Core IM | Internal Medicine Podcast #177 Interventional Radiology (IR) 101: 5 Pearls Segment
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May 14, 2025 Olamude Olalade, an Interventional Radiology Fellow at Brigham and Women's Hospital, shares insights into the fascinating world of interventional radiology. He discusses when to utilize ultrasound, CT, or MRI before consulting IR, and the key factors involved in pre-op evaluations. Listeners will learn about drain management, including tips for troubleshooting issues before reaching out for assistance. Olalade also touches on the importance of outpatient follow-up and practical guidelines for drain placement and removal.
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Multi-Phase CT For Bleeding
- Multi-phase CT imaging is crucial for accurate bleeding assessment in IR consults.
- It prevents misinterpretation caused by pre-existing bowel calcifications or oral contrast.
Understanding Chronic DVT Clots
- 'Chronic DVT' means scarred veins, not old clot masses.
- Collaterals form as veins narrow and scar, increasing risk for new clots.
Honest Counseling Before IR
- Counsel patients honestly about IR procedures' benefits and long-term commitments.
- Set expectations about potential lifelong drains and quality-of-life impacts.