STRIKE PE trial reaches 500pts. Thank you all the investigators and patients on 3 continents as we push for more PE data! Society of Interventional Radiology PERT Consortium UCLA IR

This was a very powerful episode and a much needed one. Thank you Jenanan Vairavamurthy, MD and Sabeen Dhand for an excellent episode.

There is a lot of unhappiness in medicine and it is true that there are many factors outside of our immediate control that not only lead to moral injury,

Venkat Tummala MD Omar Chohan, DO Kumar Madassery Srini Tummala MD FSIR FSVM 👊🏾👍🏾BT Fisher Sr., MD drcostantino frank arko Sabeen Dhand Keith Pereira MD, #VIrad Jeffrey F. B. Chick, MD, MPH Mark Lessne, MD A good advantage of the strong clinical IR skills here, imaging review highlighted SV collaterals (patient was intraop and surgeon called me), then mentioned SMA/celiac disease and operation was aborted and patient seen by Chohan the next day

Abdominal pain attributed to spleen and need for splenectomy. VIR consulted for splenic embo. Further review suggests Chronic Mesenteric Ischemia. Nice little celiac and SMA revasc and prox splenic embo. Abdominal pain has resolved. Harris Chengazi #irad #vascular #medtwitter

85 yo with 🦶 claudication and no longer has foot claudication. frank arko Sabeen Dhand Venkat Tummala MD 👊🏾👍🏾BT Fisher Sr., MD BackTable Vascular and Interventional Greg Hayes #itdoesntexistexceptwhenitdoes

Wielding the power of Sparta and Hercules to bring the down the hypertensive urgency 😊 😉 #IYKYK SIR RFS Society of Interventional Radiology SIR ECS

Worth a read! Nice work Shankar

Venkat Tummala MD Fórum Vascular Society of Interventional Radiology Omar Chohan, DO 👊🏾👍🏾BT Fisher Sr., MD frank arko Kumar Madassery Sabeen Dhand Keith Pereira MD, #VIrad BackTable Vascular and Interventional Mark Lessne, MD Robert A Lookstein MD, MHCDL Leigh Ann O'Banion Kush Desai Julius Chapiro Peder E. Horner, MD Interventional Physician Man you never cease to amaze! Do you just go with smallest balloon for arch and reassess?

What a save! Collaboration in the patients best interest. We all have strengths and perspective… patient wins when we work together

Hypothenar hammer syndrome. Unfortunate case delayed diagnosis (DVT ruled out, symptoms chocked to local trauma), presented later with digital ischemia. Any options for this patient? Venkat Tummala MD Fórum Vascular Society of Interventional Radiology Omar Chohan, DO #orthotwitter #medtwitter #vascular

Julius Chapiro Satellite Fires Venkat Tummala MD Keith Pereira MD, #VIrad Saher Sabri Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Harris Chengazi Peder E. Horner, MD Interventional Physician Omar Chohan, DO Peter Bream Mark Lessne, MD Mohammad Arabi Oleksandra Kutsenko, MD 🇺🇦 Varshana Gurusamy Almamoon Justaniah,MD, FSIR المأمون إبراهيم جستنيه SIR RFS 𝙍𝙖𝙠𝙚𝙨𝙝 𝙎. 𝘼𝙝𝙪𝙟𝙖, 𝙈𝘿 Not related to this case, but I’ve learned and applied several techniques from Twitter. I’ve learned from discussions and cases posted. Way more so than pubmed… :)

Peder E. Horner, MD Interventional Physician Venkat Tummala MD Julius Chapiro Satellite Fires Keith Pereira MD, #VIrad Saher Sabri Sabeen Dhand Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Omar Chohan, DO Peter Bream Mark Lessne, MD Mohammad Arabi Oleksandra Kutsenko, MD 🇺🇦 Varshana Gurusamy Almamoon Justaniah,MD, FSIR المأمون إبراهيم جستنيه SIR RFS 𝙍𝙖𝙠𝙚𝙨𝙝 𝙎. 𝘼𝙝𝙪𝙟𝙖, 𝙈𝘿 Evidence based medicine has value for sure, but all novel approaches start somewhere. Nowhere else is there a platform of such diversely trained physicians interacting in real time. Don’t just do whatever you see, but also, participate in the discussion, share and learn

