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🧵regarding 'the crimp' and other technical pointers having to do with securing surgical drains with suture. We'll go over my preferred method, other methods like the Roman sandal, some errors people make, and other factoids. (1/ )

step 3 is not enough. we need a step 4

OC Angio Club is BACK!! 4/23 Share cases and enjoy good vibes and company!!! In person only, sorry!! Shoot me a message to RSVP. btw, we have some INSANE cases already submitted BackTable Vascular and Interventional SIR RFS SIR ECS Western Angio Raj Khalsa, MD, MBA Kyle Cooper Jenanan Vairavamurthy, MD Omar Solana MD NFT

Michael Justus That is still not enough:

All of this

Thankful to have “joined the club” tonight! I found my 2nd family when I came to my first Society of Interventional Radiology meeting in 2012. Feels good to be recognized and congratulated by a room full of so many amazing IRs that I will always look up to. I’ll wear the letters proudly. #SIR25NASH

You could hear a pin drop in the room during this chilling account by Sebastian Junger telling us all about the experience of almost dying and then being saved by #irad. After my own near-death experience in 2022, I have never identified with a keynote speaker more. Wow.

TP trunk is bigger, much easier to stick

Gotta get outside for at least an hour every day while here in beautiful Nashville! 🚴‍♂️ #SIR25NASH Society of Interventional Radiology

Another insurance denial. Another patient put at risk. We did everything right. My PA saw a patient with signs of a Deep Venous Thrombosis (a dangerous blood clot). We ordered an ultrasound, confirmed the diagnosis, and prescribed the medication to help prevent dangerous

Incredible News! news.llu.edu/patient-care/l…

Moving in the right direction but still lagging behind surgery. Thank you for all your hard work WomeninIR - important for me as a PD to have a network to plug my female IR trainees into for mentorship and networking.

I can’t remember where I originally learned this or who taught it to me, but I am glad I now know what it is called and have a reference to show my trainees. This is how I close the running subcuticular stitch for every port I place. Great post! SIR RFS

Future leaders in PE care, don’t miss this! Join us tomorrow for a webinar designed to meet the clinical practice and professional needs of trainees. Hear from emerging and established leaders on the trainee experience, navigating cases, and thriving as a clinician devoted to

Recalcitrant hepaticojejunostomy stricture treated with laser stricturotomy followed by steroid injection directly into stricture (stripped outer coating off a 25 gauge EUS needle). Needle easily passes thru Spyglass for direct visualization of steroid inj after stricture tx!

Joe Marion Society of Interventional Radiology JVIR Line Monkey MD 6. There is robust data from an ACR/SIR collaborative project that suggest that the providers and practices with the busiest E/M services have the most referrals, do the most complex work, and derive >90% of their practice revenue from procedural and E/M work. (more to come).

Chronic PVT with recurrent GIB, calcified occlusions of SV and extensive cavernous transformation of PVs - #VIRad creativity kicks in, used all our tricks US guided percutaneous mesocaval shunt done in 4D CT Patient hasn’t bled since.

Front and center, future Loma Linda U. Health #irad faculty member Sid Kulkarni, DO, MS getting some live case experience! Nice work!! Great case Aaron Fischman MD | Interventional Radiologist

antibubble Eric Schoen, MD You have demonstrated that you do not understand how this works, so I will demonstrate this for you and anyone who wants to read this: When CMS creates the fee schedule, there are 3 components to each code: -wRVU -peRVU -mpRVU Additionally, each code has a facility payment

When suturing a drain in place: If the suture (yellow arrow) and/or the portion of tubing it’s placed at (green arrow) is *too far away* from the entry point, as shown here, then the drain is free to constantly move back and forth like a piston. This may ⬆️ the infection risk.