@Vascularman@AlexCVIR I like the idea of using external US to evaluate wire position. Was also considering using a 65 cm Chiba needle through a sheath for an arterial “sharp recan”.
55M w/ ESRD, non healing L heel ulcer, CTO of the mid SFA. Diffuse arterial & venous calcification precludes bypass. Failed antegrade crossing with Outback and retrograde w/ crossing cath & kissing balloon technique. Any ideas on how to cross the rock? #CLIFighters#StopTheChop
@esambolmd Was seen in consultation by our vascular surgical colleagues and not felt to have any viable bypass option in addition to multiple co-morbidities. Can’t force someone to operate, just sayin’
Acute symptomatic L UE DVT after BiV ICD placement and HITT. Single session AngioJet Zelante thrombectomy while on Argatroban. #IRad#MIIP@bostonsci @bsc_pi @SIRspecialists@SIRRFS
23F s/p ATV accident noted to have splenic pseudoA with active extravasation and hemoperitoneum. Successful selective catheterization and coil embolization of the feeding vessels. No bleeding post w/ preservation of splenic parenchyma. #WithoutAScalpel#IRad
The last time this guy saw the light of day:
1. Miley Cyrus was still Hannah Montana,
2. The iPhone didn’t exist,
3. I was still in College and society spoke mostly in Borat quotes.
#12yearvintage#GTFO#filterout@rkryu@ColoradoIR#IRad
68F w/ Denali IVC filter placed 3 ys ago, now on anticoagulation, s/p failed removal at OSH. Cone beam CT shows tilted apex with hook opening posteriorly and embedded in the IVC wall. No match for the mighty forceps #FilterOUT#GTFO