Jeffrey F. B. Chick, MD, MPH
@CHICKVIR
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Venous Specialist | Venous Thromboembolism (VTE) | Deep Vein Thrombosis (DVT), Thrombectomy, and Stent Reconstruction l Interventional Radiology
Washington, USA
Joined July 2016
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First percutaneous extra-anatomic lymphovenous bypass for thoracic duct occlusion and ascites by
#IRAD
.
#Innovation
#Lymphatics
#Venous
#IRAD
@davidsshin
#Vaidya
#Monsky
#Jones
#List
@UW
@JVIRmedia
@SIRRFS
@SIR_ECS
@medravi
@joeyg132513
@itkinmax
@CarlosGuevaraIR
@Watts_IR
38
72
269
Massive pulmonary embolism and an inability to receive tissue plasminogen activator. Large-bore pulmonary artery thrombectomy. Life saving single-session interventions.
@davidsshin
#Knight
#OReilly
@InariMedical
@Thomas_TuMD
#Shick
#IRAD
@UofWa_IR
@UWRadiology
16
33
216
Chronic total portal venous occlusive disease treated with transsplenic retrograde intrahepatic portosystemic shunt (TRIPS) creation with intracardiac echocardiography-guided sharp recanalization.
#IRAD
@davidsshin
@mabadsantos
@Eric_Monroe_MD
@UofWa_IR
22
35
214
Lymphatic plastic bronchitis, or the expectoration or branching bronchial casts, was ongoing for three miserable years after seeing 17 specialists, but ended today thanks to
#IRAD
. Find an Interventional Radiologist for rare and complex lymphatic disorders.
@UW
@davidsshin
#List
27
57
210
IgA nephropathy and catheter-associated chronic superior vena cava (SVC) occlusive disease. Few things provide as much joy as restoring quality of life to a patient who has suffered for >3-years.
#IRAD
for all your venous needs.
@davidsshin
@mabadsantos
@InariMedical
@UofWa_IR
20
32
195
Duplicated inferior vena cava, double filter removal, thrombectomy using the
@PenVascular
lightning CAT12, and caval reconstruction by
#IRAD
.
@UWMedicine
@UWRadiology
@SIRRFS
@SIR_ECS
@JVIRmedia
@penumbrainc
@VenousNews
@VeinForum
@ajeyakumar12
@CVIR_Journal
@medravi
13
41
199
6 hours, 5 accesses, 4 failed prior attempts, 3 IRADs, and 2 sharp recans for 1 patient. Superior vena cava reconstruction by Interventional Radiology.
@davidsshin
#Jones
@JVIRmedia
@SIRRFS
@SIR_ECS
@Philips
@UW
@UWRadiology
@EVToday
@VenousNews
@CVIR_Journal
@medravi
28
32
188
3 TIPS. 2 fellows. 1 day. TIPS is the treatment for esophageal variceal hemorrhage, ectopic varices, refractory ascites, hepatorenal syndrome, budd chiari, hepatic hydrothorax, and sinosoidal obstruction (among others). Interventional Radiology
@UWRadiology
@SIRRFS
@SIR_ECS
10
23
172
Inferior vena cava (IVC) filter-associated caval and bilateral iliocaval thrombosis treated in a single session with
#FlowTriever
and
#ClotTriever
.
#IRAD
@InariMedical
@davidsshin
@FredBertinoMD
@UWRadiology
@UofWa_IR
@EVToday
@VIVAPhysicians
@SIRRFS
15
29
167
It’s a TRAP (transvenous retrograde antegrade portomesenteric embolization) for the treatment of complex gastroesophageal varices. There is much to be discovered about portal interventions.
#IRAD
@davidsshin
@AaronDaubMD
@mabadsantos
@SIRRFS
@UofWa_IR
@EVToday
13
25
162
Bedridden, debilitated, and despondent from filter-associated total venous thrombosis. Life reclaimed with
#IRAD
,
@PenVascular
Lightening ⚡️12 thrombectomy, and
#Venovo
venous reconstruction.
