BackTable Vascular & Interventional

BackTable Vascular & Interventional

Download on the App Store
  • Favorites

    42

    Followers

  • Typical duration

    47 min

    per episode

Based on Podcast App listening data

BackTable Vascular & Interventional episodes

  • Ep. 679 Navigating Liquid Embolization Techniques: Insights & Practices with Dr. Gary Siskin and Dr. Kavi Krishnasamy

    Could replacing bulky coil packs with specialized liquid embolic agents be the key to faster, more cost-effective peripheral embolizations? In this kickoff episode of the BackTable 2026 Liquid Embolics Creator Weekend™, Dr. Kavi Krishnasamy (University of Alabama at Birmingham) and Dr. Gary Siskin (Albany Med) join Dr. Tyler Sandow to break down the foundational principles, deployment approaches, and expanding clinical applications of liquid embolics in non-neurological interventions. They discuss the transition toward a "liquid-first" procedural mindset, the technical nuances of adhesive and cohesive agents, and how targeted liquid cast creation might optimize procedure times and device expenditure compared to traditional coiling.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by an educational grant from Sirtex.


    ---


    Timestamps


    00:00 - Introduction
    03:01 - Case 1: Rectus Sheath Bleed
    06:15 - Liquid Embolics: Advantages and Apprehension
    12:15 - Adhesive vs. Cohesive Mechanisms
    14:28 - LAVA Workflow and Deployment Considerations
    19:37 - Safe Post-Delivery Technique
    23:49 - Risks and Preventing Adverse Events
    27:06 - Case 2: Roadmap Mask for Embolic Visualization
    30:22 - Stuck Catheter Experiences
    34:01 - Glue Timing and Control
    37:13 - Rapid-Fire Practical Pearls
    41:40 - Closing Remarks


    ---


    More about this episode


    The panel walks through procedural protocols, detailing microcatheter selection, dead-space calculations, and injection techniques designed to prevent arterial spasm and non-target reflux. Dr. Siskin and Dr. Krishnasamy detail troubleshooting strategies including catheter extraction maneuvers to prevent device entrapment, the use of road-map masking for better embolic visualization, and the application of pushable or detachable coils as distal backstops. They review approaches in high-yield clinical scenarios such as rectus sheath hematomas, gastroduodenal artery (GDA) obliteration, and type II endoleak interventions. The episode concludes with advice for early-career operators on gaining hands-on preclinical experience, mastering multi-embolic combinations, and identifying scenarios where liquid agents should be avoided.


    ---


    Resources


    Treatment of Peripheral Arterial Hemorrhage with Lava LES (The LAVA Study)
    https://clinicaltrials.gov/study/NCT04649255


    Onyx™ Liquid Embolic IDE Clinical Study
    https://clinicaltrials.gov/study/NCT06742801


    Fluidx’s GPX Embolic Device Meets Primary Endpoints in Pivotal Trial
    https://evtoday.com/news/fluidxs-gpx-embolic-device-meets-primary-endpoints-in-pivotal-trial


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    44 min
  • Ep. 678 Medicare Audits Explained: Impact on Physicians & Practices with Jason Greis

    What do you actually do when a Medicare audit letter lands in your inbox? On this episode of BackTable Podcast, Dr. Ally Baheti interviews healthcare attorney Jason Greis, partner at Benesch, to demystify the audit process and the rising scrutiny on interventional practices. They discuss why audits are accelerating, which procedures are under the microscope, and how enforcement economics and AI-driven review are reshaping the landscape for OBLs and ASCs.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by


    RADPAD® Radiation Protection
    https://www.radpad.com/


    ---


    Timestamps


    00:00 - Introduction
    02:32 - Audit Hotspots in Endovascular Work
    05:00 - AI Oversight and Proactive Compliance
    13:35 - The Alphabet Soup of Audit Types
    19:16 - Responding to an Audit and the Appeals Ladder
    24:48 - Employment Status, Liability and AI Downcoding
    30:29 - Final Advice and Wrap Up


    ---


    More about this episode


    The conversation covers the “alphabet soup” of audit types, the five-step appeals process, and strategies for proactive compliance and documentation. The discussion walks through personal liability, employment status, the risks of algorithmic downcoding by commercial payers, and why practices must balance when to fight and when to let an audit go. The episode closes with actionable advice on protecting your practice, the dangers of putting patient data into AI tools, and why trade organizations are the first line of defense.


