#PAE debate: “Stasis” after 1.5 cc of embolic. Go distal & see this. What size embolic required for effective stasis? #justglueit can be advantageous in these situations & safe. CBCT post embo. #irad Aaron Fischman MD | Interventional Radiologist Mount Sinai IR

IPMN of GB infiltrating into CBD upto hilum. Blocked metallic stent and plastic stent through it. Palliative percutaneous hepatico gastrostomy.

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 Sudheer Pargewar

Sometimes we need to straighten up the curve of the Rosh Uchida when the puncture track would be straight.

CARTO for ectopic variceal bleeding. 70y/F, Cirrhosis, Upper GI bleeding Imaging - Dual afferents from superior mesenteric vein feeding duodenal varices with a single outflow into IVC. Coil-assisted retrograde occlusion of shunt and varices. With Sudheer Pargewar

Hepatic vein stenting for Budd Chiari syndrome. 44y/M with ascites. Normalisation of hepatic enhancement merely 2 days after stenting. Middle and left hepatic veins start draining through collaterals into the stent. Ascites ⬇️. With SHOBS, Akhil Baby and TheLiverDoc

Subcapsular splenic hematoma ⬅️ pseudoaneurysm ⬅️ pancreatitis. Drainage f/b front and back door coil embolisation of parent artery. PSA starts filling from gastroepiploic artery🤯 Percutaneous trans-splenic glue embolisation to the rescue. With SHOBS and Akhil Baby

Case 74: with Bhavesh Popat . CLD, TIPS 2 yrs back, stent patent, malena, rectal varices draining via IMV; Antegrade variceal embo using TIPS route, Glue (1:5) embo; images 👇 . #irad #MedTwitter #gitwitter Rajesh Sasidharan SIR RFS SIR ECS Society of Interventional Radiology BackTable Vascular and Interventional Keith Pereira MD, #VIrad

This study concludes that there is no statistically significant difference in IPSS improvement of small volume prostates (< 51 mL) compared to large volume and that small prostate volume should not be considered a contra-indication to PAE. cvirendovasc.springeropen.com/articles/10.11…

Venkat Tummala MD Don Garbett M. Larone Campbell Keith Pereira MD, #VIrad Kumar Madassery August Ysa Sabeen Dhand Mike Watts Mark Lessne, MD Omar Chohan, DO drcostantino Joseph L. Mills MD Fakhir Elmasri Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI 👊🏾👍🏾BT Fisher Sr., MD Jeffrey F. B. Chick, MD, MPH Line Monkey MD Andrew Niekamp Raj Khalsa, MD, MBA Jay Mathews MD, MS, FACC, FSCAI Michael Cumming Same with the gun shot

1 week to go! Registration is open. Narayan Karunanithy Royal College of Anaesthetists Association of Anaesthetists BSIR Trainees (British Society of IR Trainees) 📆 16th July 🕛 6-8pm Webinar: Management of PE in Interventional Radiology anaesthetists.org/Home/Education…

Right-to-left TIPS in variant portal venous anatomy. Nakamura type D. No suitable angle from RHV to any of the RPV branches. At the risk of going extrahepatic, single-wall puncture of meandering LPV trunk done under USG guidance. With SHOBS, Akhil Baby, TheLiverDoc

Bottom line: Daycase angioplasties are really safe! READ in eClinicalMedicine: Meta-analysis of safety and procedural success of daycase-based endovascular procedures... sciencedirect.com/science/articl… Oliver Schlager Simon Skene Juraj Madaric Vinko Boc, MD European Society of Vascular Medicine European Society of Cardiology News

Pulling out a leech from the brain.

Narayan Karunanithy (Narayan Karunanithy), MRCS, discusses his multidisciplinary approach to vascular anomalies, trends in acute pulmonary embolism, what adult and pediatric interventional radiologists can learn from each other, and more. evtoday.com/articles/2024-…

Parallel guidewire anchoring technique for cannulating a blocked TIPS stent.

Case 137: with Bhavesh Popat Antariksh V. Vijan Vaibhav Thakur & Dr Rohan L . PVR - TIPS using trans-splenic access . 60/M; post Whipples for Ca pancreas; disease free since 2 years; sec chronic PVT with portal cavernoma; lower GI bleed sec to peri-rectal varices . PVR-TIPS with

Critical Limb Ischemia (#CLI) is the worst form of Peripheral Artery Disease (#PAD). CLI can lead to amputations and death. 55% of patients receiving a major amputation die within 4 years. #PADAwarenessMonth #CriticalLimbIschemia Source: ow.ly/4r5X50WZFXY

Excited to announce our first speaker, Dr Narayanan Thulasidasan (Consultant Interventional Radiologist, GSTT) Join us November 27th to hear about advances in treating emergencies in pregnancy For more information visit sarweb.co.uk/sar2025 #SAR2025 #Radiology #anaesthesia