#Venous
@UWMedicine
#OReilly
#Jeyakumar
@SIRRFS
@SIR_ECS
@VenousSymposium
@VeinForum
10
42
159
Transvenous balloon-occluded retrograde abdominal lymphangiography (BORAL) and embolization (BORALE) for the treatment of chylous ascites after colonic resection. Ideal for chylous collections below the diaphragm.
#Lymphatics
#IRAD
@davidsshin
@FredBertinoMD
@medravi
@UofWa_IR
22
34
164
Extensive venous thrombosis treated with single-session thrombectomy and reconstruction. Interventional Radiology may help all your venous needs. CLOUT data suggests total thrombus removal in 76.5%.
@davidsshin
@ajeyakumar12
@FredBertinoMD
@mabadsantos
@InariMedical
@UofWa_IR
15
32
161
Venous claudication and an inability to use right upper extremity with three prior attempts at recanalization elsewhere. Proud day for patient and our team. Never give up.
#IRAD
@mabadsantos
@davidsshin
@UWRadiology
@UWMedicine
@SIRspecialists
10
19
157
Chylous ascites secondary to cirrhosis and thoracic duct dysplasia treated with single-session transjugular intrahepatic portosystemic shunt creation and thoracic duct reconstruction
@UWRadiology
@SIRRFS
@SIR_ECS
@myAVLS
@VenousNews
@VeinForum
@VenousSymposium
@medravi
#IRAD
21
30
165
Tetrahydrofolate reductase mutation and longterm total parenteral nutrition-associated superior vena cava (SVC) syndrome. Seven access sites with ultimate success.
#IRAD
#NeverGiveUp
@davidsshin
@AaronDaubMD
@UW_RadRes
@UofWa_IR
@InariMedical
@EVToday
@VenousNews
20
23
159
Metastatic colon cancer with inferior vena cava (IVC) invasion and debilitation. Extensive malignant thrombectomy and total caval reconstruction with improved quality of life.
#InterventionalRadiology
@davidsshin
@mabadsantos
@InariMedical
@UofWa_IR
@UWMedicine
17
26
160
Embryologic development of the inferior vena cava (IVC) occurs between 6-8 weeks of life. Dysfunction of any of the five segments may lead to stasis and thrombosis. Thrombectomy and stent reconstruction may restore function.
#IRAD
@UofWa_IR
@SIRRFS
@t_intheleadcoat
@InariMedical
18
32
151
“How to” manual for performing hepatobiliary endoscopy, cholecystoscopy, and choledochoscopy by
#DrewAnderson
,
@AdamPlotnik
, and
@medravi
.
#IRAD
#Endoscopy
@uclaVIR
@UWRadiology
@UofWa_IR
@SIRRFS
@EVToday
14
38
152
Once-in-a-lifetime opportunity in Tanzania! Endless laughs, educational engagements, and interventions. Thank you all for the hospitality and new friendships. An opportunity that all Interventional Radiologists should experience.
@Road2IR
@fabianmaxlg
@UofWa_IR
@rkryu
11
11
159
Single-session bilateral ureteral embolization for vesicorectal fistula using PAUSE (plug-assisted ureteral sandwich embolization) and venous stent repair for iliocaval thrombosis after OSH stent placement.
#IRAD
@UW
@UWRadiology
@davidsshin
#Jones
@VeinForum
@EVToday
@SIRRFS
20
21
149
LIVE at
@UWRadiology
. 14.7% 3-month mortality for submassive pulmonary embolism at 3-months. Single-session thrombectomy in neurologic patients that cannot receive lytic therapy. 0% intracranial hemorrhage in FlowTriever safety profile.
@InariMedical
@davidsshin
@AaronDaubMD
9
24
145
Fecaluria for 4 years treated with plug and cyanoacrylate embolization by a Interventional Radiology. Find an Interventional Radiologist for challenging fistula closures.
