Michael J. Hsu

Interventional Radiologist @ LAIIC - PIH Health | Interests in #CLI #stroke #neurovascular #cirrhosis #iRad | @UclaVIR trained

[Michael J. Hsu @MikeJHsu]

@_backtable @drcostantino1 @GokeIRDoc Very interesting, just 2 months ago we had episode 568 recommending nobody open an OBL. Here we have episode 585 recommending nobody open an ASC. Has that much changed in 2 months?

[Michael J. Hsu @MikeJHsu]

@_backtable Interesting decision to bring politics onto Backtable during an election year

[Michael J. Hsu @MikeJHsu]

@JonnyMoriarty @SIRspecialists @PERTConsortium @uclaVIR Congratulations! Look forward to the full results

[Michael J. Hsu @MikeJHsu]

@medravi

[Michael J. Hsu @MikeJHsu]

@_backtable I have listened to every english-language backtable episode since launch, and this one stands out as one of the best. Thank you for sharing your experiences. I think you are helping a lot more people than you know.

[Michael J. Hsu @MikeJHsu]

@EShlomovitz Saw your paper in JVIR, very cool. Have you used the Olympus Shockpulse ultrasonic lithotripter for medium-to-large stone cases, and how do you find that compares to PCEA?

[Michael J. Hsu @MikeJHsu]

Traversing the cystic duct with reduction of multiple wire loops via gallbladder access. Done for Spyglass lithotripsy of choledocholithiasis (prior roux-en-Y). Platform was 0.014 synchro soft, Truselect, 4F glidecath. Curious to hear of any easier ways to cross? #twittIR #irad

[Michael J. Hsu @MikeJHsu]

So I pushed 100 mg TPA and took emergently to angio and found these PEs. Lightning 16 got them out but I wonder how many times I’ll be wrong in the future if I skip the CTA. #irad #twittIR

[Michael J. Hsu @MikeJHsu]

Young patient with no history undergoes leg ORIF after MVC. Sustains multiple PEA arrest the next day. After ROSC, bedside echo shows RV dil. CXR and hgb normal. Who would take directly to pulmonary angio without CTA? #twittIR #irad

[Michael J. Hsu @MikeJHsu]

@mcbreamy @ErwMulia Definitely agree

[Michael J. Hsu @MikeJHsu]

Angioseal plug deployed into the artery causing stenosis; successfully retrieved using a clover snare. Note the deployment suture still attached to the collagen plug. #MedTwitter #irad #twittIR

[Michael J. Hsu @MikeJHsu]

@ErwMulia Curious to learn your method of ultrasound guided deployment? In my case the CFA was heavily calcified and could not see into the vessel, but would certainly be helpful for future cases.

[Michael J. Hsu @MikeJHsu]

@drsankar23 Deployed about 30 minutes earlier, with rapid loss of DP doppler signal

[Michael J. Hsu @MikeJHsu]

@rajivhira 6F sheath, clover EnSnare beyond the plug, as I drew back I closed the snare and captured the plug

[Michael J. Hsu @MikeJHsu]

@MarkArchie10 @SDhandMD Penumbra CAT8 and Solitaire

[Michael J. Hsu @MikeJHsu]

Applying neuro tools to a body problem: Initial aspiration-only yielded small bits of clot, but adding a stent retriever resulted in successful thrombectomy of SMA embolus! #IRad #MedTwitter #TwittIR @SDhandMD

[Michael J. Hsu @MikeJHsu]

Percutaneous trans-hepatic retrieval of endoscopically placed plastic biliary stent and subsequent palliative bare metal stenting - after failed endoscopic attempts due to pancreatic tumor growth. Thanks ⁦@medravi⁩ for the tips on closure! #IRad #Medtwitter #TwittIR #LAIIC

[Michael J. Hsu @MikeJHsu]

@medravi @hsinghIR @amdevane @CHICKVIR @keithppereira @Watts_IR @AlanAlperMD @SidpadiaIR @AdamPlotnik @kmadass @SIRspecialists @SDhandMD @JonnyMoriarty Great talk!

[Michael J. Hsu @MikeJHsu]

Massive duodenal variceal bleeding with huge jet, treated with emergent TIPS and coil embolization by @SDhandMD #LAIIC #IRad #TwittIR

[Michael J. Hsu @MikeJHsu]

Pelvic congestion syndrome with large component of internal iliac drainage, which must be shut down (in addition to gonadal veins) in order to achieve a lasting result! #TwittIR #IRad #Medtwitter