Iodine contrast allergy filter placement with contrast
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Our medical vocabulary needs to name specific contrast agents rather than label these “iodine allergies” in order to streamline patient prep for CT scans. Dr. Ruff discusses how changing the contrast agent with steroid premedication is the most effective intervention for a known contrast allergy.

Gabrielle Gard • May 6, 2022 • 34 hits

Iodine contrast allergy MRA gadolinium
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Though incorrect, the term "iodine allergy" is still used to describe contrast dye allergy, Betadine soap allergy, and even shellfish allergy. Radiologist Dr. Cullen Ruff suggests that the term "iodine allergy" should no longer be used in the medical field as patients are not allergic to the iodine itself, but rather to some other component in the contrast agent.

Gabrielle Gard • May 5, 2022 • 34 hits

Calcified popliteal occlusion treated with 5mm Shockwave lithotripsy
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Vascular surgeon Dr. Bryan Fisher shares his experiences using Shockwave intravascular lithotripsy to treat lower extremity arterial disease on the BackTable Podcast. Dr. Fisher discusses his treatment algorithm, the unique role of Shockwave lithotripsy, and visualizing technical success following the therapy.

Delaney Aguilar • Apr 10, 2022 • 36 hits

Intracranial stenosis
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When facing a complicated case of intracranial stenosis, should recanalization be attempted even if the procedure seems unlikely to be successful? Due to the safety of mechanical thrombectomy, even for complicated intracranial stenosis cases, many operators now recommend intervention and aggressive post-procedural management.

Gabrielle Gard • Mar 6, 2022 • 38 hits

Pleural blood patch after CT guided lung biopsy
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Blood patching began to emerge in the early 2000’s as a technique to reduce the incidence of chest tube placements subsequent to pneumothoraces, and has since been adopted in lung biopsy procedures. Blood patching is a technique in which the operator introduces the patient's own blood into the pulmonary space to promote coagulation of air passages created upon biopsy.

Taylor J. Robinson • Feb 16, 2022 • 44 hits

Stroke stent retriever device Cerenovus Nimbus geometric clot extractor
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The stent retriever and aspiration catheter are common tools for stroke thrombectomy, yet the indications for which is better is often ambiguous. Dr. Hannes Nordmeyer and Dr. Matthew Gounis advise on how to choose your procedure kit and discuss new technologies for tough fibrin rich clots, including the Cerenovus Nimbus.

Gabrielle Gard • Feb 16, 2022 • 51 hits

Image-guided microwave liver ablation procedure
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As an operator, two key challenges of the microwave liver ablation procedure are navigating the background liver parenchyma and determining the extent of lesion ablation possible without compromising liver function. Dr. Driss Raissi, an Interventional Radiologist at the University of Kentucky discusses how to navigate these challenges and shares his liver ablation procedure techniques in this BackTable Article.

Taylor J. Robinson • Jan 28, 2022 • 36 hits

Pleural blood patch after CT guided lung biopsy
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CT guided lung biopsy can be quite challenging. There is a risk of injuring the many pulmonary and intercostal vessels, the time consuming process of sticking the nodule, and determining what patients are viable candidates. Abdominal radiologist Dr. Fred Lee discusses the techniques his practice has used to improve their CT guided lung biopsies.

Taylor J. Robinson • Jan 27, 2022 • 84 hits

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