Michael Burns

Interventional radiologist in Dublin, Ireland

[Michael Burns @michaeldburns]

@cirsesociety Nice case, thanks for posting! What make/model was the flow diverter?

[Michael Burns @michaeldburns]

@DanSzeMDPhD “Angioembolization” is another neologism our surgeons use all the time but I have never heard from an IR

[Michael Burns @michaeldburns]

@CAIRweb Drain putting out bile and blood x 5 days. We did a “tubogram”. Contrast fills small bowel -> leak at choledochojejunostomy. Contrast also fills SMV then portal vein -> residual SMV venotomy from surgery. Infected bile entering vein causing bacteremia = cause of rigors. 2/2

[Michael Burns @michaeldburns]

Tough to reach pancreatic bed collection post Whipple’s. Intermittent fever and rigors despite surgical drain in situ. Percutaneous #drain insertion by curving a 20G Chiba needle by hand, then using a right anterior pararenal approach. 1/2
#minimallyinvasive #iRad @CAIRweb

[Michael Burns @michaeldburns]

Type 2 #endoleak supplied by IMA and bilateral accessory renal arteries - note the lower pole renal infarcts on pre procedure CT. Treated via #embolization using SMA-->IMA approach via arc of Riolan.
#irad #minimallyinvasive
@CAIRweb @SIR_ECS

[Michael Burns @michaeldburns]

Am liking the Outback re-entry device. Severe claudication due to right CIA and EIA #CTO. Retrograde subintimal recanalization with re-entry at CIA origin on first needle pass.
#irad #iliac #minimallyinvasive
@CAIRweb @SIR_ECS

[Michael Burns @michaeldburns]

The importance of checking with doppler US before biopsy!
2 years post partial nephrectomy for RCC. CT shows ?tumor recurrence. Sent for biopsy where pseudoaneurysm is picked up on preliminary US. Embolized via #RadialFirst
#irad
#minimallyinvasive
@CAIRweb @SIR_ECS

[Michael Burns @michaeldburns]

Enlarging internal #iliac artery #aneurysm, filling via medial circumflex femoral to obturator artery. IIA origin covered by stent-graft. Initial angio below

[Michael Burns @michaeldburns]

Posterior division branches and anterior division embolized with coils and glue.
#irad #minimallyinvasive #iliac
@CAIRweb @SIR_ECS

[Michael Burns @michaeldburns]

Eventful day for ICU patient with cavitating pneumonia. CT in AM shows pulmonary artery pseudoaneurysm within a cavity (Rasmussen aneurysm). 2 hrs later: 1.5L blood from chest tube followed by arrest. To angio suite for embolisation
#irad #minimallyinvasive
@CAIRweb @SIR_ECS

[Michael Burns @michaeldburns]

Value of CTA prior to #embolization. Hypoxic patient with recurrent hemoptysis. 2 abnormal bronchial arteries identified on CT, from aorta but also from right subclavian. #irad for #embolization. 500-700 mcm embospheres.
@CAIRweb

[Michael Burns @michaeldburns]

@laronecampbell @t_intheleadcoat @SIR_ECS I’ve had some success with warmed saline via nasoenteric tube then US to identify jejunal loop deep to abdo wall. Micropuncture set, 2 pexy sutures and 14F pigtail

[Michael Burns @michaeldburns]

post procedure CT, note residual contrast in sac from final "sacogram"

[Michael Burns @michaeldburns]

10 cm common iliac artery aneurysm. Prior stent graft; enlarging due to inflow from internal iliac. IR for direct sac puncture and 22mm AVP2 plug & coils placed in IIA.
#IRad #minimallyinvasive #iliac

[Michael Burns @michaeldburns]

@DAZN_CA_Help hi are you showing Leinster v scarlets in the pro 14 rugby today?