Vista Radiology Utilizes New Device in Treatment of Large-Bore Catheter Procedures

Vista Radiology Utilizes New Device in Treatment of Large-Bore Catheter Procedures 

Vista Radiology is one of the first practices across the United States participating in ground-breaking medical trials of a new device used in large-diameter catheter procedures like Pulmonary Embolisms – a condition in which one or more arteries in the lungs become blocked by a blood clot, Venous Thrombosis – treatment of deep vein clots, Transjugular Intrahepatic Portosystemic Shunt (TIPS) –  intervening with a shunt (tube) placed between the vein which carries blood from the intestines and intraabdominal organs to the liver and the hepatic vein, which carries blood from the liver back to the vena cava and the heart as well as in Pacemaker Implants.

FlowStasis, manufactured by INARI Medical, is a device that simplifies closure of the large bore venous access sites which are required for the use of the FlowTriever device used for suction thrombectomy of pulmonary emboli and the ClotTriever device used for DVT treatment.

Dr. Jeffrey M. Roesch, Interventional Radiologist with Visa Radiology, shared, “The FlowStasis device not only simplifies closure of the access site, it is also more comfortable for the patient.” He added, “With this device, the patient is able to rest more comfortably overnight.”

Most recently, Dr. Roesch utilized FlowStasis in the treatment of a 55-year-old male with a history of alcohol use and liver disease.  It was the first time the FlowStasis device was used for a large bore jugular access.  It was also the first time in the country that the FlowTriever system was used for portal vein thrombosis, which is notoriously extremely difficult to treat.  The patient was very ill, but thanks, in part, to Dr. Roesch and the ground-breaking new technology, he is doing very well.

Physician Highlight: Rupesh Patel, M.D.

Physician Highlight:
Rupesh Patel, M.D.

Originally from India, Rupesh Patel was raised in Wiggins, Mississippi alongside his sister who is an internal medicine physician with StateCare in Knoxville.

He completed his undergraduate degree in molecular biology at the University of Southern Mississippi in Hattiesburg. Rupesh was always very interested in science and technology. The idea of pursuing medical school was a logical next step for him after finishing his undergraduate degree. He attended the University of Mississippi Medical Center in Jackson thereafter. Rupesh completed a 5-year diagnostic radiology residency in Memphis, Tennessee where he spent time at LeBonheur Children’s Hospital which is where he fell in love with pediatric radiology. “I love pediatric radiology because it’s a whole different world. You have to think outside of the box with pediatrics,” he shared. The interdisciplinary care provided at LeBonheur really drew him to pediatrics. This led him to pursue additional training in a pediatric radiology fellowship at the Cincinnati Children’s Hospital.

Dr. Patel enjoys radiology because it combines both of his passions for science and technology. He continued, “Every scan is a puzzle that you have to solve, and they are very thought provoking.” When asked what he enjoys most about his role, he described the impact radiology has on guiding patient care. Furthermore, improved technology has made it possible to provide radiologic care to remote hospitals that are underserved. He admits that every scan he reads presents a new challenge. “I am always learning, looking up articles and literature. The Knoxville region has some pretty rare conditions that I have only read about,” he explained. Dr. Patel enjoys the many challenges of his role.

When asked why he chose to join the Vista Radiology group, he explained his interest to join a versatile group with a focus on pediatric radiology. He was also quick to add that he wanted to be closer to his niece and nephew whom he enjoys spending lots of quality time with. When he’s not with family, Dr. Patel enjoys road trips, traveling, and playing video games.

A Patient Story – Dan

A Patient Story – Dan

Dan O’Reilly spent most of his life just outside Detroit in Troy, Michigan where he had a successful career in divisional sales for Kmart. A little over 7 years ago, he and his wife decided to retire to scenic Crossville, Tennessee where Dan could enjoy golfing in the beautiful Fairfield Glade community.

A few months ago, Dan began experiencing bouts of dizziness and difficulty swallowing. It wasn’t until he had several occurrences falling that he knew he needed to seek help. When he entered the Cumberland Medical Center, they immediately identified his stroke. The medical team reached out to Ft. Sanders Regional Medical Center and Dan was transported immediately via helicopter.

Dr. Keith Woodward, neuro-interventional radiologist with Vista Radiology, was able to immediately recognize the problem and prepare the team for his arrival from Crossville.

While Mr. O’Reilly was being transported via helicopter, his wife followed by car to meet him at the hospital in Knoxville. He recalled the experience happening rather fast and before he knew it, he was on the operating table. “I saw Dr. Woodward going into my arteries on a TV monitor in the room. What looked like pointers going into my brain were actually his moving into my arteries to clean out the blockage,” he described. Mr. O’Reilly didn’t experience any pain and was able to return home five days following his procedure.

