Rex Ray

Interventional Radiologist with a Love for IR Devices, brought to you by J. Young, MD

[Rex Ray @RexRayMD]

@shamitsdesai I think an even bigger issue is the turn over. Every month new dialysis techs, and they are still learning how to palpate the fistula, let alone use ultrasound guidance. If you can’t retain employees, then you cannot teach them advanced skills.

[Rex Ray @RexRayMD]

Used #RevCore to clean out a troublesome central occluded stent. Put up some discs as embolic protection. These stents were occluded for years, the results speak for themselves. #IRad

[Rex Ray @RexRayMD]

Double aortic arch! 🌈 🌈
#IRad #VariantAnatomy

[Rex Ray @RexRayMD]

Double the vessel, double the clot!
Prone, Popliteal access, #ClotTriever. Wired up each side sequentially, and pulled out those dark, sticky clots. #DVT #IRad

[Rex Ray @RexRayMD]

@_AzizAhmad_ @SIRRFS @SIRspecialists That’s crazy!! I think I missed that in class, lol.

[Rex Ray @RexRayMD]

Excuse me Dr. Kaufman, what did you use to embolize the Varicocele!?!? #IRad

[Rex Ray @RexRayMD]

@drmcumming @SIRspecialists Neat case, I’ve never seen this before.

[Rex Ray @RexRayMD]

@theblanketdog @haydenpanettier @ZacharyQuinto @MasiOka Haha I was thinking the same thing!!

[Rex Ray @RexRayMD]

@aburnett_PharmD Thank you, I’m glad y’all enjoyed my silly stories. We have to fight VTE from all sides, so it was fun and meaningful to share the rural interventional side of the battle!

[Rex Ray @RexRayMD]

Central occlusion on a fistula arm, with horrible breast swelling from collaterals. Sharp recan success with #Gunsight technique. A very excellent skill to have in your back pocket!! #IRad

[Rex Ray @RexRayMD]

@mahmoudali_md @CHICKVIR @Watts_IR @SIRspecialists Yes agree! It’s a useful technique

[Rex Ray @RexRayMD]

@mahmoudali_md @CHICKVIR @Watts_IR @SIRspecialists Yeah, the bifurcation is always hard to see clearly on DSA, and fluoro underestimates compression. IVUS adds so much accuracy to the whole process.

[Rex Ray @RexRayMD]

Acute, occlusive #DVT cleaned out with #ClotTriever. There was a compression defect at the iliac origin. Brought her back a few days later with #IVUS, confirmed the compression, and stented with #Abre. It felt weird to put a 12mm in the iliac, but she was petite! #IRAD

[Rex Ray @RexRayMD]

Forget the biloma… are those FRENCH FRIES? Is it possible to eat French Fries whole!?!? #Radiology

[Rex Ray @RexRayMD]

@RajWellnessMD @InariMedical That’s beautiful.

[Rex Ray @RexRayMD]

@CHICKVIR @InariMedical @davidsshin @FredBertinoMD @UWRadiology @UofWa_IR @EVToday @VIVAPhysicians @SIRRFS @keithppereira @medravi @JBundyRad @DaveJohnsonMD @t_intheleadcoat @Thomas_TuMD @AbhiKumar47 @prat_shuk @RadDrDuke That is a TON of clot! You should be proud this is a bad situation that you turned into a great outcome

[Rex Ray @RexRayMD]

So much structural protein in this #DVT, it’s insane!! Removed with #ClotTriever after angioplasty with 8mm balloon. Super difficult to recanalize… you can see why! #IRad

[Rex Ray @RexRayMD]

@rkryu @SDhandMD @TherealDoctorJ @kmadass @radtrivedi @TLHM_MD @Watts_IR 100% agree. Ptx is easy to fix, but surprise massive hemoptysis is horrendous. I feel like it happens 0.5% of cases, and there is never anesthesia available for endobronchial blocker. I just resuscitate until hemostasis achieved. Horrible risk and stress not conveyed by rVUs.

[Rex Ray @RexRayMD]

Look at this big booger I pulled out of the IVC!! Is this even considered a thrombus anymore? #IRad Removed with ClotTriever XL