Thread by @keithppereira

Highlights Day 1 of #SIR20VIR, #Irad Interventional virtual meeting!

#MedTweetorial

⚫️ 1.Scientific Session
a. 🟡 Dialysis Related
b. 🟢 Others
🔴 #PAD-CLI Bootcamp
🔵 Practical Controversies in #PAE

(Long thread, use color code to jump to relevant sections)

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🟡 1a Dialysis related

Abstract of the year:

Are PTFE covered stents going to be standard of care to address the venous outflow stenosis in AV fistulae (AVeNEW) and AV grafts (AVeVA)?

Results from Dr Bart Dolmatch

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🟡 1a Dialysis related

CONCERTO (COmbiNing Cutting and drug-Eluting balloon for Resistant arteriovenous fistula sTenOsis) Pilot Study showed great promise for use of the combination therapy for AVF

First Author:
Mark Wang, Singapore General Hospital

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🟡 1a Dialysis related

@roblookstein presents the much awaited economic impact of use of DCB in for AV access stenosis.

DCB use can lead to substantiative per-patient and health system benefits (upto 250 m to medicare)

4/

🟢 Scientific Session: Pulmonary Embolism

EXTRACT-PE: Aspiration thrombectomy for PE with Indigo aspiration met primary efficacy and safety endpoints with 27.3% reduction in RV/LV and a low 1.7% major Adverse event rate. @akhileshsistaMD

5/

🟢 Scientific Session: Geniculate artery Embolization for knee Osteoarthritis

@SandeepBaglaMD presenting ⚡️ BREAKING NEWS ⚡️ for #Irad.

A sham trial showed #GAE did better than sham in improving pain and disability #GAE for #OA

6/

🟢 Scientific Session: Embolization in #MSK adhesive capsulitis -frozen shoulder

@SandeepBaglaMD @AriIsaacsonMD lead the forefront in #MSK embolization showing significant VAS, ASES and SANE scores . Needs further research!

One more new frontier for #Irad!

7/

🟢 Scientific Session: Gall bladder cryoablation for chronic cholecystitis @ArizonaVIR

86% technical success
All patients symptom free at 1 year
Safety to be determined- better patient selection?

This may prove to be a great solution to a debilitating condition!

8/

🟢 Scientific Session: Percutaneous Ultrasound Gastrostomy (PUG) @DerekWCool

Feasible with reasonable safety profile

No fluoroscopy! So great avenue for performing gastrostomy tubes without anaesthesia, without a scope and NOW bedside in ICU without fluoro?

9/

🟢 Scientific Session: #Irad delivering healthcare by going to the patient in rural america and performing consults, wound care, as well as basic procedures like PICC, feeding tubes and so much more!

@NazarGolewale

#Irad #BetterMedicine

10/

🔴 #PAD-CLI Bootcamp

Training in #CLI has had a new resurgence and interest among #Irad trainees! Lots of exciting stuff for you all!

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🔴 #PAD-CLI Bootcamp

James F. Benenati talking about Current Role of Balloons, Stents and Atherectomy Devices in SFA, touching on DCB and atherectomy CONTROVERSIES and road ahead!

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🔴 #PAD-CLI Bootcamp

@paragpatel_IR gave an excellent CLI: Disease Review and Pre Procedure Evaluation...so many awesome take home pearls!

@DrBobBeasley spoke about DCB and new self expanding microstent for difficult tibial disease!

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🔴 #PAD-CLI Bootcamp

@Watts_IR broke down a very difficult topic down for us. Role of atherectomy in below knee interventions:

1. Vessel prep to reduce calcium load and decrease PTA balloon pressures, less chance of rupture
2. Improved uptake of drug into vessel wall

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🔴 #PAD-CLI Bootcamp

@JRUNMD showed how to navigate complex tibial occlusions.

SO many amazing techniques!...Ferraresis, Rendez vous and what not!..this is beyond text book stuff!

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🔴 #PAD-CLI Bootcamp

While @bretwiechmann showed some awesome new tools, @arslanmd spoke to complex pedal interventions and @kmadass said that "NO-OPTION CLI" is really a misnomer unless ALL OPTIONS irrespective of experience and ego are explored!

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