When Dan visited Dr. Woodward during a follow up appointment, he showed him footage from the operation and pointed out all of the areas that were blocked. “I looked at Dr. Woodward and I told him, ‘You are a miracle worker.”

Dan has returned to many of his favorite retirement pastimes including working in his yard, gardening, and golfing!

Physician Highlight: Margaret Brown, M.D.

Physician Highlight:
Margaret Brown, M.D.

Originally from Minneapolis, Minnesota, Margaret was the eldest of three children. She enjoyed figure skating and cheerleading for the area hockey team. Margaret admitted that she didn’t intend to become a doctor. She wanted to major in Physics and was drawn to science. She choose Smith College, in part, to be near her grandmother who had survived cervical, breast, and lung cancers but was fighting kidney cancer. Margaret’s grandmother succumbed to her battle just after she graduated from college. Her desire to help others, like her grandmother, through health crises became clearer.

During her junior and senior year, she stumbled into a job. The position was located in Cincinnati, Ohio working for a quadriplegic radiologist who specialized in breast and emergency imaging. Margaret was the hands and feet for the doctor for 13 months. It was just enough time to get a taste of what she knew she wanted to do. Afterwards, she applied to medical school in Cincinnati.

When asked why Dr. Brown chose women’s imaging, she shared, “I love many aspects of the field of radiology. Many radiologists do not have patient interaction, but women’s imaging is different. I talk to patients all day. I am able to reassure them about the things they are worried about.” She continued, “Finding out you have breast cancer is frightening, but together we can make it a less horrible experience. That is the goal of everyone in our practice.”

As she reflected about her grandmother’s breast cancer and her work with the quadriplegic radiologist, she explained how helping women through breast cancer diagnosis and treatment became her passion.

Dr. Brown shared that the biggest challenge she faces in her role is the desire to never make a mistake. “You want to catch everything as early as possible. Helping someone through something so scary while being a calm and helpful resource can be very challenging,” she reflected.

“I chose Vista Radiology because they are one of the few larger groups that embraces sub specialists and recognizes that there is space for all different types of radiologists. “Everyone works together for the best patient experience,” she continued.

Dr. Brown’s family is her cornerstone. She loves spending time with her two daughters while enjoying meals or adventures on their sailboat. You might spot her at the Friday night high school football game where she volunteers in the marching band concession stand or at local girl scout events. When she’s not walking her two dogs, she’s curled up with one of her favorite books.

A Patient Story – Donald

A Patient Story – Donald

Originally from the Sugarlands in Gatlinburg, Tennessee, Donald Trentham was excited to move back “home” to nearby Dandridge in 1992.  Mr. Trentham grew up in the automobile business.  At 11 years-old, he drove his brother’s Bonneville over 140 mph which led to many thrill seeking adventures throughout his life.

In 2015, he was out for a motorcycle ride, when he knew there was a problem.  Mr. Trentham didn’t feel well.  As he approached a stop sign, he blacked out and fell over on his motorcycle.  Afterwards, he stopped riding his motorcycle for fear there might be an underlying problem.  A few days later, he awoke at 2:30 a.m. to his arm hurting.  He grabbed a ball squeezing back and forth to ease the pain.  Moments later, he fell to the floor.  Luckily, his wife heard him fall and immediately called 911.  When the paramedics arrived, they immediately notified his wife that he needed to be transported to Fort Sanders Regional Medical Center because he was suffering from a stroke.

Mr. Trentham recalls being awake as Dr. Keith Woodward, Neuro-Interventional Radiologist, performed a life-saving procedure to remove the clot from his brain.  He suffered from a corroded artery behind his right ear.  Mr. Trentham explained how he was awake the entire time but was unable to move or talk until suddenly things returned to normal.  “Dr. Woodward saved my life.  He acts like a regular guy, but he is one of the top doctors in his expertise in the country,” Mr. Trentham shared.  He continued, “I wanted to repay him for all he did for me. I offered him a ride in my hot mustang!”

Mr. Trentham was in the hospital for two days following his procedure for observation.  “I am at 95% of what I was prior to the stroke and do experience occasional tingling,” he shared.  He undergoes an annual ultrasound which gives him the perfect opportunity to share about his latest car adventures with Dr. Woodward.

His love for speed has not changed.  Mr. Trentham regularly races a 520 Mustang Bullet online using his 4K 65” TV complete with pedals, steering wheel and racing seat.  “It’s as close to real racing as I’ll ever be,” the 69 year-old gleefully shared.