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BackTable / VI / Podcast / Episode #541
Treatment of Acute Portal Vein Thrombosis
with Dr. Ben May
To TIPS or not to TIPS? More than ever, younger patients are presenting with acute portal vein thrombosis (PVT) that requires intervention beyond anticoagulation alone. These patients need safe, effective options that offer long-term resolution and a good quality of life after treatment. In this episode of the BackTable Podcast, Dr. Benjamin May, Interventional Radiologist at Weill Cornell Medicine, discusses the evolving treatment landscape for acute PVT.
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BackTable, LLC (Producer). (2025, May 6). Ep. 541 – Treatment of Acute Portal Vein Thrombosis [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Benjamin May
Dr. Benjamin May is an interventional radiologist at Weill Cornell Medicine in New York City, New York.
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Synopsis
Dr. May shares insights into the changing interventional approaches, highlights the utility of tools such as suction thrombectomy devices, and explains how his best practices have developed over time. He emphasizes the continued importance of anticoagulation therapy, explores the potential complications and outcomes of various interventions, and discusses how thrombus location and characteristics influence his clinical decisions. With real-world scenarios and a step-by-step walkthrough of his decision-making process, Dr. May offers a comprehensive look at modern strategies for managing acute portal vein thrombosis.
Timestamps
00:00 - Introduction
05:46 - Diagnosing Portal Vein Thrombosis
10:52 - Management Options for Acute PVT and What is Safest?
21:09 - Choosing an Intervention Approach
26:19 - Tackling Large Bore Thrombectomy
32:37 - Learnings and Tips for Successful Thrombectomy
39:50 - Impact of Thrombus Location on Intervention Approach
45:01 - Post-Care and Follow-Up
49:46 - Final Thoughts and Encouragement
Resources
“Transjugular Intrahepatic Portosystemic Shunt and Thrombectomy (TIPS-Thrombectomy) for Symptomatic Acute Noncirrhotic Portal Vein Thrombosis” (Shalvoy, 2023)
https://www.jvir.org/article/S1051-0443(23)00341-X/abstract
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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