@UW
@UWRadiology
@davidsshin
@JVIRmedia
#List
@CVIR_Journal
@SIRRFS
@SIR_ECS
@wadhwa_rad
@JBundyRad
30
36
149
Superior vena cava (SVC) syndrome is the presenting symptom of an undiagnosed malignancy in >60%. Collaboration, thrombectomy, and stent reconstruction result in rapid resolution of symptoms and improved quality of life.
#IRAD
@davidsshin
@FredBertinoMD
@SIRRFS
@PenVascular
11
32
147
Interior vena cava atresia causing venous hypertension and recurrent deep venous thrombosis reconstructed by
#IRAD
. Embryologic dysgenesis or intrauterine or perinatal thrombosis with subsequent regression may be the cause. Special thanks to
@davidsshin
and
#Jones
.
@UW
@EVToday
17
27
143
Thrombectomy and stent-reconstruction have revolutionized the treatment of both benign and malignant superior vena cava (SVC) syndromes.
#IRAD
#InterventionalRadiology
#MoreToCome
@InariMedical
@PenVascular
@davidsshin
@FredBertinoMD
@SIRRFS
@SIR_ECS
@VIVAPhysicians
12
22
142
History of malignancy and life-limiting immobility (wheelchair bound) due to left lower extremity swelling and deep venous thrombosis removed with ClotTriever by
@InariMedical
. Patient walked out the hospital 48 hours later.
#IRAD
#VenousDisease
@SIRRFS
@SIRspecialists
10
25
131
Mediastinal May-Thurner: compression of the left brachiocephalic vein by the innominate artery resulting in pain, swelling, and deep venous thrombosis. Repaired with thrombectomy and stent reconstruction.
#IRAD
@davidsshin
@Eric_Monroe_MD
@UofWa_IR
@VeinForum
@myAVLS
11
32
143
Totally percutaneous extra-axillary, extra-anatomic, veno-venous bypass for debilitating arm swelling secondary to invasive breast cancer. Find an Interventional Radiologist for the most complex venous interventions.
#IRAD
#Venous
#TheFuture
@SIRRFS
@davidsshin
@UW
@Penn_IR
11
38
145
Lower extremity stiffness, swelling, and discoloration with progressive inability to ambulate. Single-session thrombectomy and stent reconstruction. No lytics. No intensive care.
#IRAD
#Venous
@FredBertinoMD
#Vaidya
@davidsshin
@InariMedical
@Thomas_TuMD
@JohannaBagsby
6
17
140
Bye bye swelling after multidisciplinary management and percutaneous extra-anatomic bi-bypass by
#IRAD
.
#CostoclavicularBypass
#ThoracicOutlet
#ChronicVenousOcclusion
Find an Interventional Radiologist.
@JVIRmedia
@SIRRFS
@SIR_ECS
#Vaidya
#Jones
@medravi
@CVIR_Journal
@Philips
14
26
131
Vertebral augmentation with cement migration transferred from OSH and removed endovascularly by
#IRAD
. Consider your Interventional Radiologist for the most challenging foreign body removals.
@UWRadiology
@davidsshin
@SIRRFS
@SIR_ECS
@SIRspecialists
@VeinForum
@medravi
30
22
134
Stop (🛑). Stent placement in a no-stent-zone leads to long-lasting disability. Four treatment attempts over >2 years at outside hospital. Flow restored with minimally invasive venous bypass.
#IRAD
.
@davidsshin
@AaronDaubMD
@SIRspecialists
@UofWa_IR
@UWRadiology
@InariMedical
9
26
131
Non-cirrhotic portal hypertension with portomesenteric thrombosis after splenectomy salvaged with
@PenVascular
lightening ⚡️ 12 thrombectomy and TIPS placement by
@UWMedicine
.
#Johnson
@mabadsantos
@SIRRFS
@SIR_ECS
@medravi
@SVM_tweets
@CVIR_Journal
@PenVascular
@penumbrainc
9
32
132
Central venous recanalization and brachiocephalic/superior vena cava (SVC) reconstruction for chronic venous occlusive disease allows for dialysis access optimization and preservation in end-stage renal disease patients.