Interventional allergist? Chronic sinusitis was actually lung cancer obstructing the SVC pooling venous blood in the face, neck and chest. Restoring natural flow significantly improved this pts symptoms. Harris Chengazi SIR RFS SIR ECS Society of Interventional Radiology #irad #vascular #medtwitter

Imaging of #vTOS w subclavian & cephalic arch compression related to hypertrophied ant scalene (ipsi to AVF)

CT: ant deviation/compression of subclav vein

IVUS: fixed compress after PTA

Angio: filling defect (pancake 🥞 effect)

Society of Interventional Radiology Vascular SVS

Venkat Tummala MD Stephen M. Bracewell High bifurcation, no?

My guess is high take of Profunda with short / absent ( CFA). What do y’all think? Stephen M. Bracewell

Baller status

Venkat Tummala MD Keith Pereira MD, #VIrad Saher Sabri Sabeen Dhand Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Harris Chengazi Peder E. Horner, MD Interventional Physician Omar Chohan, DO Julius Chapiro Mark Lessne, MD Mohammad Arabi Oleksandra Kutsenko, MD 🇺🇦 Varshana Gurusamy Almamoon Justaniah,MD, FSIR المأمون إبراهيم جستنيه SIR RFS 𝙍𝙖𝙠𝙚𝙨𝙝 𝙎. 𝘼𝙝𝙪𝙟𝙖, 𝙈𝘿 short NU the way to go. Make at least 10 Fr.

Stephen M. Bracewell Venkat Tummala MD Keith Pereira MD, #VIrad Saher Sabri Sabeen Dhand Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Harris Chengazi Peder E. Horner, MD Interventional Physician Omar Chohan, DO Peter Bream Julius Chapiro Mark Lessne, MD Mohammad Arabi Oleksandra Kutsenko, MD 🇺🇦 Varshana Gurusamy Almamoon Justaniah,MD, FSIR المأمون إبراهيم جستنيه SIR RFS 𝙍𝙖𝙠𝙚𝙨𝙝 𝙎. 𝘼𝙝𝙪𝙟𝙖, 𝙈𝘿 Tarun Rustagi Other beauty is how quick and easy this often is. Lower bleeding risk & well tolerated with sedation instead of needing anesthesia. Great technique to keep add ons moving through a busy dept

Venkat Tummala MD Keith Pereira MD, #VIrad Saher Sabri Sabeen Dhand Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Harris Chengazi Peder E. Horner, MD Interventional Physician Omar Chohan, DO Peter Bream Julius Chapiro Mark Lessne, MD Mohammad Arabi Oleksandra Kutsenko, MD 🇺🇦 Varshana Gurusamy Almamoon Justaniah,MD, FSIR المأمون إبراهيم جستنيه SIR RFS 𝙍𝙖𝙠𝙚𝙨𝙝 𝙎. 𝘼𝙝𝙪𝙟𝙖, 𝙈𝘿 And the beauty of this is that the endoscopist can now re wire your acess and completely internalize

In some centers they will do EUS guided bile duct puncture Tarun Rustagi

For those that use GB access to place biliary ext- internal drain,
what’s your catheter of choice?
Biliary vs NU catheter??

Failed #ERCP , #CBDstone .
Failed #PTC (minimal distention)

Keith Pereira MD, #VIrad Saher Sabri Sabeen Dhand Susan Kiernan O'Horo, MD B. Bobby Chiong, MD Jeffrey F. B. Chick, MD, MPH Harris Chengazi Peder E. Horner, MD Interventional Physician