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