    ---


    Resources


    OIG: Utilization Trends and Medicare Part B Billing for Office-Based Peripheral Vascular Procedures Raise Questions About Program Integrity (OEI-01-24-00250)
    https://oig.hhs.gov/reports/all/2026/utilization-trends-and-medicare-part-b-billing-for-office-based-peripheral-vascular-procedures-raise-questions-about-program-integrity/


    CMS Wasteful and Inappropriate Service Reduction (WISeR) Model
    https://www.cms.gov/priorities/innovation/innovation-models/wiser


    CMS Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH)
    https://www.cms.gov/fraud


    CMS Medicare Fee-for-Service Appeals: The Five Levels
    https://www.cms.gov/medicare/appeals-grievances/fee-for-service


    CMS Medicare Fee-for-Service Compliance Programs (TPE, RAC, SMRC, CERT)
    https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs


    BackTable VI Ep. 478: ASC vs. OBL: Legal Insights Explained
    https://www.backtable.com/shows/vi/podcasts/478/asc-vs-obl-legal-insights-explained


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    33 min
  • Ep. 677 Pulmonary Embolism: Catheter-Based Therapy & Importance of Blood Return with Dr. Jay Giri and Dr. Julie Bulman

    As new guidelines redefine risk stratification for pulmonary embolism (PE), emerging technologies are also changing what it means to achieve procedural success. On this episode of the BackTable Podcast, interventional radiologist Dr. Julie Bulman (BIDMC) and interventional cardiologist Dr. Jay Giri (Penn Medicine) join host Dr. Chris Beck to discuss the evolving frameworks and technologies redefining standards for catheter-directed treatment of intermediate- and high-risk PE. They discuss the role of multidisciplinary PERT teams, patient selection, the impact of new thrombectomy devices, and why autologous blood return is a growing consideration for procedural success.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by


    Endovascular Engineering (E2)
    E2Helo.com


    ---


    Timestamps


    00:00 - Introduction
    03:42 - Referral Patterns and PERT Scope
    05:25 - PE Workup Essentials
    07:26 - Targeted Assessment of Acuity
    11:36 - Reliability of the Walk Test
    14:35 - PE Treatment Pathways
    19:26 - Procedural Walkthrough
    24:15 - Catheter Sizing
    30:05 - Adjunct Aspiration Device Features
    35:09 - Blood Return Process and Safety
    40:03 - Helo Study Early Results
    45:09 - Determining Procedural Endpoints
    50:20 - Future Trials and Technologies
    53:48 - Final Thoughts and Closing Remarks


    ---


    More about this episode


    The discussion highlights how PERT teams use updated guidelines and thorough clinical evaluation to guide patient classification and treatment pathway selection. Dr. Bulman and Dr. Giri outline their criteria for choosing anticoagulation, catheter-directed lysis, or mechanical clot removal, and compare the techniques and learning curves for medium- versus large-bore thrombectomy devices. They explore the significance of autologous blood return during aspiration thrombectomy, noting how new reinfusion systems can reduce blood loss and influence procedural decision-making. Dr. Bulman also presents early Helo Thrombectomy System study data demonstrating the benefits of mechanized aspiration with minimal complications. The episode closes with a critical look at defining true functional procedural endpoints beyond pulmonary arterial pressures and offers a preview of upcoming trial data, such as HI-PEITHO and PEERLESS II, that could further advance PE management.


    ---


    Resources


    2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults
    https://doi.org/10.1161/CIR.0000000000001415


    Ultrasound-Facilitated, Catheter-Directed Thrombolysis in Intermediate-High Risk Pulmonary Embolism (HI-PEITHO)
    https://clinicaltrials.gov/study/NCT04790370


    PEERLESS II study
    https://clinicaltrials.gov/study/NCT06055920


    Catheter-Directed Thrombolysis in Intermediate-High–Risk Pulmonary Embolism (PRAGUE-26)
    https://doi.org/10.1056/nejmoa2608012


    Pulmonary Embolism International THrOmbolysis Study-3 (PEITHO-3)
    https://clinicaltrials.gov/study/NCT04430569


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    56 min
  • Ep. 676 Use of Tunneled Catheters for Ascites & Effusions Management with Dr. Marco Ertreo

    When is it time to move from repeat drainage to a tunneled catheter for managing pleural effusions or ascites? On this episode of BackTable Podcast, Dr. Neil Jain interviews Dr. Marco Ertreo, interventional radiologist and IR residency program director at Strong Memorial Hospital, University of Rochester, about best practices for tunneled catheter management in both the chest and abdomen. They discuss the triggers for placing a tunneled catheter, patient selection, placement technique, home drainage protocols, complication management, and the unique considerations for malignant versus cirrhotic ascites.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    Timestamps


