@DrIngold @IM_Crit_ Thanks! That being said I know people who just remove these 🤣…. I didn’t wanna take that chance with this all the way in the IVC.

@Qarnihassan4 Shookran 🤝

@jwalkermobile Good. If you get a big bill , go through it line by line and talk to financial services. See if you can remove bogus charges or settle for a cash price with a payment plan.

@bikepeter How’s the fresh crack on 22? My friend and I are supposed to open 2013 sometime this year

@DrWhyWho @ChengaziMD @JayMathewsMD @RadDoc24 @Dr_Sudi @penumbrainc @t_intheleadcoat @CHICKVIR @kmadass @keithppereira @iRadRock @AustinBourgeois @NevdeK @iRadBIR_Chennai @_backtable If you can’t cross to thigh- can always do small bore puncture in femoral vein and floss

@theblanketdog @PenVascular Looks like aortobifem which makes sense w the clot forming in a Dacron graft

@IR_Doctor @drcostantino1 Let’s be real folks it’s a KMP

@JohnMFodera Madonna delle grazie and del piano

That’s a hot take and I think it’s not wise to deal in absolutes. I attended a TIPS course one time and the proctor routinely did co2 only cases in 10mins FT or less. Even he admitted ICE has a role in some select cases but he mainly uses in as a teaching tool for new generation. You may be very skilled at traditional fluoro / Co2 guides TIPs but not everyone is. There are operators who avoid the procedure altogether

@JohnMFodera Let us know if the 2019 riservas are a cut above in this fantastic vintage.

@djb6226 @iRadPulse @JVIRmedia Doc that’s great but it’s like US guided PCN. If you weren’t trained well by a fluoro guided TIPS specialist, or fluoro guided PCN/ PTBD specialist , you will struggle to develop those skills in indepdant practice. I am fortunate. I was trained in all of those modalities.

@ChengaziMD @jcgeorgemd @PhilipsHealth @ReVascMed @jfinleyIV @GPAngioClub @ACVCPhila @PhilipsPR @CookMedical @tarheeldylan @DonGarbettMD For me, I often will be able to easily grab the fibrin cap but once it’s dissected i usually won’t be able to grab the filter apex, which is why I set a timer for dissecting then go to hangman

@AmputationSuck Brian , if you saw a TIPS with and without ICE guidance , you’d understand that you can’t put a $ value on its importance

@ChengaziMD @jcgeorgemd @PhilipsHealth @ReVascMed @jfinleyIV @GPAngioClub @ACVCPhila @PhilipsPR @CookMedical @tarheeldylan @DonGarbettMD I rarely “pull” w the forceps. Mainly a dissection tool then move to hangman and argon Kodiak like Harris said. Have done up to 16yo dwell times w that tool kit and have a 20 yo filter in the works

@KyleCooperMD Always a fear. I am very tedious to always hit the trocar with a gush of saline every time we manipulate. Amazing how often the saline gets sucked in the lung in less than a Second.

@KyleCooperMD @SIRspecialists @SIRRFS @SIR_ECS @cirsesociety @LLUHealth @LLUMedCenter @LLUMedSchool There are performed Simmons and Roberts catheters out there, eyeing you menacingly , knowing you have the skills to do what others can’t.

@AustinBourgeois Concertx is great. This week we used our last one on the shelf for a bilateral internalization. Techs got to see an “old school” JJ stent placement on one side and a convertx on the other. Good learning for them