Paul O'Connor

Interventional Radiologist @ PIH Health #irad #NeuroIR @MountsinaiIR trained

[Paul O'Connor @p_oconnor1]

@SDhandMD @ChengaziMD @smbracewell @t_intheleadcoat @saherssabri @kmadass @drochohan @IR_Doctor @IRKhalsa @laronecampbell @drvarshana @drcostantino1 @MoonJustaniah @theblanketdog @JuliusChapiro @linemonkeymd This was a fun one! Finally got the drain out after a little glue embo

[Paul O'Connor @p_oconnor1]

@maninbsir @SIRspecialists Thx. Thrombin would work well but US view of pseudoA wasnt ideal. I chose glue for visualization under fluoro. Tiny bit of nontarget embo during initial injection, probably inconsequential…goal was to stabilize him for surgery

[Paul O'Connor @p_oconnor1]

Direct percutaneous nbca glue embolization of a massive pulmonary artery pseudoaneurysm. Patient w/history of lung cancer treated with radiation presenting with massive hemoptysis. Credit to my awesome tech Rigo for putting this together.

#irad @SIRspecialists

[Paul O'Connor @p_oconnor1]

@ChengaziMD @Flavius_IR @SIRspecialists Pseudo came off pretty proximal and i think would taken dozens of coils and embolization of a large portion of right PA to get good control. Also, pt was having active hemoptysis!! So glue was my first choice!

[Paul O'Connor @p_oconnor1]

@ChengaziMD @SIRspecialists Thanks! Ultrasound access was so key! The effusion and consolidation from hemoptysis allowed me to see it easily. I used 5:1 glue with slow steady injection via echotip needle

[Paul O'Connor @p_oconnor1]

@DegenAnon6969 100 oz coaster :)

[Paul O'Connor @p_oconnor1]

@antony_sare @SIRspecialists @SDhandMD I thought about using a sniper micro catheter for temporary balloon occlusion but didn’t want to run into issues with fitment in the guide catheter since the OD is slightly larger compared to a truselect. I may try it next time

[Paul O'Connor @p_oconnor1]

Temporary coil protection of the cystic artery during right lobar Y90 for multifocal HCC. 7F guide cath via #transradial access and two TruSelect microcatheters. @SIRspecialists #irad @SDhandMD

[Paul O'Connor @p_oconnor1]

@ec2904 @SIRspecialists @SDhandMD Thanks! Just to avoid the unlikely event of prophylactic cystic artery embolization pain

[Paul O'Connor @p_oconnor1]

@rkryu @SIRspecialists @SDhandMD @SidpadiaIR @aravindarepall1 @DanSzeMDPhD @danbrownIO I gave 3,000 units more on top of the radial cocktail. Two vial injection so coil was up for about 20-25 minutes

[Paul O'Connor @p_oconnor1]

@MRAkid @SIRspecialists @SDhandMD We’ve had a couple of patients develop abdominal pain with cystic coil embo during y90 mapping

[Paul O'Connor @p_oconnor1]

@rkryu @SIRspecialists @SDhandMD @SidpadiaIR @aravindarepall1 @DanSzeMDPhD @danbrownIO Coil deployed and after removed. 3 x 4 mm Concerto did the job well

[Paul O'Connor @p_oconnor1]

@ramposham @SIRspecialists @SDhandMD 👍🏼

[Paul O'Connor @p_oconnor1]

@smbracewell @SIRspecialists @SDhandMD Yup, Pulled the coil into the micro catheter and disposed of like the y90 delivery catheter.

[Paul O'Connor @p_oconnor1]

@kabiitohassan @_backtable @SDhandMD @SIRspecialists @PIHHealth Just a zoom 71

[Paul O'Connor @p_oconnor1]

R MCA occlusion with atypical presentation of left hemiballismus brought to hospital quickly with 1 pass thrombectomy (BADASS technique). POD 1 MR DWI completely clean. <45 min door to reperfusion. #stroke @_backtable @SDhandMD #irad @SIRspecialists @PIHHealth

[Paul O'Connor @p_oconnor1]

@kabiitohassan @_backtable @SDhandMD @SIRspecialists @PIHHealth BAlloon guide cath+ Distal aspiration cath+ Distal Aspiration+ Stent retriever

[Paul O'Connor @p_oconnor1]

@DonGarbettMD @_backtable @SIRspecialists @SIRRFS @bonesz @MRAkid @ReNewVascular My go to catheter is Sim 2 formed in the ascending aorta.

[Paul O'Connor @p_oconnor1]

@SDhandMD @ashkan_1670 @FadiSaab17 @HadyLichaaMD @SriniTummala @AmputationSuck @michaelcsiah @VenuVadlamudiMD @bonesz @keithppereira I prefer groin because I like to debulk as much as possible with CAT7 etc before committing to lysis. I dont see an issue with the vert if you have heparin and tpa running .

[Paul O'Connor @p_oconnor1]

@ReneLizola @InariMedical @SDhandMD @MountSinaiIR @PIHHealth F/U CTV- renal vein cleared out with initial thrombectomy 👍🏼

[Paul O'Connor @p_oconnor1]

Young patient with massive filter related thrombosis & severe pain/phlegmasia cerulea dolans treated with @InariMedical T24 flowtriever from popliteal v access. Pain resolved 15 minutes after case. Forgotten 10 yr old filter 👎🏻 @SDhandMD @MountSinaiIR @PIHHealth #irad