we were taught: 👉 “Contrast damages the kidneys” 👉 “Avoid CT with contrast in CKD” 👉 “Hydrate, protect, delay imaging if needed” But what if… most of this is wrong?🤔 ->The uncomfortable reality Modern evidence shows: 👉 Low-osmolar contrast rarely causes true nephrotoxicity 👉 Even in CKD, AKI, and ICU patients 👉 The risk is often overestimated—or nonexistent So where did the fear come from? 📍 1950s high-osmolar contrast (actually toxic) 📍 Poorly controlled observational studies 📍 “Creatinine rise = contrast injury” assumption 👉 Correlation became causation 👉 And the dogma stayed ⚠️What recent data tells us ✔ No difference in AKI rates with vs without contrast ✔ No benefit from bicarbonate, NAC, or aggressive hydration ✔ Even ICU and AKI patients show no worsening outcomes ->Translation to real life 👉 The patient was going to develop AKI anyway...Not because of contrast!! ->The real problem: “Renalism” 👉 Avoiding necessary imaging 👉 Delaying diagnosis 👉 Choosing inferior tests And that leads to: ❌ Missed PE ❌ Delayed sepsis source control ❌ Worse outcomes ->Clinical mindset shift Instead of asking: 👉 “Will contrast harm the kidneys?” We should ask: 👉 “Will NOT doing the scan harm the patient?” ->Who still deserves caution? ✔ eGFR <30 ✔ Severe hemodynamic instability ✔ Multiple nephrotoxins Even then: 👉 Optimize volume 👉 Minimize dose 👉 Don’t delay critical imaging 🤓Bottom line ✔ Contrast nephrotoxicity exists… but is rare ✔ The fear is bigger than the risk ✔ The harm of NOT imaging is often greater In critical care 👉 We don’t treat creatinine 👉 We treat patients And sometimes… 👉 The most dangerous thing is NOT the contrast 👉 It’s hesitation. 📃Reference Florens N, Demiselle J. Kidney360 7: 445–449, 2026. doi: doi.org/10.34067/KID.0…
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Overview of our equipment and technique for accessing the PA for PE thrombectomy. @SDhandMD @t_intheleadcoat @keithppereira @TheRealDoctorOs @_backtable
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It began like a dream,
But today, it’s a reality.
I am thrilled to announce that I matched into the UPMC Diagnostic Radiology Residency @PittRadiology
Special thanks to my mentors and friends who supported and guided me through this process. I’m super grateful.
#Match2026
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Emeka Igwe retweetledi
@IndiGo6E
I was on this flight 6E 33.
Requesting Indigo to refund but @IndiGo6E helpline claiming I “chose” to cancel the alternative flight they were hoping to arrange…
Make this make sense @IndiGo6E.
That being said would like to thank the inflight team/ airport staff for the assistance provided by the team during the disruption.
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Emeka Igwe retweetledi
Trying and failing not to hover while waiting for an OR as my 7am start got bumped by overnight heart transplant, bilateral robotic lung transplant (#18 here, #28 worldwide) & a type A , so here’s an emergency myxoma from a while back. Resident did all, resection complete on path, patient doing great. Happy NYE to all!!!
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Congrats to Dr. @B_Shyamanur, Abdominal Imaging Fellow, who received a Certificate of Merit at this year's @RSNA Annual Meeting for her presentation titled, "The Atypical & Equivocal Appendix," on which she collaborated with Assoc. Professor Dr. @SatheeshToronto Krishna Jeyaraj.
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Emeka Igwe retweetledi
Emeka Igwe retweetledi
📢NEW UNITE PROJECT LAUNCH
MAGIC-Embo ‘Mortality after GI Bleed Catheter Embolisation’ aims to investigate if out-of-hours lower GI bleed embolisation is associated with any additional mortality or rebleed risk.
Sign up here! ➡️ bit.ly/3AFsXNd
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Emeka Igwe retweetledi
🚨🩻 SAVE THE DATE FOR OUR 31ST ANNUAL CONFERENCE IN MANCHESTER ON THE 22-23RD MAY 2025 🩻🚨
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Emeka Igwe retweetledi
Congratulations to our 2024 SRT essay competition winners! We received so many entries this year and it was great to read through them all - thank you for all the submissions. 👏
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You don’t get to pull these many consultants out of the hospital at once. But hey, it’s Donpir, and protocols MUST be broken. So humbled to be flagged by my teachers and bosses as our son went to church. Was lovely seeing everyone travelling from far and wide to celebrate with us, and happy to know everyone got home safely. Chukwu Aruka!!
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Building on the success of our previous study days for core radiology trainees in the Yorkshire and Humber School of Radiology, @HullRadiology IR will be hosting another event on November 27th!
Join us for a day of hands-on experience, expert insights, and valuable networking.
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Emeka Igwe retweetledi
The IR Research Day (IRRD) @IRadResearch is back on 13th Dec 2024 at the Royal College of Radiologists, London. Join us for talks, workshops, and networking with others in IR research
Register: tinyurl.com/IRRD2024
Got questions? Email abbey.templarphillips@bsir.org
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Emeka Igwe retweetledi
Thrilled to announce that I have been appointed head of the Imaging Care Group @GreatOrmondSt. Hoping to lead the Department of Radiology to greater heights in clinical and academic realms.
GIF
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Emeka Igwe retweetledi
It was a great @BSIR_News ASM in Brighton where I presented my prize-winning poster on calcium scoring alongside @ashetabulum prize-winning work on mesenteric ischaemia and reconnected with the amazing Hull IR team! @ragsxray @saira_sayeed @shahid_seedat @igwe_emeka1
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Emeka Igwe retweetledi
Had a great time moderating and speaking at the IR Juniors Session at #BSIR2024 to showcase the work @IR_Juniors has been doing this year for medical students and resident doctors! @BSIR_News @TraineesBSIR @SIRNRchat
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Emeka Igwe retweetledi
The Active Learning Zone at BSIR - once again a great success with medical students, junior doctors & residents and IR trainees.
A big thank you to all the tutors and industry for supporting it.
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Emeka Igwe retweetledi
Two of our amazing radiographers, Leigh and Ann-Marie discussing their experience of calcium burden in Hull patients and the use of Shockwave L6
@BSIR_News
@NHSHHP
@HullHospitals
@SIRNRchat
#BSIR2024
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