@davidsshin
@ajeyakumar12
@FredBertinoMD
@SIRRFS
#Shick
🦃
15
18
130
Persistent swelling after endoluminal recanalization failure. Never give up. Dual extra-anatomic venous revascularization with restoration of in-line flow and resolution of swelling.
#IRAD
#VenousReconstruction
@UW
@UWRadiology
@davidsshin
#Jones
@VenousSymposium
@SIRRFS
20
15
124
TIPS+BRTO+BATO+TRAP with three attendings and two fellows. Teamwork makes the dream work. TIP+BRTO reduces ascites and upper gastrointestinal bleeding to 0% at 1 year.
#IRAD
@UW
@UWRadiology
@JVIRmedia
@CVIR_Journal
@EVToday
@VeinForum
@myAVLS
@medravi
@davidsshin
#Ingraham
10
20
129
Endovascular retrieval of an Angio-Seal polymer anchor using aspiration thrombectomy by
#IRAD
. Reported complication rates are 2.6-3.1% including hematoma, pseudoaneurysm, and device separation leading to limb threatening ischemia.
@AlbertJiaoIR
@Daryl_Goldman
@medravi
@SIRRFS
12
39
126
Saddle (submassive) pulmonary embolism with increasing hypoxia. Thrombus removed, pulmonary pressures improved, and blood saved using the
@InariMedical
#FlowTriever
and
#FlowSaver
.
@davidsshin
@ajeyakumar12
@t_intheleadcoat
@myAVLS
#IRAD
5
19
132
Single-session ICE-guided large-bore thrombectomy and TIPS placement for total portomesenteric venous occlusive disease.
#IRAD
with exciting new treatment options for complex venous and portal illnesses.
@davidsshin
@penumbrainc
@UofWa_IR
@UWRadiology
@SIRRFS
@AaronDaubMD
10
25
132
Single-session large-bore venous thrombectomy for axillary-subclavian vein thrombosis using
@InariMedical
ClotTriever. No lytics. No intensive care.
@UW_RadRes
@davidsshin
@FredBertinoMD
@Thomas_TuMD
@JohannaBagsby
@UofWa_IR
10
18
130
Venous reconstruction of the upper extremity and thoracic central veins provides near-immediate improvement for patients with malignancy-associated superior vena cava (SVC) syndromes.
@davidsshin
@mabadsantos
@UofWa_IR
@SIRspecialists
@SIRRFS
@SIR_ECS
@cirsesociety
@_backtable
10
21
129
PTLD-associated portal rupture and anastomotic dehiscence treated with transjugular and transplenic portal reconstruction with stent-assisted coiling and biliary drainage.
@davidsshin
@mabadsantos
@ajeyakumar12
@UWRadiology
@UofWa_IR
@SIRRFS
@SIR_ECS
#IRAD
@SIRspecialists
19
23
121
Q-TIPS thrombectomy using
@InariMedical
FlowTriever for ascites. Pushing the boundaries to treat our complex venous and portal patients. Future is bright.
#IRAD
@davidsshin
@mabadsantos
@FredBertinoMD
@UofWa_IR
@uclaVIR
@SIRspecialists
@TraineesBSIR
@BSIR_News
@sirs_ksa
17
19
124
ICE-guided parallel TIPS after HCC invasion into uncovered portion of preexisting TIPS (treated with Y90), but with thrombosis. Technical success of second portosystemic shunt is 100%.
#IRAD
@davidsshin
#Johnson
@UW
@UWRadiology
@VenousNews
@VeinForum
@SIRRFS
@SIR_ECS
12
23
124
Acute-on-chronic bilateral iliocaval thrombosis, with an inability to ambulate and failure to respond to anticoagulation, restored by Interventional Radiology.
#LifeChanging
#IRAD
#Venous
@InariMedical
@UWMedicine
@UWRadiology
@SIRRFS
@SIR_ECS
@medravi
@JBundyRad
#Vaidya
7
29
127
Metastatic neuroendocrine malignancy and superior vena cava (SVC) syndrome. Thrombectomy and stent reconstruction may provide durable relief from malignant venous occlusions.
