Vascular Interventional Radiologist. APD UBRadiology, PAD, VTE, PAE, UFE, GAE, IO, bleeds, opioid crisis. Drums. Dad. Husband. Golfer 🇺🇸🇵🇰#BillsMafia #IRad

Joined September 2018
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A patient with IVC atresia rolled into my office in a wheelchair. No options were offered for years. Successful IVC reconstruction. One week later, walked into my office for followup! One month later, living his best life, no pain and no limitations. #chogazi #irad #vascular #cardiotwitter @SIRRFS @SIR_ECS @SIRspecialists @VascularSVS @farkomd @AmputationSuck @ChengaziMD
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The @_backtable app is super easy to use and intuitive. It’s been a great resource for me as my practice grows the MSK IR space. Check out my playlist that got everything started. backtable.com/playlists/b223…
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Breaking News
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ESPN sources: 100 year old former Bills Head Coach, Marv Levy, is interviewing tomorrow for the Buffalo Bills head coaching job. #BillsMafia
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🎶 CLOTS! CLOTS! CLOTS! CLOTS! CLOTS! 🎶 @clotsheadtotoe Honored to be part of this star studded faculty. It didn’t feel like an inaugural meeting with how smoothly it ran - sincerely looking forward to future ones.
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That’s a wrap for the inaugural @clotsheadtotoe ! It was amazing to participate & witness multidisciplinary conversations around thrombus management #headtotoe! What a stellar faculty at the one & only conference focused solely on CLOTS & that too at the happiest place on Earth!
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Fantastic turn out for the CLOTS: Head to Toe meeting. I’m honored to be part of the faculty @clotsheadtotoe . We had very engaging conversations all about CLOTS and the future directions of head to toe clot management.
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Great turn out at CLOTS! @clotsheadtotoe . More thought provoking discussions this weekend. Fantastic work to all the folks behind the scenes. Stay tuned to get TIPSy with @ChengaziMD
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Ended the week with a great PEN FLASH 3.0 case. Up and over and able to treat the infrapopliteal confluence and the saphenous collaterals. Went PTV and flossed from above (felt like an arterial case!) Treating the inflow may shift the paradigm! venous disease experts need to be well versed in multiple techniques/devices. Still need better way to treat chronic distal fem/pop disease! @clotsheadtotoe TIME!! See everyone in Orlando! #Cardiology #noCOI #DVT
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Cold weather and shoveling can promote clotting. Do some risk management and come to Orlando Jan 17-18th for the CLOTS: Head to Toe conference. There will be interventional legends speaking! @clotsheadtotoe
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PeVD - when reflux is this florid, I’d be hard pressed to argue closure isn’t indicated - unless it represents the only renal vein outflow (even in this case I’m told of how VS ligate renal vein during open aortic repairs at times without ill effect) Many women live with symptoms of this disease and go undiagnosed, we need better standardization of diagnostic and treatment algorithms for this very real and QOL affecting disease.
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Starting Jan 1, 2026 Peripheral Intervention Codes will be completely changed. Here is a list of simplified new billing codes! #CardioX #VIrad Total occlusion = Complex Lesion 50-99% = Simple Lesion
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What's going on here? Why did we place an IVC filter for a patient with Acute Limb Ischemia? Every vascular interventionalist will eventually encounter this condition: *Paradoxical embolism* A clot from the venous system ends up in the arterial system through a right-to-left shunt 🫀 After IVC filter placement, arterial lytic aspiration was performed, with a good outcome. Keep this condition in the back of your mind when you consider acute limb ischemia causes! 🧠
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17 Dec 2025
🔍 ** Question:** What are the longitudinal effects of genicular artery embolization (GAE) on biomarkers implicated in knee osteoarthritis (KOA) pathogenesis? ➡️ **Full Article:** brnw.ch/21wYriw #InterventionalRadiology #MSKIR #GAE #OA #MedEd
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TIPS Tuesday strikes again.
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Great example of rapid intervention with CAVT, there is a Goldilocks of French size needed for these cases. What is your preferred? 16, 20, 24?!
Early pregnancy and underlying CIV compression, presented with early phlegmasia. A disaster waiting to happen - mitigated without CT, and minimal fluoro w/ only 2 DSA. Relieved to be pulling this clot out of the leg and not the lungs!
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3 varices, 3 different embolics. Same patient. How do you plan/decide?
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Another TIPS Tuesday! With ICE guidance and modern embolics, these cases are becoming quick and routine. Both done by 11am.
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Tell your cat I said, "pspsps."
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WINter Wonderland. ❄️ @MandT_Bank | #BillsMafia
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