Joseph Luka MD

Interventional Radiologist. Jefferson Health Northeast. Tweets and opinions are my own.

[Joseph Luka MD @jluka9]

Large type II endoleak embolization using 4DCT with IMA inflow and lumbar outflow. 10ml LAVA + coils. @CanonMedicalUS @SirtexMedical @JeffCVIR @SIRRFS @SIRspecialists

[Joseph Luka MD @jluka9]

@farkomd Why is that? This was known type II leak that had been monitored for over a year with slight increase in sac diameter. Unclear as to whether it was IMA or lumbar, until I percutaneously accessed the sac and injected contrast.

[Joseph Luka MD @jluka9]

Type II endoleak embolization of IMA using Canon hybrid angio-CT and Lava liquid @SirtexMedical @SIRspecialists @JeffCVIR @CanonMedical

[Joseph Luka MD @jluka9]

Subfilter thrombosis from IVC filter placed ~20 yrs ago. Lysis with Bashir, thrombectomy with Inari, and filter removal with forceps 😅 @SIRspecialists @JeffCVIR @InariMedical @ThrombolexTM

[Joseph Luka MD @jluka9]

@farkomd You’re totally right-initially I thought the stent would cover the hypogastric so I coiled it. And yes the patient did develop gluteal claudication.

[Joseph Luka MD @jluka9]

Traumatic renal pseudo aneurysm/AV fistula treated with <2cc LAVA liquid embolic. No coils! @SirtexMedical @SIRspecialists @JeffCVIR @JeffersonRads

[Joseph Luka MD @jluka9]

Second aneurysm coiled after patient underwent aorto-hepatic bypass! @PenVascular @JeffCVIR @SIRspecialists @JeffersonRads

[Joseph Luka MD @jluka9]

Young patient with PDA aneurysms in the setting of celiac occlusion. Embolized 1 PDA aneurysm. Options for treating 2nd aneurysm? Celiac revasc and then coil pda? or stent assisted coiling and preserve pda? @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516

[Joseph Luka MD @jluka9]

@ChengaziMD @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516

[Joseph Luka MD @jluka9]

@ChengaziMD @SIRspecialists @JeffCVIR @PenVascular @keithppereira @RSP516 Yes young female with a celiac stenosis/occlusion. Possibly, MALS but no symptoms of abdominal pain. Congenital hypoplasia of celiac axis? Planning to attempt celiac stent, but if that fails a bypass surgery, then coil the aneurysm.

[Joseph Luka MD @jluka9]

Prostate artery with obturator origin @JeffCVIR @JeffersonRads @SIRspecialists Patient self-referred and chose PAE instead of Aquablation 🙌

[Joseph Luka MD @jluka9]

Young healthy male with Paget-Schroetter treated with 16F Lightning Flash via left brachial vein access @PenVascular @mccollum_robert @JeffersonRads @JeffCVIR

[Joseph Luka MD @jluka9]

@bvanasseldonk @drochohan @SMaratto @JeffCVIR @SIRRFS @SIRspecialists No. That was our concern too. CFA was patent after embo. Descending and abdominal aorta perfused by collaterals.

[Joseph Luka MD @jluka9]

Pt with thoracic aortic occlusion and massive abdominal wall hematoma from winslow pathway inferior epigastric pseudoaneurysm. Failed attempt to embolize via brachial by @jluka9 Coil embolized via retrograde inf epigastric access by @SMaratto @JeffCVIR @SIRRFS @SIRspecialists

[Joseph Luka MD @jluka9]

@smbracewell @SMaratto @JeffCVIR @SIRRFS @SIRspecialists Yes I think that may have worked too

[Joseph Luka MD @jluka9]

Another successful PE thrombectomy with @InariMedical Flowtriever. Minimal blood loss using FlowSaver. 24F venotomy closed with FlowStasis. Mean PA pressure 30 -> 18 mmHg @JeffersonRads @SIRspecialists

[Joseph Luka MD @jluka9]

IVC filter in for 10 years presents with caval thrombosis! Great result with Inari Flowtriever and Flowsaver to minimize blood loss @InariMedical @SIRspecialists @JeffersonRads @RonaldWinokurMD @SMaratto @mccollum_robert

[Joseph Luka MD @jluka9]

Type 2 endoleak embolization with Trufill n-bca glue! US guided anterior access of the aneurysm sac @SIRspecialists @SIRRFS @JeffersonRads