@davidsshin
@mabadsantos
#Quezada
@InariMedical
@t_intheleadcoat
@UofWa_IR
@SIRRFS
@SIR_ECS
9
28
126
COVID-associated portal and mesenteric thrombosis in liver transplant recipient treated with thrombectomy and venous stent reconstruction. Thrombectomy and reconstruction preserve vital organs.
#IRAD
.
@davidsshin
@Eric_Monroe_MD
@InariMedical
@FredBertinoMD
@UofWa_IR
@SIRRFS
9
28
127
73-97% of superior vena cava syndrome occurs secondary to malignancy. Symptomatic resolution achieved in 75-95% of patients with endovenous reconstruction by
#IRAD
. Find your Interventional Radiologist.
@UW
@AaronDaubMD
@Ingraham
@SIRRFS
@SIR_ECS
@JVIRmedia
@VenousNews
@EVToday
11
25
128
Colovesical fistula (CVF) is an abnormal connection between the colon and bladder. Although they are uncommon, CVFs may cause morbidity and affect quality of life. Closure of CVF using a Cardioform septal occluder.
#IRAD
@davidsshin
@mabadsantos
@UofWa_IR
@SIRspecialists
18
16
122
Myelodysplastic syndrome, thrombocytopenia, and inability to move lower extremity due to pain and swelling. Single-session large volume thrombus extraction by Interventional Radiology.
@UWMedicine
#Vaidya
@AaronDaubMD
@FredBertinoMD
@SIRRFS
@InariMedical
@medravi
@UW
@myAVLS
12
17
125
Lytic-free deep venous thrombosis treatment by
#IRAD
and ClotTriever. Complete thrombus evacuation in 100%. No postoperative anemia or renal failure. No ICU care. Mean length of stay 2 days.
#IRAD
@UW
@InariMedical
@VenousNews
@VeinForum
@VIVAPhysicians
@SIRRFS
@SIR_ECS
@EVToday
12
20
121
Drainages may be percutaneous, enteric, or surgical. Multiloculated abscesses may require multiple drainages, catheters, or surgical debridements. Thrombectomy devices, including
@InariMedical
FlowTriever, may facilitate removal of persistent abscesses.
@mabadsantos
@UofWa_IR
10
16
123
IVC filter-associated caval and iliocaval thromboses remain a source of morbidity. Thrombectomy, filter out, reconstruction, and follow-up.
#IRAD
.
@InariMedical
@davidsshin
@mabadsantos
@FredBertinoMD
#Quezada
@UofWa_IR
@SIRRFS
@SIR_ECS
@t_intheleadcoat
@Thomas_TuMD
@JVIRmedia
6
23
121
An important goal for clinicians who care for venous access patients is to preserve and protect the upper extremity and central veins. When lost,
#IRAD
may help with venous restoration.
#InterventionalRadiology
@davidsshin
#Venous
@UWRadiology
@Penn_IR
@UofWa_IR
@SIRRFS
@EVToday
7
13
120
Comprehensive venous care including the management of superior vena cava (SVC) syndromes, deep vein thromboses (DVT), and inferior vena cava (IVC) filters at the Deep Vein Institute (DVI) at the University of Washington.
@UWRadiology
@UofWa_IR
@UWMedicine
@SIRspecialists
@uwnews
10
13
124
Thrombectomy and venous reconstruction may be treatment for acute-on-chronic venous occlusive disease from metastases using “total” and “skip” reconstruction techniques.
#IRAD
@UofWa_IR
@InariMedical
@myAVLS
@lahinchman
@RonaldWinokurMD
@medravi
@MaureenKohi
@t_intheleadcoat
9
21
119
Ruptured 17-cm renal angiomyolipoma (AML) embolized with ethanol/ethiodized oil and particles. Prophylactic and urgent embolization of giant AMLs may reduce hemorrhage and preserve kidney.
