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Venkat Tummala MD frank arko Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Raj Khalsa, MD, MBA Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD I've injected countless PSAs, but I've embolized only one that took a 30 second procedure and turned into 2 hours. I did not appreciate that the neck was much bigger. Balloon assistance definitely reduces risk in large PSAs.

Venkat Tummala MD frank arko Jay Mathews MD, MS, FACC, FSCAI Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD Nice technique! These can def be tricky. Saw a case empty downstream immediately after deflation 🫣 Anything with neck >5 mm I’ll spend a lot of time on US now evaluating the flow. Glue is interesting, prob more secure but costly and palpable

Raj Khalsa, MD, MBA Venkat Tummala MD frank arko Jay Mathews MD, MS, FACC, FSCAI Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD x.com/kmschramm/stat… Companion treated perc as you described with other embolics - used the 3F inner of a micropuncture set here for access

Venkat Tummala MD Jay Mathews MD, MS, FACC, FSCAI Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Raj Khalsa, MD, MBA Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD Surgery is a lot for these cases that typically require a single stitch. Associated with significant morbidity. A prefer an approach that does not use a knife. Nice case. I’ve done some as well with good anatomy in which a short covered viabahn has worked as well

Venkat Tummala MD frank arko Jay Mathews MD, MS, FACC, FSCAI Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Raj Khalsa, MD, MBA Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD I’m always amazed by how well the vessel seems to recover. Seems balloon assisted also decreases recurrence. Great work!

Venkat Tummala MD frank arko Jay Mathews MD, MS, FACC, FSCAI Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Sabeen Dhand Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Raj Khalsa, MD, MBA Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD Definitely an option for those hard to reach PSA!

Jay Mathews MD, MS, FACC, FSCAI Ignacio Seropian MD Venkat Tummala MD frank arko Kumar Madassery Mark Lessne, MD Craig Walker, MD, FACC Keith Pereira MD, #VIrad Leigh Ann O'Banion Robert A Lookstein MD, MHCDL Saher Sabri Tino Peña Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI M. Larone Campbell Peder E. Horner, MD Interventional Physician Raj Khalsa, MD, MBA Line Monkey MD Bilal Aijaz BackTable Vascular and Interventional Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI Joseph L. Mills MD I think using absolute numbers doesn’t make sense. Best is to visualize the neck with ultrasound and see the flow dynamics across the neck. I’d really in question, use agitated saline. You can learn a lot ;)

Honored to be able to offer histotripsy with Eric A. Singer, MD, MA, MS, FACS, FASCO—using sound waves to completely non-invasively destroy tumors without surgery or radiation. Not even a bandaid is required. Science fiction becoming medical reality! #Hope4Kidney #Histotripsy #MedTech #Innovation #IRAD

An elegant fix to a difficult problem! #talent 🤌🏾

#FilterOutFriday Finally conquered my white whale: a Simon Nitinol Filter (placed 25 years ago). Recurrent DVT due to untreated iliac vein compression—thrombotic, scarred, and stubborn. With forceps, finesse, and force… out it came #VIRad #WithoutaScalpel

Great evening catching up with Saher Sabri and his crew! Made my trip to DC a remarkable one! Here’s to more ..

Venkat Tummala MD A pleasure having you in DC Venkat. It’s always great to compare notes and learn from each other. What an impressive case collection you have.

Sharing cases here but infrequently Austin Bourgeois Here is a PD catheter manipulation What’s your take about these? Line Monkey MD Kumar Madassery Harris Chengazi Raj Khalsa, MD, MBA Keith Pereira MD, #VIrad Mark Lessne, MD Peder E. Horner, MD Interventional Physician Tino Peña Varshana Gurusamy drcostantino #MedTwitter Shamit Desai MD Stephen M. Bracewell

Peder E. Horner, MD Interventional Physician Venkat Tummala MD Austin Bourgeois Line Monkey MD Kumar Madassery Raj Khalsa, MD, MBA Keith Pereira MD, #VIrad Mark Lessne, MD Tino Peña Varshana Gurusamy drcostantino Shamit Desai MD Stephen M. Bracewell At risk of sounding like a cherry picker - IR role is in untouched abdomens. I like to use a 40cm berm and stiff glide wire to secure optimal location, and confirm with lateral and AP contrast injection and aspiration

Right inferior epigastric artery pseudoaneurysm. Embolized with coils and glue! ISVIR India ISVIR Junior Wing CIRSE CIRSE European Trainee Forum Society of Interventional Radiology SIR RFS BSIR Trainees (British Society of IR Trainees) Percut BackTable Vascular and Interventional IIR IRad indore IR Juniors 🩺 MedTweetorials Venkat Tummala MD

Value of clinical #VIRad - consulted for chole tube placement - ended up reinterpreting imaging, tying together complex pathophys, and chiming in on multiple problems with a breadth not many other specialties can. This is why I love my specialty. #livertwitter #medtwitter

Kicking off #BeeWeek in Washington, DC with Opening Ceremonies. Proud to have our North & South Carolina Regional Champions repping the Carolinas! 🐝 ✏️ 📘   Carolina Panthers | Bank of America

Never seen this Raghav! Impressive work. Tell us more about these magnets!

Great work ! When successful, it’s impressive to see dramatic & rapid improvement in overall swelling to the point, at times, I had to double check if it was the same person from before the intervention.