By BackTable
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The podcast currently has 494 episodes available.
Genicular artery embolization (GAE) is quickly emerging as a treatment option for knee osteoarthritis when other therapies have failed. In this episode of the BackTable Podcast, Dr. Osman Ahmed discusses the origins of GAE and how he employs it in his practice.
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CHECK OUT OUR SPONSOR
Guerbet
https://www.guerbet-us.com
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SYNPOSIS
Dr. Ahmed, an interventional radiologist at the University of Chicago, shares details about the procedure, his journey in adopting it, and his thoughts on the current landscape of GAE. Topics include procedural techniques, patient selection, anatomical considerations, potential complications, and the importance of ongoing research in this field.
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TIMESTAMPS
00:00 - Introduction
04:43 - Knee Osteoarthritis and Current Treatments
07:54 - Building a GAE Practice
13:23 - Tools and Procedure: Step-by-Step
25:05 - Post-Procedure Care and Complications
30:26 - Future of GAE and Other Applications
34:03 - Conclusion and Contact Information
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RESOURCES
BackTable INN Ep. 46- New Innovations in Treatment of PE: The Flow Medical Story
with Founders Dr. Osman Ahmed and Dr. Jonathan Paul:
https://www.backtable.com/shows/innovation/podcasts/46/new-innovations-in-treatment-of-pe-the-flow-medical-story
BackTable VI Ep. 429- Tackling Upper GI Bleeds: Techniques and Tools with Dr. Osman Ahmed:
https://www.backtable.com/shows/vi/podcasts/429/tackling-upper-gi-bleeds-techniques-tools
BackTable VI Ep. 447- Exploring GAE: Clinical Insights & Outcomes with Dr. Mark Little:
https://www.backtable.com/shows/vi/podcasts/447/exploring-gae-clinical-insights-outcomes
GEST MSK Conference 2025 (Paris):
https://www.gestmsk.com/
Okuno Y et al. Transcatheter arterial embolization as a treatment for medial knee pain in patients with mild to moderate osteoarthritis (2014):
https://pubmed.ncbi.nlm.nih.gov/24993956/
Little MW et al. Genicular artEry embolizatioN in patiEnts with oSteoarthrItiS of the Knee (GENESIS 1) Using Permanent Microspheres: Interim Analysis (2021):
https://pubmed.ncbi.nlm.nih.gov/33474601/
Little MW et al. Genicular Artery Embolisation in Patients with Osteoarthritis of the Knee (GENESIS 2): Protocol for a Double-Blind Randomised Sham-Controlled Trial (2023):
https://pubmed.ncbi.nlm.nih.gov/37337060/
Correa MP et al.GAUCHO - Trial Genicular Artery Embolization Using Imipenem/Cilastatin vs. Microsphere for Knee Osteoarthritis: A Randomized Controlled Trial (2022):
https://pubmed.ncbi.nlm.nih.gov/35304614/
Sapoval M et al. Genicular artery embolization for knee osteoarthritis: Results of the LipioJoint-1 trial (2024):
https://pubmed.ncbi.nlm.nih.gov/38102013/
Get caught up on the current best practices and guidelines in venous interventions. Dr. Adam Raskin covers this and more, with host Dr. Sabeen Dhand in this discussion of DVT and PE treatments. Dr. Raskin is an interventional cardiologist, medical director of Cardiac ICU, and Co-Director of the PERT program at Mercy Health in Cincinnati, Ohio.
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Imperative Care
https://imperativecare.com/vascular/
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SYNPOSIS
Dr. Raskin shares his comprehensive approach for treating patients with DVT and PE, highlighting recent advancements in thrombectomy systems, as well as underscoring the need for more randomized trials to further build on current venous disease treatment guidelines. The doctors also touch on the significance of accurate diagnostic tools and thorough follow-up to improve patient outcomes.
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TIMESTAMPS
00:00 - Introduction
10:58 - Approaching DVT & PE Patients
19:04 - Thrombectomy Advancements
24:02 - Iliofemoral Interventions & Standard Practices
26:32 - Accessing Tibial Veins & Clearing Clots
38:59 - Follow-Up & Data Collection
41:09 - Future of Venous Interventions
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RESOURCES
The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II
Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine:
https://www.jvsvenous.org/article/S2213-333X(23)00322-0/fulltext
In a society where discussions about medical malpractice are often concealed from the public eye, this episode of BackTable shines a spotlight on the powerful documentary ‘A World of Hurt: How Medical Malpractice Fails Everyone,’ produced by Viknesh Kasthuri, a fourth-year medical student at Brown University. Released earlier this year, the film explores how the American medical malpractice system harms and disconnects patients and providers through three compelling case studies.
