Treatment of Acute Portal Vein Thrombosis w/ Dr. Ben May | BackTable Podcast Ep. 541

To TIPS or not to TIPS? More than ever, younger patients are presenting with acute portal vein thrombosis (PVT) that requires intervention beyond anticoagulation alone. These patients need safe, effective options that offer long-term resolution and a good quality of life after treatment. In this episode of the BackTable Podcast, Dr. Benjamin May, Interventional Radiologist at Weill Cornell Medicine, discusses the evolving treatment landscape for acute PVT. --- SYNPOSIS Dr. May shares insights into the changing interventional approaches, highlights the utility of tools such as suction thrombectomy devices, and explains how his best practices have developed over time. He emphasizes the continued importance of anticoagulation therapy, explores the potential complications and outcomes of various interventions, and discusses how thrombus location and characteristics influence his clinical decisions. With real-world scenarios and a step-by-step walkthrough of his decision-making process, Dr. May offers a comprehensive look at modern strategies for managing acute portal vein thrombosis. --- TIMESTAMPS 00:00 - Introduction 05:46 - Diagnosing Portal Vein Thrombosis 10:52 - Management Options for Acute PVT and What is Safest? 21:09 - Choosing an Intervention Approach 26:19 - Tackling Large Bore Thrombectomy 32:37 - Learnings and Tips for Successful Thrombectomy 39:50 - Impact of Thrombus Location on Intervention Approach 45:01 - Post-Care and Follow-Up 49:46 - Final Thoughts and Encouragement --- RESOURCES “Transjugular Intrahepatic Portosystemic Shunt and Thrombectomy (TIPS-Thrombectomy) for Symptomatic Acute Noncirrhotic Portal Vein Thrombosis” (Shalvoy, 2023) https://www.jvir.org/article/S1051-04... --- The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Get notified when new episodes drop! Subscribe to the BackTable Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular vascular and interventional updates. ► https://www.backtable.com/shows/vi/su... #VI541 #interventionalradiology #hepatology #thrombosis