This has been a concept known for decades that MRA has better sensitivity than angiogram for runoff. I believe its in every version of Rutherford.. glad its getting more light on twitter
https://t.co/vqduNoFozo
Patient: “Doc why did I get diverticulitis”
Doc: “Not sure”
Patient: “is it genetic because my dad had this”
Doc: Maybe
Patient: “Should I be on antibiotics??
Doc: Meh, probably doesn’t matter
Patient: “Am I going to get this again”
Doc: No idea
Patient: “Should I start a high fiber diet”
Doc: Probably a good idea
Patient: “Should I have surgery?”
Doc: No idea
Patient: “Can I eat popcorn and pumpkin seeds”
Doc: Oh ABSOLUTLEY, there’s no relation to diverticulitis!! There’s data on that question 👍🏽
Patient: …
Huge congratulations to @dukevascular’s Dr. Adam Johnson on his funded Duke Clinical and Translational Science Award K12 to accelerate development and implementation of data-driven, evidence-based bundles of care for lower extremity revascularization in #PAD. @DukeSurgery
- local anesthesia: perc right groin access 12F sheath
- Penumbra Bolt 12 (right iliac and aorta first) going “against” direction of blood to minimize right leg embolization
- next is left iliac, then fempop/tibial with Bolt12
- flow restored bilateral palpable PT and DS DP
🔴What do you do when you encounter a duplicated GSV during a fem-tibial bypass?
One option is to leave it in situ and preserve both veins.
This configuration has lasted 14 years in this patient! 💯 #CLTIFighters@farkomd@jmills1955@AmputationSuck
The first gift is life. The second gift is good health.
The third gift is to love and be loved. The fourth gift is peace of mind.
The fifth gift is having the wisdom to know what to appreciate most.
There are no other gifts that matter as much.
Check out this new technique for advanced limb salvage! Kudos to my extraordinary plastic surgeon colleague, Dr. John Felder. @WashUVascular
Microvascular distal foot arterialization with flow through free flaps... https://t.co/ykaA1RcElA
The ATTRACT Trial was a large randomized control trial looking at the rate of postthrombotic syndrome in patients with DVT who were treated with anticoagulation alone vs with percutaneous catheter directed therapy (PCDT). PCDT involves both rheolytic and mechanical mechanisms of action for endovascular thrombus removal. #DVT #IR #interventionalradiology #ATTRACT
Leaving Greece, I found my mother’s scissors.
These were purchased before first coming to the US.
She was a seamstress, working in various factories with her union.
These scissors & her work put food on the table and paid for the education I and my siblings received 🥹
Miss her.
HD-TOS -hemodialysis related thoracic outlet syndrome associated with access failure treated with first rib resection and clearance of compressive/inflamed subclavius muscle tendon. Please don't stent these. #thoracicoutletsyndrome#dialysisaccess#TOS
Saturday evening conundrum- 🧔with NIHSS 16 and 8 hour old stroke. Initial Angio showed a left ICA occlusion. However even after opening this , there was a massive thrombus burden all the way upto the left MCA division. Aspiration from the neck until the M2 brought us to TICI 2c recanalisation