#IRAD
@davidsshin
@mabadsantos
@FredBertinoMD
@michaelsoulen
@medravi
@UofWa_IR
@SIRRFS
12
19
112
Over-sized/malpositioned/unnecessary iliocaval stent-associated phlegmesia with total extremity thrombosis. Urgent thrombus removal and reconstruction by Interventional Radiology with restoration of pulses.
@SIRRFS
@SIR_ECS
@UWRadiology
@UWMedicine
@VenousNews
@VenousSymposium
10
14
121
Plug-assisted ureteral sandwich embolization (PAUSE) for the treatment of pelvic malignancy, interstitial cystitis, incomplete diversion, and painful/frequent urination.
#InterventionalRadiology
@davidsshin
@mabadsantos
@UWRadiology
@UofWa_IR
@SIRRFS
@SIR_ECS
#IRAD
13
24
115
Lung transplantation and IgA deficiency. Total caval and bilateral iliocaval thromboses cleared in a single-session. A variety of myeloproliferative disorders (JAK2 and PNH) may cause thromboses.
#IRAD
@InariMedical
@davidsshin
@FredBertinoMD
@UW_RadRes
@myAVLS
@SIRRFS
@SIR_ECS
5
31
117
Increased incidence of upper and lower extremity deep venous thromboses (DVT) in the setting of
#COVID
-19. Revascularized by
#IRAD
. How many practitioners are seeing increased DVT and dysfunctional dialysis accesses? 🙋♂️ Stay well.
@UW
@SIRRFS
@JVIRmedia
@VenousSymposium
@EVToday
11
18
114
Interventional Radiology-operated endoscopy using the
@bostonsci
#SpyGlass
for evaluation and treatment of ischemic cholangiopathy
@UWRadiology
. With a scope there’s hope.
#ComplexBiliaryInterventions
@FredBertinoMD
#AbadSantos
#Vaidya
@medravi
@UWMedicine
7
13
116
Lung cancer is a common cause of superior vena cava (SVC) syndrome. May be relieved through venous stent reconstruction and a group of hard working fellows.
#IRAD
.
@davidsshin
@FredBertinoMD
#Quezada
@mabadsantos
@AaronDaubMD
@UofWa_IR
@SIRRFS
@SIR_ECS
@SIRspecialists
6
25
116
Commissioned portraits from our graduating
@UWRadiology
#IRAD
fellows including kissing iliac stent/sails, viatorr-wielding ninja, and arborizing hepatic arterial anatomy. Wow. It’s amazing to train the future and be apart of the best field in medicine: Interventional Radiology.
9
7
115
Robot-assisted partial nephrectomy on vasopressors. Now stabilized due to collaboration and outstanding
#IRAD
fellow. Transcatheter embolization has a 100% technical and a 97% clinical success for hemorrhagic complications after partial nephrectomy.
@UWRadiology
@UW
@SIRRFS
#Vo
10
14
114
Fibroid-associated chronic iliac vein occlusion. >5 years of being told “nothing can be done.” Venous reconstruction, uterine artery embolization, and nerve blockade.
#IRAD
.
@davidsshin
@mabadsantos
@woerner_md
@UofWa_IR
@SIRRFS
@SIR_ECS
@SIRspecialists
@womenirads
@VeinForum
9
19
113
Cyanoacrylate capture. Thoracic duct embolization after thymoma resection with small volume pulmonary artery cyanoacrylate migration. Don’t panic. Captured. Chylothorax resolved on day two.
#IRAD
.
@GESTSymposium
@SIRRFS
@UW
@uclaVIR
@Penn_IR
@CVIR_Journal
@lympholpogy
10
22
114
Mesenteric ischemia secondary to acute total portomesenteric venous thrombosis treated with thrombectomy and shunt placement by Interventional Radiology. Mesenteric venous thrombosis accounts for 10% of all acute mesenteric ischemia. Find an
#IRAD
.
@UW
@davidsshin
#Khorsand
11
22
115
Malignant superior vena cava (SVC) occlusion with same-day venous stent reconstruction and external beam therapy. Collaborative efforts benefit the patients.
