Isael Perez MD
@MDPerezI
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Board Certified Vascular and Interventional Radiologist Banner Desert Medical Center. IR trained at Einstein-Thomas Jefferson. Former ESIR at SUNY Stony Brook
Phoenix, AZ
Joined December 2020
Coming into a full schedule today and likely busy call weekend
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Got a call overnight for a patient and as the doc was telling me about the case they said I have never talked to you before but I wanted to let you know how appreciative we are for you and your group cause you guys do such a good job and always help our patients. 🥲.
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After a year of being out of training I would say the best thing is to have a stable of people you can ask opinions on to their approach to a case. That even includes people outside your specialty sometimes.
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Obstructed pregnant patient nephrostomy .Vertebral body bone biopsy .Celiac plexus block with complete cessation of pain post procedure .Renal cryoablation .Massive pulmonary artery thrombectomy. All on a Tuesday. It’s why I love IR. You can make such a huge impact so many ways.
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Due to their age I did not stent. I did use IVUS and ended up plastying. With plan for close follow up and if they develop symptoms again, plan for stenting.
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I didn't immediately coil him but I did come back after a few days . MELD came down to 25 and he never developed HE. He ended up getting discharged.
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Two recent dilemmas curious what other opinions are. TIPS consult for refractory bleeding MELD of 35. After TIPS do you immediately eliminate the branches? Case 2 patient with MTS do you immediately stent and does patient age influence that decision?
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Huge uptick in PE cases lately. We have done 6 in the last week with half of them being massive.
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Some recent declots. Surprised by the chronicity of some of the graft clot here .
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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.
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RT @AshuPJadhav: Transradial Versus Transfemoral Access for Mechanical Thrombectomy: A Systematic Review and Meta‐Analysis | Stroke: Vascul….
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RT @StrokeAHA_ASA: #STROKE Randomized #ClinicalTrial shows contralesional theta burst stimulation promotes upper limb motor recovery after….
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RT @teachplaygrub: 1/The 90s called & wants its carotid imaging back!. It’s been 30 years--why are you still just quoting NASCET?. A #tweet….
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Big neuro day.First pipeline aneurysm stenting ✅.First stroke thrombectomy using the route 92 freeclimb 70 system ✅.
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RT @dougbeall: Attention all Radiologists:.Stop calling these compression deformities. They are fractures. When pts are referred for treatm….
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