Tom

Interventional Radiologist | Special interest in HPB & Onco interventions | Assistant Professor @BelieversHosp

[Tom @TomG_IR]

Cirrhotic patient with fundal varices and large PSS prior endoscopic flue injection now presented with massive upper GI bleed. Hb 6. Shunt occlusion with Double plugs - no further bleeds # Pinhole treatment for upper GI bleed @ISVIRIndia @No_cut_surgery @keithppereira @SRajesh_IR

[Tom @TomG_IR]

@uditchauhan__dr @dralokudiya @No_cut_surgery @SRajesh_IR @ISVIRIndia @DrAjityadav @somubetageri What needle did you use to puncture the lesion? Glue : Lipiodol ratio 1:2 ?

[Tom @TomG_IR]

@ajgunnmd @TzeWah1 @salilkarkhanis @GarnonJulien @MountSinaiIR @bonesz @dcmadoff @TimMcClureMD @uab_ir @FiveNada @kantonIR Nicely done. What particles (& size) did you use for embolisation @ajgunnmd ?

[Tom @TomG_IR]

Case 2 : Elderly with solitary cancer in right lobe of liver with subcapsular extension - microwave ablation - complete response on follow up. #interventional oncology #pinhole #irad @ajgunnmd

[Tom @TomG_IR]

Managing cancer-related diseases through pinhole Case1 Middle aged man with abdominal pain & wt. loss under evaluation. CT abdomen - small bowel circumferential short segment wall thickening. Image guided biopsy HPE:poorly differentiated malignant neoplasm @bhavinj @DrAjityadav

[Tom @TomG_IR]

@DrAjityadav @pairsmedia @No_cut_surgery @IR_juniors @ISVIRIndia @jcir_journal @alokmittaldr @drgauravgangwni @keithppereira @SIRRFS @ETF_IRtrainees Subclavian vein pseudo aneurysm? Possibly related to venous catheterisation

[Tom @TomG_IR]

@SRajesh_IR @theliverdoc @ISVIRIndia @RizwanAZ1987 @SHOBS108 @AnilLam21050788 @DrTarunSJ @Sandeep11593961 @ganeshd_VIR @uditchauhan__dr @SudheerPargewar @DrUdiya @No_cut_surgery Excellent thinking and execution 👏👏

[Tom @TomG_IR]

@keithppereira @SRajesh_IR Thank u 🙏. I know its bit deep, but it was an emergency sir. I had only single length uncovered stent in stock plus he was not a transplant candidate.

[Tom @TomG_IR]

Cirrhotic with 6 th episode of bleeding on repeated endoscopic treatment. As bleeding was not getting controlled on endoscopic therapy, TIPS procedure was done as salvage treatment. Patient extubated on next day of procedure 🙂 - Believers hospital
@SRajesh_IR @keithppereira

[Tom @TomG_IR]

@RajivSharmaDr2 @SRajesh_IR @keithppereira Thanks. Dilated upto 10 mm

[Tom @TomG_IR]

@SRajesh_IR @DrAjityadav @ISVIRIndia

[Tom @TomG_IR]

31 yr old lady presented with snoring during sleeping with lump in the floor of mouth and was diagnosed to be case of low flow vascular malformation (~3 cm) on MRI. Underwent 3 sessions of Intralesional Bleomycin Sclerotherapy and on follow up has complete clinical improvement:)

[Tom @TomG_IR]

@ajgunnmd @eruckinator @amdevane @uab_ir @CHICKVIR @medravi @hsinghIR @gargtushark @AhsunR @Yale_IR @parkhurst42 Nice one @ajgunnmd 👏
What was the sheath size needed for cholangioscopy ? Did u have to place a smaller sheath initially and then upsize sheath size at a second stage?

[Tom @TomG_IR]

@RajivSharmaDr2 @SRajesh_IR @DrAjityadav @ISVIRIndia @satheesh_ir Hi, I would b more than happy to share with u :) used only vascular plug with no gelfoam - it was a large shunt - used the largest available Amplatzer plug (22 mm) as there was a neck towards the efferent drainage site. 9 F long sheath with C2 catheter to cannulate the shunt

[Tom @TomG_IR]

Incidentally detected large varix about 4 cm size, size of a small lemon. PARTO done as primary prophylaxis gastric variceal bleeding CECT today after 4 week: shunt completely obliterated, portal vein size improved, no ascites:) @SRajesh_IR @DrAjityadav @ISVIRIndia @satheesh_ir

[Tom @TomG_IR]

@RajivSharmaDr2 @SRajesh_IR @DrAjityadav @ISVIRIndia @satheesh_ir Cook - Mullins sheath

[Rajesh Sasidharan @SRajesh_IR]

Single-session thrombectomy and bifurcated stent reconstruction of splenoportal axis for chronic splanchnic venous thrombosis, bowel ischemia and variceal hemorrhage.

With @somubetageri

@drabbyphilips @ISVIRIndia

[Tom @TomG_IR]

73 yr old male with hematuria & obstructive uropathy. Anuria at the time of IR referral - bilateral nephrostomy followed by antegrade ureteric stenting. Came for follow up after 2 weeks - bladder output daily ~ 2 litres :) Not a very complex case, but a rewarding one @ISVIRIndia