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RADPAD® Radiation Protection
https://www.radpad.com/
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SYNPOSIS
We delve into Viknesh’s motivations and the process behind creating the documentary, discussing the need for improved provider education on lawsuits, effective communication with patients and legal teams, and strategies for coping mentally and emotionally throughout this intensive process.
Additionally, Viknesh provides a behind-the-scenes look at documentary production, including filming during the COVID pandemic, creating environments for patients and providers to share their stories, and submitting the documentary to film festivals.
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TIMESTAMPS
00:00 - Introduction
02:40 - Inspiration Behind the Documentary
06:10 - Technical and Legal Aspects of Documentary Production
14:34 - Releasing the Documentary
17:04 - Physician and Patient Responses to Medical Errors
20:27 - Highlighting Communication Resolution Programs
23:04 - Educational Gaps in Medical Training
26:43 - Exploring Systemic Solutions to Management of Medical Errors
30:16 - Final Thoughts and Future Projects
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RESOURCES
A World of Hurt Documentary:
https://www.youtube.com/watch?v=09IVcL6pACU
BackTable VI Ep. 77- Doctors and Litigation: The L Word, with Dr. Gita Pensa:
https://www.backtable.com/shows/vi/podcasts/177/doctors-litigation-the-l-word
The L Word Podcast with Dr. Gita Pensa:
https://doctorsandlitigation.com/podcast-2
BackTable ENT Ep. 90- Coaching Physicians Through the Stress of Malpractice Litigation, with Dr. Gita Pensa:
https://www.backtable.com/shows/ent/podcasts/90/coaching-physicians-through-the-stress-of-malpractice-litigation
Michigan Model Communication and Resolution Program:
https://www.uofmhealth.org/michigan-model-medical-malpractice-and-patient-safety-umhs
Are you interested in starting an ASC or converting your OBL into an ASC, but aren’t sure where to start? We’ve got you covered with this comprehensive overview. Attorney Jason Greis joins guest host and ASC founder Dr. Krishna Mannava to explore the operational, financial, and legal intricacies of starting an ASC. Jason is a Partner of Benesch, Friedlander, Coplan & Aronoff LLP, outside co-counsel to the Renal Physicians Association and OEIS Society, and recognized faculty member of SIR Business Institute.
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CHECK OUT OUR SPONSOR
RADPAD® Radiation Protection
https://www.radpad.com/
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SYNPOSIS
Jason and Dr. Mannava discuss crucial factors such as structural modifications, financial considerations, legal requirements, Certificate of Need (CON) states, and credentialing processes. The conversation also delves into strategic partnerships with hospitals, the role of ASC management companies, and the involvement of non-physician owners. Additionally, they explain the implications of non-compete clauses, operational challenges, investment structures, and exit strategies.
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TIMESTAMPS
00:00 - Introduction
03:11 - OBL to ASC Conversion
06:08 - Financial and Regulatory Aspects
15:35 - Ownership and Investment Strategies
29:41 - Non-Competes and Legal Risks
34:21 - Specialized Legal Advice and Conclusion
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RESOURCES
Vive Vascular:
https://www.vivevascular.com/
SIR Business Center:
https://irbc.sirweb.org/
What’s needed to build a successful lymphangiography practice? Dr. Bill Majdalany joins host Dr. Chris Beck to answer this question and to discuss advancements in lymphangiography over the past decade. Dr. Majdalany is the Chief and Vice Chair of Research of Interventional Radiology at University of Vermont.
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Guerbet
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SYNPOSIS
The doctors provide insights on various lymphatic procedures such as thoracic duct embolization, stenting, and recanalization. They also discuss the evolving significance of lymphatic medicine in interventional radiology and its potential applications in treating conditions like ascites and variceal bleeding. The conversation underscores the interconnected nature of the lymphatic system throughout the body, emphasizing the revolutionary potential of lymphangiography in modern medicine.
