BackTable / VI / Podcast / Episode #125

TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access

with Dr. Emmett Lynskey

It's Junior Year at TIPS University with Dr. Emmett Lynskey walking through advanced techniques for TIPS, including using Intracardiac Echocardiography (ICE) for placement, as well as transsplenic access for portal reconstruction.

Sponsored by:

Edward Jones
TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey on the BackTable VI Podcast)
Ep 125 TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey
00:00 / 01:04

BackTable, LLC (Producer). (2021, May 10). Ep. 125 – TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Emmett Lynskey discusses TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access on the BackTable 125 Podcast

Dr. Emmett Lynskey

Dr. Emmett Lynskey is an Interventional Radiologist at Advanced Vascular Centers in Washington D.C.

Dr. Christopher Beck discusses TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access on the BackTable 125 Podcast

Dr. Christopher Beck

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Show Notes

In this episode, Dr. Emmett Lynskey joins Dr. Chris Beck for the third edition of TIPS University to discuss intracardiac echo (ICE) and splenic access in TIPS procedures. We discuss the learning curve associated with ICE and Dr. Lynskey tells us about the early challenges he faced when learning this technique.

We share why using ICE is helpful in TIPS and how to set up the procedure, depending on the type of access you want. We explain how to get a more medial throw by getting the catheter closer to the portal vein, and we discuss how to torque the needle for different throws. We discuss making throws using an ICE probe and why ICE is helpful for acutely thrombosed TIPS revisions. Dr. Lynskey tells us about some other good uses for the ICE catheter.

We discuss splenic access, and we review the conditions that allow for safe splenic access. We explain how to do the ultrasound evaluation anterior to the probe. Dr. Lynskey shares why he dedicates one hand for the wire and one hand for the ultrasound, and he tells us how he picks the sheaths and wires that he uses to get splenic access. We discuss how to know that you have opened up the splenic vein.

Resources

Edward Jones Financial Advisor Yaphet Tadesse: https://www.edwardjones.com/us-en/financial-advisor/yaphet-tadesse

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Topics

Ascites Condition Overview
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TIPS Procedure Steps & Technique

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