    00:00 - Introduction
    06:39 - Indications and Pleural Catheter Placement Technique
    12:10 - Tunneling, Cuff Position and Exit Site Selection
    17:42 - Home Drainage, Volume Limits and Complications
    26:13 - Peritoneal Catheters, TIPS Candidacy and Catheter Choice
    35:16 - Avoiding Bowel and Varices
    43:42 - Key Takeaways and Closing Remarks


    ---


    More about this episode


    Dr. Ertreo shares practical details about pocket selection, access points, catheter testing, and choosing Tenckhoff catheters for abdominal cases to avoid proprietary systems. The conversation covers volume limits, complication counseling, criteria for removal, and the psychological impact of living with a long-term drain. They discuss when to consider TIPS for cirrhotic patients, the importance of early conversations with patients and referring providers, and why multidisciplinary teamwork and family support are essential for long-term success.


    ---


    Resources


    Aggressive versus symptom-guided drainage of malignant pleural effusion via indwelling pleural catheters (AMPLE-2): an open-label randomised trial
    https://pubmed.ncbi.nlm.nih.gov/30037711/


    Management of Malignant Pleural Effusions. An Official ATS/STS/STR Clinical Practice Guideline
    https://www.atsjournals.org/doi/10.1164/rccm.201807-1415ST


    Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions, Part II: Recommendations
    https://pubmed.ncbi.nlm.nih.gov/31229333/


    Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases (AASLD)
    https://pubmed.ncbi.nlm.nih.gov/33942342/


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    48 min
  • Ep. 675 Advancements & Challenges in GAE Practice with Dr. Amin Astani and Dr. Anish Ghodadra

    As interest in genicular artery embolization grows, what does it actually take to build a sustainable GAE practice? On this episode of the BackTable Podcast, Dr. Kavi Krishnasamy is joined by Dr. Anish Ghodadra and Dr. Amin Astani to share their blueprint for building a successful genicular artery embolization (GAE) practice. They discuss patient selection, imaging workup, scoring tools, and procedural techniques, including access strategies, device choice, and embolic selection. The conversation also covers follow-up protocols, defining treatment success, and how to set patient expectations.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by
    Varian
    https://www.siemens-healthineers.com/


    ---


    Timestamps


    00:00 - Introduction
    04:00 - GAE Workup and Patient Scoring
    05:28 - KL Score and MRI Debate
    10:15 - Patient Selection and Contraindications
    15:11 - Access Strategy and Closure Techniques
    19:54 - Catheters, Wires, and Embolic Choices
    28:19 - Cone Beam CT Workflow
    31:37 - Managing Collaterals
    34:26 - Follow-Up and Repeat GAE
    38:42 - Defining Success and Setting Expectations
    44:25 - Technique Nuances and Flow Modulation
    50:28 - Building Referral Networks
    56:56 - Keeping Referrers Engaged
    59:46 - Direct-to-Patient Marketing
    01:04:57 - Leveraging Social Media and Reviews
    01:12:42 - Tracking Leads and Insurance Coverage
    01:19:47 - Final Thoughts and Next Steps


    ---


    More about this episode


    Beyond technique, the discussion dives into practical strategies for growing a GAE practice: referral pathways, engaging physical therapists and orthopedic surgeons, direct-to-patient marketing, digital outreach, and tracking outcomes. The guests share experience-driven tips on handling insurance hurdles, building relationships with referring providers, and using data to demonstrate value. The episode wraps with reflections on negative trial results, the evolving landscape of GAE, and what it takes to keep a practice thriving in a competitive environment.


    ---


    Resources


    Long-term outcomes of genicular artery embolization for knee osteoarthritis: 12-month efficacy and secondary outcomes from a randomized sham-controlled clinical trial
    https://doi.org/10.1007/s00330-026-12505-8


    Repeated Genicular Artery Embolization Using Permanent Microspheres for Severe Osteoarthritis and Postsurgical Pain
    https://doi.org/10.1007/s00270-026-04410-w


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    1 hr 24 min
  • Ep. 674 Treatment Strategies for Acute and Chronic Limb Ischemia with Dr. Anahita Dua and Dr. Ripal Gandhi

