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2020 was full of formidable healthcare challenges, some carrying over into 2021; but fighting this trend is a must for us to stay committed to caring for our patients: bloomberg.com/news/features/…

Always great collaborating with my old #orthotwitter crew: recurrent pain & hemearthrosis s/p L TKA. Angio shows hyperemic synovium, lat>med w/ resolution post selective genicular artery embolization w/ Merit Medical Embospheres. No more opioids, no revision. @rads99md Mustafa Syed

Amazed at what just a little bit of time utilizing Inari, now part of Stryker ClotTriever, IVUS, some nitinol, and a few PTA balloons did for my patient’s #QoL after years of pain, edema, and mobility issues. #IVUSisTRUTH

Who says Boston Scientific PI MedEd’s TruSelect is only for #pae? Perfect for #gae too! Post L TKAx1yr w/ recurrent hemearthrosis and sup-lat pain - perfect angio correlate. Beads + 🧊=no pain/opioids, no revision. Helping fight the #opioidcrisis and ⬆️ #QoL with #orthotwitter colleagues.

Extrahepatic portosystemic shunt leading to encephalopathy. Ammonia ~200s. Post treatment ~30. Mental status improved and discharged. SIR ECS SIR RFS Jamil Shaikh Aaron DuCoffe, MD @billmajdalany Janice Newsome MD FSIR @ZachBercuMD Nima Kokabi MD Emory University Interventional Radiology

Pathologic inf. pubic ramus fracture w/ nonunion on high dose #opioids. Boston Scientific PI MedEd Cryoablation, Reduction Osteoplasty, and “Rebar/Scaffold” Stent-Assisted Nonunion Cementoplasty w/Medtronic Spine’s PMMA ➡️ immediate post-op pain relief. #twitIR #orthotwitter Society of Interventional Radiology

Long-standing baseline & post-prandial pain with assoc. weight loss; remote hx of GDA embo for duodenal ulcer, now healed on EGD. SMA 6mm VBX flared to 8mm at ostium - pain resolved, normal PO intake & gradient from 38➡️5. Like cracking a summertime 🦀 claw.

Non-healing ant/lat wound (8 mos DMII wound care) w/ CTO of ATA w/o adequate collaterals despite 2-vessel runoff. Uncrossable ante; successful retrograde angiosome recanalization w/ Cook Vascular Advance Micro ULP PTA and “significant improvement” in wound @ 1st f/u #clifighters

#PAVM How do you treat? Feeding artery (FA) plug versus Nidus + FA versus other? @EmoryRadiology Emory University Interventional Radiology

All that played in my head throughout this splenic embo via PDA 2/2 chronically occluded celiac artery was “Love Rollercoaster” by the Ohio Players…which are the only players from that state I respect because #GoBlue and college football is back!

Students, residents, and fellows: remember, always use protection. | R4 rest pain - culprit captured & recalcitrant stenosis treated w/ Abbott Cardiovascular #supera - pain resolved. SIR RFS SIR ECS Society of Interventional Radiology Medtronic MedtronicAPV #spiderFX #endovascular #twitIR #PAD

Infinite thanks on #thanksgiving: family/friends/etc., our amazing fields, (#irad) and the ways #MedTwitter treats patients, who I am thankful for every year to help. To further help w/ our advanced treatments, all should check out this amazing movement: ripmedicaldebt.org

Disclaimer: this tweet is less about the excellent (#humble) #Gore Excluder Conformable Endoprosthesis and more about one of the most beautiful and inviting #aaa necks I’ve ever worked on. #CollaborativeVascularCare #aorta #aneurysm #irad Society of Interventional Radiology SIR ECS SIR RFS

All aspects of diagnosis and treatment approaches to Wound Healing and Limb Preservation explored and debated today in this excellent multidisciplinary Symposium. Further insights and wet labs tomorrow. Vickie R Driver Aaron DuCoffe, MD @Dipanka33201618 Paul White

#irad, #vascsurg & #CTSurg #aorta collab: Type I dsxn s/p surgical arch/root repair & valve resusp w/ persistent dsxn from LSCA to bifurcation. Gore TBE with VBX flared at gate from wire snared from L radial + Cook Vascular petticoat with excellent LSCA and visceral perfusion.

Dear Society of Interventional Radiology, SIR ECS, SIR RFS, #twitir, FutureVascSurgeons, Vascular SVS, The Society of Thoracic Surgeons, American College of Cardiology and anyone else who currently or aspires to access groins, Respect the 👑☠️. #variants Sincerely, Aaron DuCoffe, MD

In honor of The Masters week, a “country club” EVAR - mainly b/c of the multidisciplinary foursome we’ve built to care for patients w/ the full spectrum of cardiovascular disease amongst #irad, #vascularsurgery, #CTSurgery, and #cardiology. #aortaed 6.1 cm AAA treated w/ #gore.