#IRAD
#RadOnc
#Venous
#Reconstruction
#TeamWork
@FredBertinoMD
@davidsshin
@UofWa_IR
@medravi
@EVToday
@SIRRFS
11
21
114
Endovascular tissue sampling using the ClotTriever thrombectomy system provides useful benign, malignant, and infectious histopathologic information.
@InariMedical
@Eric_Monroe_MD
@mabadsantos
@davidsshin
@CVIR_Journal
3
22
114
Oral contraceptives, deep venous thrombosis, profound swelling, and failure to improve with anticoagulation. Single-session thrombectomy and venous reconstruction. Symptomatic relief without postoperative anemia or prolonged hospital stay.
#IRAD
@UWRadiology
@SIRRFS
11
17
112
Intracardiac echocardiography-guided parallel transjugular intrahepatic portosystemic shunt (TIPS) placement for the treatment of recurrent large volume chylous ascites.
#PortalHypertension
@AaronDaubMD
@davidsshin
@SIRRFS
@SIR_ECS
@Eric_Monroe_MD
@medravi
#IRAD
@UWRadiology
12
20
112
There remains suboptimal awareness of Interventional Radiology. Education through primary care, increased online presence with short videos, and representation to public as a minimally invasive specialty may lead to growth and better patient care.
@SIRspecialists
@JVIRmedia
6
27
118
Intra-cardiac echocardiography (ICE)-guided direct intra-hepatic portocaval shunt (DIPS) placement with hepatic vein reconstruction for the treatment of Budd-Chiari syndrome.
@davidsshin
@Eric_Monroe_MD
@mabadsantos
@UofWa_IR
@SIR_ECS
@SIRRFS
@JVIRmedia
@PedRadJournal
#IRAD
8
17
111
Submassive pulmonary embolism (PE) superimposed on chronic thromboembolic pulmonary hypertension (CTEPH) with decompensation. Single-session embolectomy changing the landscape for PE treatment.
@davidsshin
@FredBertinoMD
@mabadsantos
@InariMedical
@UofWa_IR
@t_intheleadcoat
7
25
111
Prior post traumatic total venous reconstruction, thrombosed and symptomatic for 3.5 years; restored with multidisciplinary/multidirectional/multiplanar sharp recanalization. Thankful for amazing colleagues
@davidsshin
,
#Ingraham
, and
@FredBertinoMD
.
#WeCanRecan
#NeverGiveUp
7
17
111
Superior vena cava (SVC) syndrome from metastatic cancer treated in multidisciplinary fashion with chemotherapy, radiation, thrombectomy, and stent reconstruction.
#InterventionalRadiology
@davidsshin
@InariMedical
@FredBertinoMD
@woerner_md
@mabadsantos
@UofWa_IR
@SIRRFS
@myAVLS
9
16
108
Single-session choledocholithiasis (biliary stone) fragmentation and removal using the
@bostonsci
SpyGlassDiscover with lithotriptor.
#StonesOut
#LiveTubeFree
#IRAD
@davidsshin
@FredBertinoMD
@ajeyakumar12
#Hua
@SIRRFS
@UofWa_IR
@medravi
@MairinjamesonB
8
13
111
Triever Aspiration Catheters allow for thrombectomy of the portomesenteric system with new TIPS creation, thrombosed TIPS, and in the absence of TIPS in non-cirrhotic patients.
@davidsshin
@InariMedical
@FredBertinoMD
@mabadsantos
@UofWa_IR
@SIRspecialists
@wais4100
7
27
113
Innovations in image-guidance and venous devices helping advance medicine. Single-session ICE-guided TIPS and ClotTriever-assisted SVC thrombectomy for ascites and upper extremity swelling.
#IRAD
@davidsshin
@ajeyakumar12
@mabadsantos
@UofWa_IR
@SIRRFS
@SIR_ECS
@InariMedical
12
24
107
Upper extremity and thoracic central venous occlusive disease treated with ClotTriever thrombectomy and venous stent reconstruction. Novel techniques for venous preservation and salvage.
