Nathan Ertel MD

Interventional Radiologist at Quantum Radiology

[Nathan Ertel MD @NathanErtel]

@patrickppatten @IR_Doctor @SIRspecialists @SIRRFS @AustinBourgeois @keithppereira @ajgunnmd @CHICKVIR @AgnesSolberg @LessneVIR @kmadass @IRadColorado Don’t fix a pig.

[Nathan Ertel MD @NathanErtel]

@carin_gonsalves @SIRspecialists @womenirads @RonaldWinokurMD @JeffersonRads From my personal collection- a gift from Jack Roehm!

[Nathan Ertel MD @NathanErtel]

@DrAnnieKLim @uab_ir Yes.

[Nathan Ertel MD @NathanErtel]

@keithppereira @uab_ir @SIRRFS @SIRspecialists Not that crazy. It was in the sheets between the pts back and the table, waiting to poke an unwitting soul. Fortunately, the needle was covered. Things can get pretty chaotic in a truama bay.

[Nathan Ertel MD @NathanErtel]

Always check your scout image. Trauma pt came to IR with a bonus hiding sharp... #iRad #TwittIR @uab_ir @SIRRFS @SIRspecialists #FOAMIR #SafetyFirst

[Keith Pereira MD, #VIrad @keithppereira]

A #IRad trick i learnt on #TwittIR from @NathanErtel and @ajgunnmd

...with a little twist!😋

[Nathan Ertel MD @NathanErtel]

Fenestrated hepatic artery. I thought I was seeing things, but proved it by doing a loop-de-loop with my microcatheter. #SIRRFS #iRad @JVIRmedia @uab_ir @uabRadResidents @uabmedicine

[Nathan Ertel MD @NathanErtel]

After 7 fantastic years at UAB, I am happy to announce that I will be joining a fine group of Interventional Radiologists at Quantum Radiology in Atlanta. Many thanks to those who have helped me develop my skills and career here at UAB!

[Nathan Ertel MD @NathanErtel]

Breast cancer presenting as massive hemorrhage. Embolized with @bostonsci Embozene particles via radial artery access. #SIRRFS #JVIRMedia #WithoutAScalpel #irad #Cancer @BreastImaging @BCCare

[Nathan Ertel MD @NathanErtel]

Work event...

[Nathan Ertel MD @NathanErtel]

@AvaStarMD @LessneVIR @UABVascular @SIRspecialists @SIRRFS @JVIRmedia @uab_ir @ahmed_kamel_ir @ajgunnmd @parkhurst42 @amdevane @rakeshkvarma Not “an” 8mm stent- 4of them!!

[Nathan Ertel MD @NathanErtel]

Pt presented to ED with CP, SOB. CXR shows embolized venous stent from OSH. Retrieved with 3 snares, 4 forceps, OR on standby, @UABVascular help, 26F sheath, extra IR. Immediate symptom relief @SIRspecialists @SIRRFS @JVIRmedia #withoutascalpel #MIIPS #venous #embolize @uab_ir

[Nathan Ertel MD @NathanErtel]

@AvaStarMD @UABVascular @SIRspecialists @SIRRFS @JVIRmedia @uab_ir @ahmed_kamel_ir @ajgunnmd @LessneVIR @parkhurst42 @amdevane @rakeshkvarma It was initially placed in a leg vein- along with 3 others. Not so tiny- 8 mm x 4 cm or so (before I smashed it).

[Nathan Ertel MD @NathanErtel]

@DrCaughron_IR @UABVascular @SIRspecialists @SIRRFS @JVIRmedia @uab_ir @ahmed_kamel_ir @ajgunnmd @LessneVIR @parkhurst42 @amdevane @rakeshkvarma Yes, that was a possibility, but would not likely have improved the symptom of sob, or chest pain- no guarantee that stent retrieval would either...

[Nathan Ertel MD @NathanErtel]

Thanks @AWBeckMD and @ahmed_kamel_ir

[Nathan Ertel MD @NathanErtel]

Endoscopic biliary stent failure. Percutenous retrieval with snare, Glidewire through stent, and retraction. The Glidewire provides guidance when they don't pull out easily #SIRRFS #withoutascalpel #iRad #JVIRmedia #MIIPS #Cancer #TwittIR @SIRspecialists

[Nathan Ertel MD @NathanErtel]

@Anuj_MalhotraMD @SIRspecialists Yes. The pancreas, celiac artery branches, and gallbladder were all in close proximity. I studied my CT images very carefully.

[Nathan Ertel MD @NathanErtel]

Percutaneous Meso-caval shunt creation via trans-splenic access. Bleeding varices, portal system 100% thromboses, TIPS failed, couldn't recanalize portal, had to completely bypass. #iRad #IR #SIRRFS #withoutascalpel #MIIPS #cirrhosis @sirspecialists #JVIRMedia

[Nathan Ertel MD @NathanErtel]

@mms62786 @SIRspecialists Completely fluoroscopically. I considered ICE. It may have been useful- I’m using it on another case shortly!

[Nathan Ertel MD @NathanErtel]

@mcbreamy @SIRspecialists Well that’s a silly question- of course I did!!

[Nathan Ertel MD @NathanErtel]

The portal had been thrombosed chronically- not intraprocedurally.