Jimmy Kyaw Tun

Interventional Radiologist @ NUH Singapore
ex-BartsHealth
Doctorate in Simulation-Based Medical Education
#patientperspective #humanfactors #medicalplumbing

[Jimmy Kyaw Tun @JimmyKyawTun]

@Naif_87 @SIRspecialists @sirs_ksa @pairsmedia @PhillyAngio @cirsesociety @wais4100 @_backtable @IR_Juniors now I'm curious!

[Jimmy Kyaw Tun @JimmyKyawTun]

@Warren_IR @DocSBroderick @trauma_jm @markcfitz @grounds4riots @TheRealDoctorOs @keithppereira that's a bit nuts! I hope things will be better in 2025!! what do u think are the real underlying factors and how might we change this?

[Jimmy Kyaw Tun @JimmyKyawTun]

@Naif_87 @theblanketdog @SIRspecialists @sirs_ksa @cirsesociety @pairsmedia @SAGES_Updates @bsc_endoscopy @AmCollegeGastro @IHPBA @wais4100 @_backtable Damn! awesome

[Jimmy Kyaw Tun @JimmyKyawTun]

Percutaneous anterograde embolisation for testicular varicocele via groin access is a safe, effective minimally invasive alternative to surgery and when conventional testicular vein embo not possible.

https://t.co/cZqI4lwsb2

@JVIRmedia @cirsesociety @BSIR_News @MensHealthMag

[Jimmy Kyaw Tun @JimmyKyawTun]

@SahajRathi Call interventional radiology. Usually can Perc anterograde to place drain or if needed a retrievable covered stent.

If unable to cross, can consider rendevous with ERCP by snaring through and through wire in the collection itself.

[Jimmy Kyaw Tun @JimmyKyawTun]

@dr_cellini And who foots the bill for that?

[Jimmy Kyaw Tun @JimmyKyawTun]

@ChengaziMD @MattHawkinsMD @CHICKVIR @CVIR_Journal @_backtable @iRadRock @Eric_Monroe_MD @Hannah_Ireland @irhkch @keithppereira @LessneVIR gotta go with clinical, young patient but sounded like it was really needed! nice work!

[Jimmy Kyaw Tun @JimmyKyawTun]

@ChengaziMD @kmadass @keithppereira @ReneLizola @farkomd @CHICKVIR @iRadRock @_backtable @EricSecemskyMD @linemonkeymd @AmputationSuck Essentially micropuncture US guided puncture through pseudoA neck (more important to enter at the vessel defect rather than go through the entire neck esp if not a straight line)

Then 7 fr sheath (rather than 6 as easier to get proglide in after I think?!), then proglide.

[Jimmy Kyaw Tun @JimmyKyawTun]

@ChengaziMD @kmadass @keithppereira @ReneLizola @farkomd @CHICKVIR @iRadRock @_backtable @EricSecemskyMD @linemonkeymd @AmputationSuck Must admit! have only done this a couple times hence asking if u thought was suitable!

[Mo Hamady @mo_hamady]

IR does fab job in UK. Good info to GIRFTIR to enhance recognition of speciality &to address various issues that enable IRs to better serve patients with modern medicine in vasc and non vasc IR. @BSIR_News @TraineesBSIR @cirsesociety @RCRadiologists

https://t.co/LCZXBwNnVJ

[Jimmy Kyaw Tun @JimmyKyawTun]

@DrIHHashmi1 looks like a high puncture to me....

[Sharan Wadhwani @SharanWad]

Absolute bargain and a no brainer to go for the membership option which gives access to a massive archive/volume of educational material and too many other benefits to mention - most of all joining the @BSGAR_UK family! 👍🏽👍🏽👍🏽

[Jimmy Kyaw Tun @JimmyKyawTun]

@TheRealDoctorOs IYKYK

[Jimmy Kyaw Tun @JimmyKyawTun]

@SharanWad @saurabhmukewar prove it..... 😃

[Jimmy Kyaw Tun @JimmyKyawTun]

@saurabhmukewar @SharanWad Lol, in this day and age, no one (in a properly equipped hospital) should perform non US guided liver biopsy. THAT should be banned

[Jimmy Kyaw Tun @JimmyKyawTun]

@SharanWad @saurabhmukewar I think this when EUS might make sense- when it's coupled with other endo procedures.. variceal examination and direct portal pressure measurement.

Do u think the safety profile is to do with EUS (and if so why?), or just the smaller size of EUS needle.

[Jimmy Kyaw Tun @JimmyKyawTun]

@SharanWad @saurabhmukewar So I agree with you. I reckon the real use case for EUS for kidney biopsies is for target biopsy of anteromedial lesion (difficult to reach perc).

Just thought, would EUS be easier than perc for obese patients?