@davidsshin
@InariMedical
@t_intheleadcoat
@Thomas_TuMD
@FredBertinoMD
@UofWa_IR
@SIRRFS
5
26
109
In addition to vascular procedures,
@InariMedical
FlowTriever may be used for a variety of non-vascular interventions including abscess and fluid drainages. More to come.
@CVIR_Journal
@Eric_Monroe_MD
@davidsshin
@mabadsantos
@UofWa_IR
@JVIRmedia
6
23
107
Malignant superior vena cava (SVC) syndrome from unknown primary. Diagnostic and therapeutic benefit from thrombectomy and stent reconstruction.
#ComplexVenousDisease
@InariMedical
@SIRspecialists
@UofWa_IR
@CVIR_Journal
@davidsshin
@mabadsantos
@ajeyakumar12
9
18
110
Percutaneous long-segment extra-anatomic iliac vein bypass for debilitating swelling. Find an Interventional Radiologist for innovative solutions to the most complex venous problems.
@UW
@davidsshin
#Vaidya
#Jones
@AaronDaubMD
@EVToday
@VenousNews
@SIRRFS
@myAVLS
@SVM_tweets
14
23
107
Retroperitoneal fibrosis, caused by IgG4-related disease, is a rare cause of lower extremity edema and morbidity. Occurs in 0.1/100,000. Two patients reconstructed by
#IRAD
. Find an Interventionalist.
#Jones
@davidsshin
@AaronDaubMD
@UW
@EVToday
@VenousNews
@GESTSymposium
9
18
105
Transvenous retrograde lymphangiography for the evaluation and treatment of chylous leakages. Prominent cervical adenopathy and intact duct. Many future research directions from
#IRAD
colleagues for these challenging cases.
@davidsshin
@FredBertinoMD
@UofWa_IR
@SIRRFS
@medravi
10
21
111
Venous stent dysfunction, including thrombosis, may occur in 62% of the patients previously treated with stent reconstruction at 5 years. Aspiration thrombectomy with FlowTriever may represent a single-session technique for restoration of thrombosed venous stents.
@InariMedical
3
24
109
15 episodes of variceal hemorrhage and ascites treated with TIPS + embolization by
#IRAD
. TIPS + embolization improves shunt patency and decreases recurrent hemorrhage at 6-months, but not 3-years. What’s your approach?
@UWRadiology
@UW
@davidsshin
@JVIRmedia
@SIRRFS
@SIR_ECS
11
11
104
Percutaneous extra-anatomic venous bypass offers an opportunity to preserve dialysis accesses in patients with costoclavicular occlusive disease.
#IRAD
@UWRadiology
@UofWa_IR
@myAVLS
#HappyNewYear
@SIRRFS
@LessneVIR
11
18
108
Lower extremity ulcerations and varicosities from recurrent venous occlusive disease and caval atresia repaired by Interventional Radiology. Excited to expose the residents and fellows to complex venous disease.
@davidsshin
@UW
@UWMedicine
@SIRRFS
@SIRspecialists
@SIR_ECS
13
11
108
Large-bore aspirations using the
@InariMedical
FlowTriever may serve as a reasonable treatment option for hematoma drainages. More to come.
@davidsshin
@Eric_Monroe_MD
@mabadsantos
@UofWa_IR
@JVIRmedia
@CVIR_Journal
5
19
109
Bilateral lower extremity deep venous thrombosis treated with ClotTriever and venous reconstruction. ClotTriever thrombectomy with mean hospital stay of 2 days and no need for intensive care unit admission.
#IRAD
@UWRadiology
@UW
@davidsshin
@InariMedical
@medravi
@SIRRFS
10
24
106
Argon Option disfigured and mangled at outside hospital. Retrieved using advanced retrieval techniques.
#IRAD
. Single piece of nitinol leads to enhanced integrity.
#FilterOut
@davidsshin
@FredBertinoMD
@ajeyakumar12
@UofWa_IR
@SIRRFS
@SIRspecialists
@SIR_ECS
@medravi
14
12
104