    How do you choose between thrombolysis, mechanical thrombectomy, or open surgery for acute limb ischemia, and what options remain when there’s no vessel to open? On this episode of the BackTable Podcast, host Dr. Chris Beck is joined by vascular surgeon Dr. Anahita Dua (Massachusetts General Hospital) and interventional radiologist Dr. Ripal Gandhi (Miami Cardiac and Vascular Institute) to explore treatment strategies across the full spectrum of limb ischemia. They discuss presentation and referral patterns, the imaging and exam findings that start the clock, single-session mechanical thrombectomy, the evolving role of lysis, procedural endpoints, and deep vein arterialization for chronic limb-threatening ischemia.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by
    Stryker Peripheral Vascular
    https://www.stryker.com/us/en/peripheral-vascular.html


    ---


    Timestamps


    00:00 - Introduction
    02:27 - Presentation, Referral Patterns, and Imaging
    06:07 - Acute Limb Ischemia: Treatment Algorithm
    12:16 - Thrombectomy Device Selection
    16:09 - Thrombolysis and Applications Beyond Lower Extremity
    18:46 - Procedural Endpoints, Closure, and Case Selection
    24:43 - Deep Vein Arterialization: Patient Selection and Planning
    31:25 - DVA Technique: Imaging, Anesthesia, and Access
    34:58 - Step-by-Step DVA Approach
    41:56 - Surveillance and Managing Expectations
    45:59 - Wound Care and Amputation Decisions
    49:40 - Future Directions in PAD
    52:43 - Closing Remarks


    ---


    More about this episode


    The conversation moves from acute interventions for the cold leg, where mechanical thrombectomy has become first-line and lysis is held in reserve, to the stepwise management of no-option chronic cases, including pedal access, valve disruption, and inflow for deep vein arterialization. Drs. Dua and Gandhi share practical insights on device selection, preventing distal embolization, and when to consider open embolectomy or hybrid approaches. The episode closes with a discussion of post-procedure surveillance, wound care, and the need for better measures of perfusion to improve limb salvage and patient outcomes.


    ---


    Resources


    Rutherford classification of acute and chronic limb ischemia.
    https://doi.org/10.1016/S0741-5214(97)70045-4


    Global vascular guidelines on the management of chronic limb-threatening ischemia. Conte, Bradbury, Kolh et al., Journal of Vascular Surgery, 2019.
    https://doi.org/10.1016/j.jvs.2019.02.016


    PROMISE II. Transcatheter Arterialization of Deep Veins in Chronic Limb-Threatening Ischemia. Shishehbor et al., New England Journal of Medicine, 2023.
    https://doi.org/10.1056/NEJMoa2212754


    BackTable VI Episode 618, How to Manage Advanced DVA Cases: Techniques and Tips, with Dr. Kumar Madassery and Dr. Sabeen Dhand. https://www.backtable.com/shows/vi/podcasts/618/how-to-manage-advanced-dva-cases-techniques-tips


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    57 min
  • Ep. 673 Y90 for Liver-Directed Cancer Treatments: The PROACTIF Study with Dr. Tyler Sandow and Dr. Ryan Hickey

    The key to personalizing Y90 may not just be treating the tumor, but understanding how much radiation a patient can tolerate, where to deliver it, and when to safely push the dose. In this episode of the BackTable Podcast, Drs. Tyler Sandow and Ryan Hickey join host Dr. Kavi Krishnasamy to explore strategies for using Y90 in hepatocellular carcinoma and liver metastases. They combine real-world data from a study of nearly 1,000 patients with insights into methodology and the many variables that influence these procedures.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by an educational grant from Boston Scientific TheraSphere Y-90.


    ---


    Timestamps


    00:00 - Introduction
    02:36 - Resection After Radioembolization
    06:07 - Personal Practices Between HCC and Liver Metases
    07:26 - Bridging Radiation Segmentectomy
    11:22 - Understanding Portal Vein Tumor Thrombus
    14:21 - Preferences in Dosimetry Software
    17:57 - Liver Reserve Limits
    25:11 - Microsphere Activity and Density
    29:16 - Diving into PROACTIF
    33:32 - RCTs and Trial Challenges
    36:57 - Patient Diversity in PROACTIF
    41:42 - Extrahepatic Disease
    43:03 - Data Gaps and Takeaways
    45:32 - Defining Personalized Dosimetry and Bridging Software
    50:15 - Mixed Delivery Approaches and Dose Thresholds
    01:01:36 - Response and Local Control
    01:04:26 - Treating PVT Subgroups
    01:09:03 - Comparison Between Dosing and Survival
    01:15:03 - Differences in Patients Quality of Life After Transplantation
    01:26:34 - Wrap-Up and Credits


