Discover and read the best of Twitter Threads about #CIRSE2020

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Learning points taken so from #CIRSE2020
Biliary:
Transpapillary Vs suprapap biliary stenting. Suprapap stent placement is safer, avoids postop pancreatitis with similar clinical results, stent patency and patient survival . Clinical success was associated with survival increase
If you're going to do a percutaneous caecostomy, ensure there is a follow up definitive plan. Better to swing towards a colonic stent if you can.

Fibroid embolisation:
Hydronephrosis is not a CI to embolisation
PE risk is 1 in 400
10mg dexamethasone IV 1 hour pre UAE
Fibroid embolisation cont:
Wait 6 months post UAE and post procedure MRI before commencing pregnancy.  
Any fibroid that touches the endometrium has a risk to pass. The larger the fibroid the higher the risk.
>50% of the fibroid in the cavity = high risk of passage 30-40%
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