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In addition to a wide variety of non-vascular IR procedures, he specializes in complex venous access, especially involving patients on hemodialysis. His clinical expertise is wide-ranging but focuses on complex IVC filter retrieval, central venous reconstruction, enterocutaneous fistula repair, and pulmonary AVM embolization. He developed a new method for percutaneous placement of gastrostomy tubes that allows a larger tube to be placed initially with no additional risk to the patient.Dr. Bream’s research has focused on descriptions of his new gastrostomy technique, novel ways to access the central veins, and reviews of dialysis catheters and utilization of the HeRO device. He is also active in social media and has co-authored papers on the use of social media in Interventional Radiology.
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CLINICAL/RESEARCH INTERESTS:
Cancer Biology, Cardiovascular Biology, Cardiovascular disease, Clinical Trials, Gastrointestinal Biology, Health Services, Imaging, Medical Education, Quality and Patient Safety, Translational Medicine |