    ---


    More about this episode


    The discussion covers radiation segmentectomy and selective delivery, the nuances of portal vein tumor thrombus levels, and how multidisciplinary collaboration differs between resection and transplant. The doctors dive into the PROACTIF study, focusing on personalized dosimetry, dose escalation, trial challenges, tumor response, and survival outcomes across disease stages. Drs. Sandow and Hickey also explain the limits of Y90, such as lung shunts, liver reserve, and treated liver volume, and highlight how decision-making and tailored techniques are essential for improving outcomes in liver cancer care.


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    1 hr 32 min
  • Ep. 672 Challenges in Biopsy Techniques for Bone Lesions with Dr. Junjian Huang and Dr. Majid Khan

    What characteristics make bone biopsies unique in both presentation and procedure? In this episode of the BackTable Podcast, Drs. Junjian Huang and Majid Khan join host Dr. Neil Jain to break down the complexities of bone biopsy technique. They discuss key strategies for tackling difficult cases, from understanding referral patterns and pre-procedure planning to selecting the best guidance modality and anticipating complications.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by


    Varian OmniBone
    https://cancercare.siemens-healthineers.com/products/interventional-oncology/musculoskeletal/omnibone


    ---


    Timestamps


    00:00 - Introduction
    08:06 - Referrals And Pre-Procedure Planning
    12:35 - Triaging and Managing Difficult Cases
    17:06 - Measuring and Improving Diagnostic Yield
    18:58 - Knowing Boundaries Behind Difficult Cases
    22:37 - Choosing the Best Guidance Modality
    26:16 - The Future with Augmented Reality
    28:11 - Tough Case Scenarios and Setup
    41:27 - Preventing and Managing Complications
    47:49 - Technical Tips for Future IRs
    51:40 - Wrap-up and Credits


    ---


    More about this episode


    The conversation covers how to triage complex cases, adjust technique for smaller or hard-to-reach lesions, and benchmark diagnostic success. Drs. Huang and Khan share their preferred imaging guidance, from CT to fluoroscopy, and explore new frontiers like augmented reality. Case scenarios highlight practical problem-solving, and the episode wraps up with technical pearls and complication-prevention tips gained from years of experience in targeted bone biopsy.


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    55 min
  • Ep. 671 Managing Pulmonary Embolism: Guidelines & Clinical Decisions with Dr. Timothy Fernandes and Dr. Robert Lookstein

    Once your PERT is assembled, how do you navigate the evolving pulmonary embolism (PE) literature to improve patient outcomes at all risk levels? In this episode of the BackTable Podcast, interventional radiologist Dr. Robert Lookstein (Mount Sinai) and pulmonary critical care specialist Dr. Timothy Fernandes (UC San Diego) join host Dr. Harris Chengazi to examine the latest evidence and multidisciplinary strategies for managing acute pulmonary embolism. The discussion highlights the complexities of catheter-directed therapies in intermediate- to high-risk PE, evolving guidelines in the face of new trial data, and prioritization of improving patients’ clinical trajectories.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by

    Penumbra

    https://www.penumbrainc.com/




    Timestamps


    00:00 - Introduction
    03:57 - PERT Structure and Activation
    08:24 - PE Risk Stratification Tools
    12:02 - Patient Selection for IR Intervention
    15:21 - Assessing Clot Chronicity
    21:03 - Standardizing Workup
    26:38 - Managing Unstable PE
    28:31 - STORM-PE and HI-PEITHO Trial Data
    35:49 - Guidelines vs. New Evidence
    40:12 - Determining Therapeutic Endpoints
    45:05 - Upcoming Trials and Future Directions
    51:46 - Final Thoughts and Closing Remarks


    ---


    More about this episode


    The physicians explore the nuances of validated PE risk stratification tools, assessing the relationship between various PE scoring systems and the 2026 ACC/AHA classification for acute PE. They emphasize that the integration of clinical assessment, serial lab work, and patient history must take precedence over static imaging alone in guiding care. The doctors go on to review new trial data, including the improved RV-to-LV ratio and 90-day functional gains seen with mechanical thrombectomy in STORM-PE and reduced clinical deterioration observed with ultrasound-assisted catheter-directed thrombolysis in HI-PEITHO. The conversation concludes with a call for collaborative, safety-first management that focuses on the patient’s clinical status and long-term post-PE functional recovery.


