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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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.
Check Pre-Op Labs Thoughtfully
- Always check pre-op labs that affect bleeding and renal function before IR procedures.
- Recognize that coags in liver disease or heme malignancies don't reliably predict bleeding risk.
Manage Anticoagulation Risk
- Treat all new IR puncture procedures as high bleeding risk and manage anticoagulation accordingly.
- Routine drain exchanges typically don't require stopping anticoagulation.