Ep. 473 Portal Hypertension Treatment Strategies: IR and Hepatology Perspectives with Dr. Thomas Leventhal and Dr. Siobhan Flanagan

The management of portal hypertension has drastically evolved over the years. What are the current best practices? And what’s coming next? Dr. Tom Leventhal and Dr. Siobahn Flanagan from University of Minnesota Medical School join us for an interdisciplinary discussion. Dr. Leventhal is an Associate Professor of Transplant Hepatology and Dr. Siobhan is an Associate Professor of Interventional Radiology.

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SYNPOSIS

The doctors discuss current collaborative approaches that are improving portal hypertension patient care, the impact of contemporary clinical practices in transplant hepatology and IR, and the imminent future of portal hypertension treatments. Dr. Leventhal also gives his insight on what could be on the horizon, touching on in-vitro organ creation, xenotransplants, and stem cells phasing out immunosuppression.

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TIMESTAMPS

00:00 - Introduction

06:10 - Managing Portal Hypertension

07:51 - Current Collaborative Practices

10:38 - Patient Referral and Management

15:25 - Initial Workup for Portal Hypertension

19:27 - Role of Biopsy in Diagnosis

24:02 - Patient Scenarios for TIPS Referral

32:04 - Ultrasound and Intracardiac Echocardiography (ICE) in TIPS

38:09 - Clinical Management

52:48 - Future of Transplant and Organ Growth