A pelvic AVM is no ordinary beast — this one was a Troll Multistage assault: 🔸 Balloon-occlusion with several feeding arterial liquid embo 🔸 Venous direct access Penumbra XL coils Lava sclerotherapy The result? Troll slayed. ⚔️ Bulk pain: gone at follow-ups #VIR #AVM #Innovation @SIRRFS @SIRspecialists

Jumping on the bandwagon of some of the most gratifying cases with fantastic clinical outcomes. 20 years of filter dwell time with debilitating C6 ulcers. Strut within the aorta. @ChaudryShoeb @iRadRock (not sure about the # 😜) #GTFO #Recan @SIRRFS @SIR_ECS

The SIR Early Career Section Governing Council is charged with serving as the leadership to the Early Career Section. The ECS GC is looking for dedicated volunteers who will uphold section objectives and help execute section goals. Apply here tinyurl.com/mrbybbjs

Thoracic duct embo can be a life altering procedure even in small children. 7yo with post operative chylous effusion due to thoracic duct transection. TD embo➡️Complete resolution of chylous effusion➡️chest tube out➡️patient with complete recovery. #VIRad @SIR_ECS @SIRspecialists @SIRRFS

Hypertensive urgency, previous renal artery stenosis post stent recon now with in-stent occlusion and recurrent hypertensive urgency. Pre and post laser recan. Hypertension resolved. Utterly gratifying result for the patient and team. @SIR_ECS @SIR_ECS @cvirendo @JVIRmedia

May-Thurner syndrome is a non exclusive and ?rare cause of DVT, often overlooked despite being present in 20% of people. Aggressive treatment strategies to restore flow is at times a necessity. #DVT #MayThurnerSyndrome #VascularHealth

Severe life limiting CLI, popliteal, TPT and prox AT/PT CTO. Ante and dual retro access, pop recan with Supera and spot AT and PT Drug eluting Esprit-BTK Bio-resorbable stent scaffold. Can't be more happy for the happy patient who said "Three times around and still no pain.!! #IYKYK (I may or may not have asked him to say that 😉) @SIRRFS @SIRspecialists@_ backtable @VIVAPhysicians #CLTI Huge thank you to Ricky Kamaria @AbbottNews for supporting the case

A difficult chylothorax case, in a 6 YO, couldn't access the thoracic duct from the cisterna chyli, so we embolized w/ glue accessing a left cervical lymph node that had multiple feeders to the left thorax, one week later, chylothorax was gone. Thanks, Dr. Shahin for the idea

Lymphangiography TDE, always one of the most satisfying procedures for the clinicians and patients alike, even when sometimes they are this tiny. Post op #chylothorax output 500 ml/day ➡️ 5 ml Day 1 POD. Chest tube out Day 3.

Covered stent assisted coiling of internal iliac artery for uretero-arterial fistula at the bifurcation of iliacs. Telescoping funnel technique for stent graft in the iliacs to prevent endoleak. #VIR #EndoVascular #EmergenciesInAngiosuite @SIRspecialists @SIRRFS @SIR_ECS

Every fracture clefts require thorough filling for effective pain relief. #SpineJack partially opened, necessitating trilateral access with curved needle to complete the filling of remaining cleft. Ensuring comprehensive fracture stabilization is crucial for adequate pain relief

Have a patient with hepatic artery stenosis following transplant but the arterial anatomy near stenosis is tortuous or transplant < 30days? Consider splenic/GDA embo for flow diversion. Check it out! doi.org/10.1186/s42155-024-0… @EinsteinIR

3 level lumbar SpineJack in severe osteoporotic fractures. L1 nearly pancaked, retropulsed. Patient pain 9➡️3 in 4 hours. ⬆️QOL. Standing up without pain after so long. #VertebralAugmentation #Happiness #AllJackedUp Huge thank you to @sav_squatch for amazing support @TheStrykerIVS

“It’s been that kinda day..!!!” 🤩😊 Grateful for the invaluable lessons from @mmaneevese! 🌟 Delving into advanced techniques of prostate artery embolization for symptomatic BPH in a patient with prior Urolift and failed PAE in #Under45mins #ProstateHealth #PAE #VIR

Inviting everyone who is going to take the ABR Certifying exam to attend this very informative webinar hosted by ECS. We have a great line up of speakers and panelists including testimonials from board certified IR/DR.

Unique problems need unique solutions. Toddler w/ large post op vesico-rectal fistula. Temporary occlusion of the ureters w/ modified silicone foley placed like a PCN (size of the foley same as luminal diameter of ureters to create uniform mechanical occlusion) to give time to heal. @SIR_ECS @SIRRFS @socpedsir

Feels like getting drafted to big leagues to be part of this 🐐 VIR book by @ZHaskal and team. And to top it off, it’s an icing on a cake to be featured next to @TheRealDoctorOs in the contributor section. Must have done something right 😃 Sincere thank you to Dr. Raja Shaikh (Boston Children’s), @ZHaskal @SpringerNature

First week as an IR Attending felt like a whirlwind. Glad to have my @EinsteinIR attendings ready to take a FaceTime call when I need advice in the suite. #grateful

36, sepsis and catheter associated right atrial thrombus. Through and through access for large bore suction thrombectomy and subsequent tunneled line removal. @SIR_ECS @SIRRFS @SIRspecialists

Vesicovaginal fistula from cervical cancer can be very debilitating for the patients. This patient went from using 12-15 pads a day 😢 to 1-2 pads a day 😀. Pt is ecstatic 🤩 and couldn’t stop crying 😭 with happiness at 6 week follow up. Fistula was embolized with glue. #Unconventional #PalliativeCare #privilege @SIRspecialists @SIRRFS @SIR_ECS #justGlueIt