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TIMESTAMPS
00:00 - Introduction
04:23 - Building a Lymphangiography Practice
08:36 - The Lymphatic Revolution
17:42 - Practical Tips and Equipment for Lymphangiography
30:09 - Advanced Interventions and Tools
48:45 - Future of Lymphatic Interventions
51:23 - Conclusion and Resources
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RESOURCES
BackTable VI Podcast Episode #135 - IR Residency Pathways & Getting In! (Part 1)
with Dr. Jeff Bodner and Dr. Bill Majdalany:
https://www.backtable.com/shows/vi/contributors/dr-bill-majdalany
Seminars in Interventional Radiology - Lymphatics:
https://www.thieme-connect.com/products/ejournals/issue/10.1055/s-010-49075
Lymphatic Anatomy:
https://www.techvir.com/article/S1089-2516(16)30042-7/abstract
What is the final frontier of interventional radiology? Dominic Tanzillo and Dr. Richard Moon believe it could be space. Dominic is a 3rd year medical student at Duke University interested in interventional radiology (IR) and space medicine, and Dr. Moon is a Professor at Duke University and an expert in hyperbaric and aerospace medicine.
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Medtronic DCB
https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/drug-coated-balloons.html
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SYNPOSIS
Dominic and Dr. Moon cover the potential for IR in deep space missions, focusing on the unique challenges astronauts face, such as altered blood flow, increased clotting risks, and the impacts of microgravity on the human body. The episode dives into NASA’s investments in portable medical technologies, the practicalities of emergency medical procedures in space, and the need for minimally invasive interventions. The significance of IR in diagnosing and managing vascular issues in space is discussed, as well as the broader implications for future Mars missions and long-term space travel.
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TIMESTAMPS
00:00 - Introduction
02:36 - IR in Space
20:04 - Medical Issues Astronauts Face
26:27 - Remote Surgery and Telesurgery
30:45 - Emergency Evacuations in Space
32:32 - More on Space Medicine
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RESOURCES
Aerospace Medicine Association:
https://www.asma.org/about-asma/careers/aerospace-medicine
Translational Research Institute for Space Health:
https://www.bcm.edu/academic-centers/space-medicine/translational-research-institute
Space Medicine Coursera:
https://www.coursera.org/learn/space-medicine-duke
What Space Medicine Taught Me About Science Communication | Dominic Tanzillo | TEDxDuke:
https://www.youtube.com/watch?v=PBkdvSByneM
Dominic Tanzillo:
https://dominictanzillo.github.io/
While GLP-1 agonists continue to gain popularity in the medical management of diabetes and obesity, Dr. Cliff Weiss is exploring bariatric arterial embolization (BAE) as an adjunctive therapy to help patients sustain weight loss. Dr. Weiss, the Director of IR Research at Johns Hopkins, joins the show to discuss the techniques and impacts of BAE for obesity treatment.
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Reflow Medical
https://www.reflowmedical.com/
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SYNPOSIS
Dr. Weiss outlines his initial research interest in gastric embolization of the fundus to reduce ghrelin production. He began by studying the use of sclerosants for embolization but later shifted to using embolic spheres. BAE involves the targeted embolization of the left gastric artery, with or without the left gastroepiploic artery, using 300-500 micron embolic spheres. Dr. Weiss also employs a dilute mixture of spheres and a vasodilator to achieve distal arterial penetration.
He describes the role of BAE in conjunction with existing surgical and pharmaceutical treatments. According to his experience, patients undergoing BAE achieve maximum weight loss 6-9 months after the procedure and can maintain this weight when they follow up in a weight management clinic. Additionally, Dr. Weiss reviews data from BAE studies, including the BEAT Obesity Trial and the recent BEATLES Trial.
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TIMESTAMPS
00:00 - Introduction
03:21 - Early Research and Development of BAE
07:39 - Potential Role of BAE in Obesity Treatment
16:03 - Procedure Details
25:28 - Post-Procedure Care and Patient Management
28:06 - Insights from the BEAT Obesity Trial
33:38 - BEATLES Trial
37:38 - Combination Therapy for Obesity
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RESOURCES
BEAT Obesity Trial:
https://pubs.rsna.org/doi/full/10.1148/radiol.2019182354
LC Bead/Bead Block:
https://www.bostonscientific.com/en-US/products/embolization/lc-bead.html
EmboSpheres:
https://www.merit.com/product/embosphere-microspheres/
EMBIO Trial:
https://bmjopen.bmj.com/content/13/9/e072327
BEATLES Trial:
https://www.jvir.org/article/S1051-0443(23)01155-7/fulltext
How can physicians and industry partners collaborate effectively to enhance patient care? Dr. Adam Tanious, Assistant Professor of Vascular Surgery at the Medical University of South Carolina, joins host Dr. Aaron Fritts to explore strategies for navigating physician-industry relationships.
