Importance of completion venogram from splenic hilum. 42y/M, CLD, EV and GOV2, refractory variceal bleed, for rescue TIPS. Supply from LGV, PGV, SGV. LGV glued. Angio from SMV clean. Completion run from SV showed persistence of PGV and SGV. Both glued. Proximity theory ❤

#SundayRead This #Review covers literature on splenic embolization indication + technique, comparing + contrasting proximal + distal embolization Read today for more on relevant anatomy + discuss collateral perfusion pathways after proximal embolization: cvirendovasc.springeropen.com/articles/10.11…

bleeding EV, failed endoscopy, hb 6, Bili12, MELD 29, shrunken liver with hepatofugal flow, no intrahepatic portal seen with ICE, After consulting with the super talented Rodrick Zvavanjanja, 3f microsnare through transplenic access, Gunsight TIPS. Stable, discharged 3 days later.

4F Catheter with a 21g 65cm Chiba with a slight bend for directional control used as a drill through a rocky SFA. #CLIFighters Society of Interventional Radiology

1/The medulla is anything but DULL! Does seeing an infarct in the medulla cause your heart to skip a beat? Does medullary anatomy send you into respiratory arrest? Never fear, here is a thread on the major medullary syndromes!

🚀 Future of stroke care? Openwater optical blood flow monitor! 🧠 🏥 This wearable tech outshined traditional prehospital scales. Better detection of LVO! 🚑 Imagine EMS quick stroke triage = patients go to right facility for embolectomy🧠 ➡️ JNIS: bit.ly/3TBNpDU

Neuro/#MSKIR crossover. Young healthy pt. Hx of daily exercise w/ neck flexion. Progressive disabling symptoms of intracranial hypotension, 4-8 weeks. Multiple ED visits. CT myelogram confirms high thoracic CSF leak at level of sharp calcified posterior disc-osteophyte margin

#TheSundayRead! 📖 Time for #IR to Change the Paradigm of Failure link.springer.com/article/10.100…

Article Commentary: “Dental Caries, Race and Incident Ischemic Stroke, Coronary Heart Disease, and Death” ahajournals.org/do/10.1161/blo… In this #BloggingStroke post, Courtney Curran discusses #Stroke article by Souvik Sen et al. @elizalavalley @gottesman_lab

We've wrapped up General IR, Gastrointestinal IR, and Onco IR series in the ISVIR Masterclass. Now, get ready for our NEURO IR series! With 30+ topics spread over five months, two sessions / week. Don't miss out on any updates - simply fill the form forms.gle/yLneHfftauJpSm…

#SundayRead In this #LettertotheEditor, the author shares his experience on providing a sustainable 24/7/365 interventional radiology service - incl. sufficient manpower resources, making time for family, consistent work processes, and more: cvirendovasc.springeropen.com/articles/10.11… #IRad

Case of the Week: Dural AVF how do you like to treat? Arterial, Venous, or Both. All depends on what the anatomy gives you. Banner Health Penumbra Neuro SNIS Info SVIN ESMINT Society

Management of SAH: an update for the intensivist bit.ly/3VSmCG8

🧠 Do you have aneurysmal subarachnoid hemorrhage patients who remain debilitated with long-term neuropsychiatric outcomes despite successful aneurysm treatment and "good" functional outcomes? New review from Dr. DiestroKE Neurovascular Center @ St. Michael's Hospital bit.ly/3xCGq6w Brain Aneurysm Foundation

"🌟 Calling all radiology residents and medical students interested in Interventional Radiology (IR)! 📚 Join ISVIR's exclusive online masterclass on May 12th, featuring top speakers and insights into the world of IR. 🎓 Register now: 🔗 zurl.co/odUg

Focused update to guidelines for endovascular therapy for emergent large vessel occlusion: basilar artery occlusion patients jnis.bmj.com/content/early/…

✅Cortical vein sign: cortical veins located adjacent to the inner table. In BESSI/cerebral atrophy ❗️Displaced cortical vein sign: cortical veins running separated from the inner table. In subdural collections. ⬆️Relevant in pediatrics. See what´s necessary & what´s superfluous

Is trying to remember toxic encephalopathy patterns making you toxic? Does memorizing metabolic encephalopathy patterns put you into a metabolic coma? Don't become encephalopathic! Here is the cheat sheet of the encephalopathy patterns you NEED to know & how to remember them!

⭐New open access paper!⭐ This multi-institution collaborative review on the role of epidural blood patching in CSF Leaks is an important addition to the literature: neurology.org/doi/10.1212/CP…

Radiologist is the "New Internist". With so much advance treatment available...pts can't wait till they develop full blown symptoms for the "clinical skills to act". Radiology is the new clinical skill to diagnose problems and institute effective pt management. #MedTwitter