Paul O'Connor

161 posts

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Paul O'Connor

Paul O'Connor

@p_oconnor1

Interventional Radiologist @ PIH Health #irad #NeuroIR @MountsinaiIR trained

Beverly Hills, CA Katılım Nisan 2016
235 Takip Edilen717 Takipçiler
Sabeen Dhand
Sabeen Dhand@SDhandMD·
@ChengaziMD @smbracewell @t_intheleadcoat @saherssabri @kmadass @drochohan @IR_Doctor @IRKhalsa @laronecampbell @drvarshana @drcostantino1 @MoonJustaniah @theblanketdog @JuliusChapiro @linemonkeymd Yes but even without stent I wouldn’t be too worried about an iatrogenic leak in a nonobstructed system, if that were the case. Just think of all the bile ducts you snag in various perc liver interventions. Prolly worth showing some of these cases! Not as cool as yours tho
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Paul O'Connor
Paul O'Connor@p_oconnor1·
@maninbsir @SIRspecialists Thx. Thrombin would work well but US view of pseudoA wasnt ideal. I chose glue for visualization under fluoro. Tiny bit of nontarget embo during initial injection, probably inconsequential…goal was to stabilize him for surgery
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Mani NBS
Mani NBS@maninbsir·
@p_oconnor1 @SIRspecialists Great case. Whats the advantage of using glue vs thrombin? ..Was there some glue extending into some of the other branches in that video?.
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Paul O'Connor
Paul O'Connor@p_oconnor1·
Direct percutaneous nbca glue embolization of a massive pulmonary artery pseudoaneurysm. Patient w/history of lung cancer treated with radiation presenting with massive hemoptysis. Credit to my awesome tech Rigo for putting this together. #irad @SIRspecialists
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Paul O'Connor
Paul O'Connor@p_oconnor1·
@ChengaziMD @Flavius_IR @SIRspecialists Pseudo came off pretty proximal and i think would taken dozens of coils and embolization of a large portion of right PA to get good control. Also, pt was having active hemoptysis!! So glue was my first choice!
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Harris Chengazi
Harris Chengazi@ChengaziMD·
@Flavius_IR @p_oconnor1 @SIRspecialists That’s a pretty large sac to fill with coils, which would be pricey and hard to determine if done to completely. Nontarget embo more of a concern in AVM, in pseudo less so no?
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Paul O'Connor
Paul O'Connor@p_oconnor1·
@ChengaziMD @SIRspecialists Thanks! Ultrasound access was so key! The effusion and consolidation from hemoptysis allowed me to see it easily. I used 5:1 glue with slow steady injection via echotip needle
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SilverDegen
SilverDegen@SilverDegen·
Who wants to be added to the Silver Squeeze secret chat? Comment below with your piece of Silver to gain entry.
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Paul O'Connor
Paul O'Connor@p_oconnor1·
@antony_sare @SIRspecialists @SDhandMD I thought about using a sniper micro catheter for temporary balloon occlusion but didn’t want to run into issues with fitment in the guide catheter since the OD is slightly larger compared to a truselect. I may try it next time
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Paul O'Connor
Paul O'Connor@p_oconnor1·
Young patient with massive filter related thrombosis & severe pain/phlegmasia cerulea dolans treated with @InariMedical T24 flowtriever from popliteal v access. Pain resolved 15 minutes after case. Forgotten 10 yr old filter 👎🏻 @SDhandMD @MountSinaiIR @PIHHealth #irad
Paul O'Connor tweet media
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