    ---


    Resources


    2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults
    https://doi.org/10.1161/CIR.0000000000001415


    Composite Pulmonary Embolism Shock (CPES) Score
    https://doi.org/10.1161/CIRCINTERVENTIONS.124.014088



    FOCUS study
    https://doi.org/10.1093/eurheartj/ehac206


    STORM-PE trial
    https://doi.org/10.1161/CIRCULATIONAHA.125.077232


    HI-PEITHO trial
    https://doi.org/10.1056/nejmoa2516567


    PE-TRACT study
    https://petractstudy.org/homepage


    PEERLESS II study
    https://clinicaltrials.gov/study/NCT06055920


    PERSEVERE trial
    https://clinicaltrials.gov/study/NCT06588634


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    57 min
  • Ep. 670 Understanding IR Attrition: Causes & Solutions with Dr. David R. Mittelstein

    Why do nearly half of IR residents consider leaving the specialty, and what can be done to change that? On this episode of the BackTable Podcast, Dr. Neil Jain interviews Dr. David Mittelstein, an integrated IR resident at UC San Diego and co-chair of the SIR RFS Recruitment Committee, about the findings of a national SIR survey on interventional radiology resident attrition. They discuss what drives uncertainty, from lifestyle and call burden to job market fears, and highlight the program features that encourage retention, such as structured training, high case volume, and a culture of camaraderie.


    ---


    Get the BackTable app
    https://www.backtable.com/app


    ---


    This podcast is supported by


    RADPAD® Radiation Protection
    https://www.radpad.com/


    ---


    Timestamps


    00:00 - Introduction
    04:31 - From Biomedical Engineering to IR
    07:41 - Recruitment Committee Mission
    12:37 - Match Trends Warning Sign
    15:12 - Survey Design Demographics
    20:21 - What Factors Matter
    25:04 - Why Residents Consider Switching
    30:23 - Recommendation 1 IR Curriculum
    32:32 - Recommendation 2 More IR Rotation
    34:10 - Recommendation 3 Build Camaraderie
    38:30 - Advice for Residents Who Are Doubting
    41:00 - What’s Next for RFS Recruitment
    43:20 - Wrap Up


    ---


    More about this episode


    The conversation explores free-response themes from the survey, where 78 percent of residents cited lifestyle concerns, 31 percent pointed to job market uncertainty, and 22 percent mentioned call experience as reasons for questioning IR. Retention was linked to structured training (38 percent), high case volume and procedural experience (35 percent), and program camaraderie (18 percent). Dr. Mittelstein and Dr. Jain review three concrete recommendations to improve retention, examine early changes at programs like Georgetown, and offer practical advice to residents who may be quietly doubting their path in IR.


    ---


    Resources


    Episode # 554 Optimizing the IR/DR Curriculum & Experience


    https://www.backtable.com/shows/vi/podcasts/554/optimizing-the-ir-dr-curriculum-experience


    ---


    BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists.


    Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


    ► https://www.backtable.com/app

    46 min

About BackTable Vascular & Interventional

From the publisher's feed

The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques,…

Best of BackTable Vascular & Interventional

Ranked by our users in the last 21 days

More shows like BackTable Vascular & Interventional

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,053 Listeners

Planet Money by NPR

Planet Money

30,689 Listeners

The Tim Ferriss Show by Tim Ferriss: Bestselling Author, Human Guinea Pig

The Tim Ferriss Show

16,051 Listeners

Economist Podcasts by The Economist

Economist Podcasts

4,115 Listeners

WSJ What’s News by The Wall Street Journal

WSJ What’s News

4,347 Listeners

White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

White Coat Investor Podcast

2,440 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,342 Listeners

Up First from NPR by NPR

Up First from NPR

56,424 Listeners

The Peter Attia Drive by Peter Attia, MD

The Peter Attia Drive

7,997 Listeners

Throughline by NPR

Throughline

16,371 Listeners

The Journal. by The Wall Street Journal & Spotify Studios

The Journal.

6,069 Listeners

The Prof G Pod with Scott Galloway by Vox Media Podcast Network

The Prof G Pod with Scott Galloway

5,390 Listeners

Hard Fork by The New York Times

Hard Fork

5,561 Listeners

Huberman Lab by Scicomm Media

Huberman Lab

29,200 Listeners

BackTable Bone & Sports by BackTable Inc.

BackTable Bone & Sports

8 Listeners