This day was one of the best of my professional career.
We talked, texted, or did a procedure weekly for 2 1/2 years. Over this time, he underwent:
176 paracentesis
2 TACE
1 port placement
1 TIPS and 2 portal thrombectomy
By the end of the first year, I had lost all
Clinically submassive saddle PE removed intact w a single pass - one of the few times I thought to catch on video! Systolic PAP ⬇️ 21mmHg. Discharged 2 days later
Ps- I’m told this is our group’s 500th mech thrombectomy case! 🎉 #iRad
Trauma patient with submassive PE, expanding pelvic hematoma, respiratory failure. Embolized the pelvic bleed, then PE thrombectomy and IVC filter, and finally a chest tube for effusion. Nice example of #iRad as a #onestopshop for minimally invasive care
Thromboembolic disease has defined the last year for our practice. #COVID has given us the time and unfortunately the patients to refine our interventional strategies. I get asked from time to time to describe the steps involved in a basic #PE case. So here goes....(thread)
Private practice IR over here reporting in to let you know that it’s not all gloom and doom and that clinical IR isn’t withering, with the supporting evidence that our diagnostic/interventional group opened our new clinic today 🎉🎉 #iRad
Difficult PE case thread 🧵
Intermediate-high risk PE patient taken to angio for thrombectomy
24 French catheter corked in the right main PA and retracted into IVC
So a middle aged male carpenter gets referred for finger discoloration and pain... took the included Angio image... any #Radres wanna weigh in on this #iRad diagnosis?
Not a wasted minute today: Y90 map -> 3 ports -> port d/c -> liver Bx -> Gb drain -> lunch -> bilat PCN/JJ -> nondilated PTC -> fistulogram -> Hickman -> priapism angio -> PE thrombectomy -> home for 5 mile run -> dinner -> PE thrombectomy .... now Twitter then bed 😃😴#iRad