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BackTable / VI / Podcast / Episode #420
The Art & Science of Declotting the Dialysis Circuit
with Dr. Omar Chohan and Dr. Harris Chengazi
In this episode of the Backtable Podcast, host Dr. Chris Beck interviews guests Dr. Omar Chohan and Dr. Harris Chengazi about dialysis fistula declot procedures and their own experiences with various devices and strategies, including usage of pre-procedure ultrasound, heparinization, and closure techniques. Both Dr. Chohan and Dr. Chengazi are interventional radiologists at Great Lakes Medical Imaging in Buffalo, New York.
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BackTable, LLC (Producer). (2024, February 27). Ep. 420 – The Art & Science of Declotting the Dialysis Circuit [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Omar Chohan
Dr. Omar Chohan is an interventional radiologist with Great Lakes Medical Imaging in PIttsford, New York.
Dr. Harris Chengazi
Dr. Harris Chengazi is an interventional radiologist with Great Lakes Medical Imaging in PIttsford, New York.
Synopsis
The doctors dive into treatment of anastomosis stenosis, stressing the importance of technique refinement, physical examination, and thoughtful pre-procedure planning. The discussion concludes with an invitation for listeners to share their experiences with the ‘bottle-cap’ hemostasis trick.
Timestamps
00:00 - Introduction
05:59 - Importance of Problem Solving in Declot Procedures
07:27 - Role of Pre-Procedure Ultrasound
12:00 - Process of Declot Procedures
28:27 - Moving to the Arterial Side: Access and Treatment
32:37 - Wire Management and the Risk of Rupture
41:59 - Art of Closure: Techniques and Considerations
45:53 - When to Quit: Evaluating the Need for Revision or Alternative Treatment
50:24 - Experience and Planning in Successful Fistula Treatment
Resources
BackTable Declot Guide:
https://www.backtable.com/shows/vi/topics/procedure/declot
BackTable VI Episode #25 - Declots with the Argon Cleaner Device with Dr. Sabeen Dhand:
https://www.backtable.com/shows/vi/podcasts/25/declots-with-the-argon-cleaner-device
BackTable VI Episode #117 - Successful (and Quick!) Declots for AV Access with Dr. Neghae Mawla:
https://www.backtable.com/shows/vi/podcasts/117/successful-quick-declots-for-av-access
BackTable VI Episode #139 - AV Fistula & Graft Maintenance with Dr. Ari Kramer:
https://www.backtable.com/shows/vi/podcasts/139/av-fistula-graft-maintenance
BackTable VI Episode #141 - DEB vs. Balloon Angioplasty Alone for Dysfunctional Hemodialysis Access with Dr. Eric Therasse:
https://www.backtable.com/shows/vi/podcasts/141/deb-vs-balloon-angioplasty-alone-for-dysfunctional-hemodialysis-access
BackTable VI Episode #292 - Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More Dr. Ari Kramer:
https://www.backtable.com/shows/vi/podcasts/292/dialysis-interventions-with-drug-coated-balloons-covered-stents-more
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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