Lesson 9 • 20 Oct 2023
Can you walk through how you do a routine BRTO?
Course overview
Explore advanced portal interventions in our BRTO and Portal Vein Recanalization Course. Led by experts, it covers BRTO, Portal Vein Recanalization, and walking through how to approach a case. Enhance skills in managing complex liver conditions for optimal patient outcomes.
1.5 hours, 33 lessons
Lessons
BRTO for Treating Variceal Bleeding with Dr. Luke Wilkins
Lesson 1
What are the indications for just a routine BRTO?
Lesson 2
In general, which patients are good candidates for TIPS and BRTO?
Lesson 3
How do you use the MELD score and preprocedure imaging for BRTO compared to TIPS?
Lesson 4
For a BRTO do you use moderate sedation or general anesthesia and what are your go-to access tools?
Lesson 5
Lesson 6
What's your recipe for making your sclerosant and do you leave coils?
Lesson 7
What do you do for follow up for BRTO patients?
Lesson 8
Any pearls or pitfalls from more challenging cases?
BRTO: Beyond the Basics with Dr. Saher Sabri
Lesson 9
Can you walk through how you do a routine BRTO?
Lesson 10
Can you walk through how you do a routine PARTO?
Lesson 11
How far into the shunt do you want your embolic catheter to be?
Lesson 12
How do you mix your STS plus gel foam concoction, and what is a reproducible fluoroscopic endpoint?
Lesson 13
Do you do this single session and leave coils behind?
Lesson 14
In what patient presentation would you start with BRTO with TIPS?
Lesson 15
Do you do the TIPS first in all of your combined cases?
Lesson 16
Is there ever a situation where you put a TIPS in and have them come back for the BRTO?
Lesson 17
Lesson 18
What is your setup for trans-splenic access?
Lesson 19
Would you do a BRTO on someone who you know could not get TIPS?
Lesson 20
Portal Vein Recanalization with Dr. Riad Salem
Lesson 21
Why do we need to care about portal vein recanalization?
Lesson 22
What does the workup look like for a patient needing portal vein recanalization?
Lesson 23
Once you have the patient on the table, where do you start?
Lesson 24
Can you describe your technique for accessing through the spleen?
Lesson 25
Talk us through challenging access
Lesson 26
How much time do you spend probing and trying to locate the portal vein?
Lesson 27
Are there any troubleshooting techniques for starting out and hitting that snare easier?
Lesson 28
Talk to us about things to be careful about with your wire, and any other pitfalls
Lesson 29
What advantage is there to embolizing varices and what will it do to the portal system flow?
Lesson 30
What do you do when it's time to close your access at the spleen?
Lesson 31
What is your portal vein recanalization post-care and follow up regimen for the patient?
Lesson 32
TREAT LIVE BRTO Case at Mt. Sinai
Lesson 33
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