Thomas Jardinet

@TheRealDoctorOs @DonGarbettMD You can embo it safely, at least with resorbable particles. Never seen an acl or pcl rupture

@DonGarbettMD Rim 😇….and why don’t embo 👀

Name that artery… 👀 #irad

Ik ben opgegroeid met gezellige kerststallen, Sinterklaas en zwarte Piet, Pasen (en Paaseieren) en alle christelijke tradities die dit land hebben gevormd. Wat vandaag gebeurt, is ronduit absurd: een kleine, zelfverklaarde progressieve bovenlaag schaft stap voor stap onze eigen cultuur af in naam van een hol begrip van “inclusie”. Minderheidsgroepen vragen nergens om, niemand voelt zich aangevallen door een kerststal. Het zijn enkel diezelfde seculiere culturele ingenieurs die koste wat kost hun ideologische leegte willen opleggen aan de rest. Dat is geen vooruitgang. Dat is een beschavingsafbraak waarvoor niemand democratisch heeft getekend.

@TheRealDoctorOs 🥰 only microcath.

@SBHur3 @YujiOkuno_OC I believe this case is about trapezius myalgia

@YujiOkuno_OC Can you elaborate the nature of shoulder pain more? Transverse cervical artery is NOT one of the major 6 arteries when we do shoulder TAME, which are suparascapular, thoracoacromial, coracoid, circumflex scapular, ant/post. circumflex humeral aa.?

A woman suffering from severe shoulder stiffness underwent intra-arterial injection treatment targeting the transverse cervical artery. Her symptoms dramatically improved on the same day. Freed from years of discomfort, she has returned to playing golf.

@foggyleakybrain Sometimes the leakage is located anteriorly and not posteriorly, and can not be detected by surgical exploration. I've seen it in two patients.

@thjardi Yes, the patient did have blood patches, which they reported heavily reduced some symptoms, but only temporarily. Eventually 2 spinal levels were also explored in surgery, but sadly for this patient to no avail; as the puncture hole could not be localized

An anonymous story from a CSF Leaker (PDPH): "I had a badly performed botched lumbar puncture in August 2020 after presenting to emergency with a headache that I got at the gym. I am 95% sure I got my leak from the LP, not spontaneous SIH from the valsalva."

@TheRealDoctorOs @MadkhaliDr Thank you for this great idea. Curious to know how you do it, to implement it in our center. Sheatless, microcath only? Which wire?

Late post but one of the true joys of my trip to the Kingdom 🇸🇦 was scrubbing and doing two GAEs with the wizard @MadkhaliDr - both cases done with only a 1.9 Fr access (discharged 15 min after case with 2 minute manual pressure) 😮 🦴 Thanks for teaching me your ways 🫡 #irad

New @AJR_Radiology Accepted Manuscript: "Lymphangiography Using Water-Soluble Contrast Media and Cone-BeamCT-Guided Sclerotherapy to Treat Infrainguinal Lymphatic Leak" By Drs Oulkadi, Lam, & @thjardi @UZAnieuws ajronline.org/doi/10.2214/AJ…

Our simplified technique of interstitial pedal lymphangiography technique with water soluble contrast allows treatment of (infra)inguinal lymph leaks in the absence of upstream lymph nodes. Now published online in @AJR_Radiology

@CJJonesMD Couldnt find them on ultrasound...

@thjardi Have you tried injecting popliteal nodes?

@SandeepBaglaMD Haven't combined it but i'm sure it can be a good idea in some pts

@thjardi Do you ever combine with splenic arterial embo for reduction of flow/splenic size as well

In patients with hepatic encephalopathy and a large splenorenal shunt, not all livers can handle the extra flow after shunt embo. Splenomesenteric flow separation by splenic vein embolization can tackle this issue: the gut drains to the liver, the spleen drains to the shunt.

@khalid_almasar @JBH_IR @marabi2004 Great "patient-tailored" intervention, congratulations

@JBH_IR @thjardi Check this case pubmed.ncbi.nlm.nih.gov/36309136/ We published it with @marabi2004 for Variceal Bleeding Control In NG hospital Saudi Arabia

@SRajesh_IR Unfortunately no clinical benefit in this case, but promising for future pts

@SRajesh_IR I think you have to consider it in high HPVG and/or bad liver function. This patient had high MELD and severe neurological symptoms.

@AlanAlperMD Just a couple of old fashioned MReyes !

Today marks the 10 year anniversary of the discovery of the CSF-venous fistula. This has changed many patients’ lives. These fistulas cause spontaneous intracranial hypotension and are now being diagnosed all over the world. ⁦⁦⁦@spinalCSFleak⁩ #SIH #CSFleak #headache

Clinical Outcomes of Transarterial Embolization for Chronic Achilles T... sciencedirect.com/science/articl…

@raimcsantos If thrombin fails: Direct puncture. Advance guidewire trough neck. Place angioseal.

88y,o,f, 13th PO d #TAVI, #PTE, anticoagulated (apixaban), #pseudoaneurysm (4.0 cm) LCFA below the inguinal ligament.#Perclose was used for RCFA closure (16Fr) and LCFA compression (7Fr). Hb: 8.5. WWYD? 1.#Thrombin 2.#Coils 3.#Covered #stent 4.Open #surgery?

@WBrinjikji @csfleakinfo Thank you for your answer. Finally we managed to join the contralateral internal epidural plexus trough the suboccipital plexus. Navigated all the way down to C7 then crossed the midline trough the anterior epidural plexus. Embolized with PHIL 25. Happy with the result !

Left C7-Th1 CSF-V fistula on dynamic myelography in a SIH patient. Currently planning transvenous embolization. How would you approach this? Probably too low for vertebral vein and too high for azygos system? Pre-procedural enhanced CT? #CSFVF #SIH