In this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews Dr. Osman Ahmed about treatment algorithms and new technologies for upper gastrointestinal (GI) bleed embolization. Dr. Ahmed is an interventional radiologist at the University of Chicago.
The doctors dive into various embolization techniques, microcatheters, and embolic materials that are ideal for managing upper GI bleeds. Dr. Ahmed highlights the importance of understanding the etiology of bleeding, differences between arterial vs. venous bleeding, and first-line therapies such as endoscopy. Dr. Ahmed also discusses the utilization of new embolic materials like Obsidio Embolic, which is designed specifically for peripheral use, and its advantages in achieving rapid and complete vessel occlusion. Additionally, the doctors cover pre-procedural imaging, procedural techniques, and operator preferences for microcatheters and embolic devices. They emphasize the procedural nuances, operator comfort, and evolving technologies in the management of GI bleeds.
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Boston Scientific Obsidio Embolics
https://www.bostonscientific.com/obsidio
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SHOW NOTES
00:00 - Introduction
03:29 - Discussion on Upper GI Bleeds
06:35 - Pre-Procedure Imaging for Upper GI Bleeds
11:16 - Procedure Walkthrough for Upper GI Embolization
19:51 - Understanding Mesenteric Anatomy
22:50 - Embolization Devices: Coils and More
25:31 - Exploring Obsidio: A New Embolic
32:55 - Post-Procedure Care
34:17 - Case Discussions and Final Thoughts
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RESOURCES
Navigating Early Cases with the Obsidio™ Conformable Embolic - GEST 2023 Webinar with Dr. Ahmed:
https://thegestgroup.com/webinar-featuring-obsidio/
BackTable VI Episode #179 - Happiness is a Warm Coil: Treating GI Bleeds with Dr. Donald Garbett:
https://www.backtable.com/shows/vi/podcasts/179/happiness-is-a-warm-coil-treating-gi-bleeds
BackTable VI Episode #216 - Stick It: Glue Embo with Dr. Ziv Haskal:
https://www.backtable.com/shows/vi/podcasts/216/stick-it-glue-embo
BackTable VI Episode #321 - New Innovations in Lower GI Bleed Embolization with Dr. Kevin Henseler:
https://www.backtable.com/shows/vi/podcasts/321/new-innovations-in-lower-gi-bleed-embolization
Obsidio - Conformable Embolic:
https://www.bostonscientific.com/obsidio