![]() ![]() David Prologo MD, FSIR, ABOM-D Sunny Murthy Lorenzo Patrone Vascupedia Arun Jagannathan Peder Horner J. Thank you to our sponsor for this episode Boston Scientific!!Īparna Baheti MD Sabeen Dhand Kyle Cooper Janice Newsome Maxwell Cooper, M.D. Listen below to learn more!! #meded #collaborativelearning #interventionalradiology #renalcare #traumacare #minimallyinvasive #podcast His parting advice to trainees and anyone doing kidney biopsies is to exercise caution, because although it is just a biopsy, it can cause life-threatening bleeding. He generally follows patients in the hospital for 1-2 days, before signing off. When he is finished, he injects first through the microcatheter and then again through the base catheter to ensure he hasn’t missed any bleeding. Nima prefers detachable fibered coils, so they can be adjusted if positioning is unsatisfactory. Some of his colleagues will also use glue for the kidney. He always uses coils in the kidney, while in the liver, he tends to use gel foam. For his microcatheter, he likes the True Select. ![]() In cases where there is only a small pseudo-aneurysm or a perinephric hematoma, these patients can be monitored with repeat imaging.įor the embolization, Nima uses radial access. If the injury is severe, and there is no parenchymal enhancement, this indicates either the artery or both the artery and vein were transected, and this patient requires surgery. If there is an active bleed, they will go to IR for embolization. All kidney injuries are evaluated and reported using the American Association for the Surgery of Trauma (AAST) grading scale. ![]() To work up a renal bleed, Nima typically gets a 2 phase arterial and venous CT. This week on BackTable: It's a special week of embolization topics leading up to Global Embolization Symposium & Technologies (GEST) 2023! In this episode, host Christopher Beck MD interviews Nima Kokabi, MD FRCPC about renal embolizations for bleeding (iatrogenic and trauma-related), including imaging workup, embolization technique, and tips for safer renal biopsies. ![]()
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