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SYNPOSIS
The doctors share their experiences in partnering with the medical device industry. The conversation covers the benefits of industry partnerships, the challenges of avoiding conflicts of interest, and the critical role of education in preparing new physicians for these interactions. Dr. Tanious also delves into his thought-provoking TED Talk on big business in surgery, and discusses the value of business education for physicians.
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TIMESTAMPS
00:00 - Introduction
02:12 - Medicine and Business
05:01 - Business Knowledge for Physicians
15:05 - Physician-Industry Relationships
27:26 - Industry Relationships in Medical Training
33:08 - Ethical Considerations and Influence in the OR
35:00 - Leveraging Industry Resources for Better Training
43:24 - Future of Medical Technology and Collaboration
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RESOURCES
Big Business and Surgery: Who Belongs in Your Operating Room?:
https://youtu.be/kksVjF0fI_w?si=LADwqrbXPz3VsFm4
Quantic MBA Program:
https://quantic.edu/blog/category/fields-of-study/accounting/
The price of a cup of coffee:
https://vascularspecialistonline.com/the-price-of-a-cup-of-coffee/
The management of portal hypertension has drastically evolved over the years. What are the current best practices? And what’s coming next? Dr. Tom Leventhal and Dr. Siobahn Flanagan from University of Minnesota Medical School join us for an interdisciplinary discussion. Dr. Leventhal is an Associate Professor of Transplant Hepatology and Dr. Siobhan is an Associate Professor of Interventional Radiology.
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Cook Medical Embolization
https://www.cookmedical.com/interventional-radiology/coils-home/cook-products/?utm_source=backtable&utm_medium=digital&utm_campaign=vasc_ir_p_awa_embolization_2024_amer
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SYNPOSIS
The doctors discuss current collaborative approaches that are improving portal hypertension patient care, the impact of contemporary clinical practices in transplant hepatology and IR, and the imminent future of portal hypertension treatments. Dr. Leventhal also gives his insight on what could be on the horizon, touching on in-vitro organ creation, xenotransplants, and stem cells phasing out immunosuppression.
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TIMESTAMPS
00:00 - Introduction
06:10 - Managing Portal Hypertension
07:51 - Current Collaborative Practices
10:38 - Patient Referral and Management
15:25 - Initial Workup for Portal Hypertension
19:27 - Role of Biopsy in Diagnosis
24:02 - Patient Scenarios for TIPS Referral
32:04 - Ultrasound and Intracardiac Echocardiography (ICE) in TIPS
38:09 - Clinical Management
52:48 - Future of Transplant and Organ Growth
We are back with Part 2 of All Things Enteral Access with Dr. Peter Bream! We discuss various aspects of enteric access and management of complications with G and GJ-tubes.
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SYNPOSIS
Dr. Bream provides detailed advice on troubleshooting common issues such as leaking tubes, infections, and clogs. He emphasizes the importance of a multidisciplinary approach in managing special populations, such as patients with ALS and head and neck cancer, and offers guidance for safe and effective procedures. The conversation is rich with practical tips, tricks, and valuable insights that cater to both new and experienced practitioners.
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TIMESTAMPS
00:00 - Introduction
01:47 - Special Populations
07:21 - ALS Patients
09:57 - Head and Neck Cancer Patients
14:05 - Techniques for Gastric Bypass and Altered Anatomy
18:11 - Addressing G-Tube Issues
27:16 - Converting G to GJ-Tubes
31:11 - Advanced Tips and Tricks
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RESOURCES
Weighted Tip Extensions Result in Fewer Gastrojejunostomy Tube Migrations and Increase Tube Lifespan:
https://www.jvir.org/article/S1051-0443(22)01243-X/abstract
The podcast currently has 494 episodes available.
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