Kumar M Shah

Endovascular and Interventional Radiologist. Focus in Palliative IR, Lymphatic and Venous interventions, Interventional Oncology. Tweets are my own #iRAD

[Kyle Cooper @KyleCooperMD]

When the ECMO team on standby in the room GASP with the first clot haul, vitals return to normal 5 min later, and the CT surgeon says “looks like you don’t need me anymore” you know you’re doing something right. This right heart was on the brink of failure. Another life saved!

[Abdul Moiz Hafiz @moiz_hafiz]

Why @nih_nhlbi sponsored #PETRACT randomized clinical trial led by @akhileshsistaMD needs to be done in submassive #PulmonaryEmbolism. Proud of my partners @AlTurkMD @Mohsin_Salih19 & @SIUcardsfellows at @siusom who are helping screen & enroll these patients at @ChooseMemorial

[Raj Narayanan @RajNarayanan67]

⁦100 patient #milestone ⁦in robotic tumor #ablations ⁦⁦@MiamiVasc⁩!! Thanks to our amazing MCVI team & the ⁦⁦@QuantumSurgical⁩ team ⁦@BaptistHealthSF⁩ ⁦⁩ ⁦@SIRspecialists⁩ ⁦⁦@MiamiCancerInst⁩ #IO #cancer ⁦⁦

[Austin Bourgeois @AustinBourgeois]

Same session outpatient #EmboCryo for T1b RCC (kidney cancer) in a non-surgical patient. Becoming routine for these high risk operative patients. #iRad

[Khanant Desai, MD, RPVI @KhanantMD]

Vascular IR’s perform LIFE-SAVING clot removal in PE

But can you medically manage the same patient when they go into RV failure and shock?

Know the procedure AND know acute patient care

Go from proceduralist 🔨 ➡️ clinician 👨‍⚕️👩‍⚕️

@WCVISociety @SIRspecialists @VISLAMDSCAIP

[Morbid Knowledge @MorbidKnowledge]

Kevin Briggs is a former California highway patrol officer who has stopped more than 200 people from committing suicide on the Golden Gate Bridge.

When Briggs finds a suicidal individual, he usually starts a conversation with them by asking how they are doing, then asking their plans for the following day.

If they did not have plans for the next day, he attempts to make plans with them, inviting them to come back to the bridge if their plan did not work out at the end of the day.

The image below is from 2005 when Briggs spent 60 minutes convincing Kevin Berthia to climb back over a rail on the bridge. Berthia went on to marry and have multiple children.

Briggs has earned the nickname ‘Guardian of the Golden Gate’ for having saved the lives of over 200 people.

[Elie Balesh, MD @eliebalesh]

“Percutaneous Needle Infusion versus Topical Manual Application of Herbed Lipids for Basting of Poultry: A Single Institutional Experience.” @JVIRmedia #IRad 🦃

[Omar Chohan, DO @drochohan]

A patient with IVC atresia rolled into my office in a wheelchair. No options were offered for years. Successful IVC reconstruction. One week later, walked into my office for followup! One month later, living his best life, no pain and no limitations. #chogazi #irad #vascular #cardiotwitter @SIRRFS @SIR_ECS @SIRspecialists @VascularSVS @farkomd @AmputationSuck @ChengaziMD

[Society of Interventional Radiology @SIRspecialists]

We are excited to announce the release of the SIR standardized report templates version 3.1! The reports have been revised to maximize efficiency and data capture. Access templates at no cost, #TwittIR: https://t.co/BOMFBMcQ7f

[ECIO @ECIOcongress]

#ECIOtakeover
October is not only #BreastCancerAwarenessMonth but also #LiverCancerAwarenessMonth. Fitting for this occasion, I am now sharing our last case for this week’s #ECIOtakeover:
#interventionaloncology (1/9)

[IIR IRad indore @No_cut_surgery]

#DIPS for Budd chiari syndrome. Quite a lot of cases we have been bailed out by double wire technique if there is posterior radicle puncture. #irad #twittir #MedTwitter @SRajesh_IR @somubetageri @ganeshd_VIR @uditchauhan__dr @SudheerPargewar @ISVIRIndia @_backtable

[Austin Bourgeois @AustinBourgeois]

4.2 cm renal mass cryoablation illustrates a couple of basic but useful points:

Consider decubitus position for upper pole lesions to limit ipsilateral lung expansion.

Cross probes to make ice spherical and minimize posterior paraspinal muscle nontarget freeze

Infiltrate a ton of local before you finish for #nopain

#iRad

[JVS - Venous and Lymphatic Disorders @JVSVL]

It's #VenousPhotoFriday! A 57 yo w/ severe abdominal pain was found to have acute portal vein thrombosis. When AC failed, mechanical thrombectomy was performed. A JAK2V617F mutation was identified. Check out the rest of the case details here ➡️
https://t.co/bA9hsSS7vf

#VenousEd

[Daniel Souza @danatsouza]

[2/4] Liver MRI performed. Well demarcated liver mass, T2 hyperintense, homogeneous, no intralesional fat, arterial hyperenhancement, washout, equivocal capsule. Diagnosis? Next step? @BrighamRad @AURtweet @FOAMrad @SAR_RFS @futureradres @HarvardMacy @CBRadiologia #MedEd

[syed t. hoda @01sth02]

if I say no to 8am meetings
or ask my lectures to not be
scheduled at 8am or swap call
schedules It is because I have
dropped my 8yo off every single
day at school for the past 4 years.

they are only this young for a while
—so I will always prioritize this time.

[Raja Ramaswamy, MD @RajWellnessMD]

AVM case with multiple feeders and clear outflow veins. Used nbca to embolize. Has anyone used obsidio for this? @ozenmerveMD @ChrisDMaloneVIR @kavaliIR @WashUIR @bostonsci

[Elie Balesh, MD @eliebalesh]

Percutaneous gallbladder stone extraction:

Upsize fundal cholecystostomy access to 18-24 Fr peelaway sheath.

Occlude cystic duct w Fogarty balloon.

Saline infusion via flush catheter/Klein pump.

Balloon sweeps of cystic & common bile ducts.

SpyGlass & lithotripsy PRN.

#IRad

[CIRSE @cirsesociety]

#CIRSEtakeover @DrNeilGuptaIR
Day 5: In 2018, I started performing cholecysto-duodenal stenting for patients unfit for surgery following cholecystostomy. Great success, no complications & awesome patient satisfaction. Anyone else doing this for benign gallstone disease?

[Don Garbett @DonGarbettMD]

#Endofogarty works! I’ve been wanting to try this forever. See pre and post pics @_backtable @SriniTummala @AmputationSuck @kmadass @JayMathewsMD @CHICKVIR @PenVascular

[Robert A Lookstein MD, MHCDL @roblookstein]

Live @MountSinaiIR 25mm superior mesenteric artery aneurysm in a 34 yr old vEDS pt (existing coils from a previous ruptured splenic artery aneurysm) what to do? How to manage?