BackTable Vascular & Interventional

En este episodio del podcast, el Dr. Iñigo Insausti Gorbea y la Dra. Sara Lojo Lendoiro, se centraron en la técnica de embolización prostática como alternativa mínimamente invasiva para el tratamiento de la hiperplasia benigna de próstata.

Se detallaron los criterios de inclusión del paciente para poder realizar este procedimiento, las tasas de éxito y los riesgos potenciales. Además, se destaca la importancia de educar a los urólogos y médicos de atención primaria sobre este procedimiento, abogando por una mayor participación clínica de los intervencionistas en la atención al paciente. El Dr. Insausti también abordó la necesidad de que los radiólogos intervencionistas cuenten con consultas y camas propias, para los pacientes. Por último, en el episodio se habla sobre el futuro potencial de la embolización de próstata, incluida la introducción de materiales de embolización alternativos y la tasa de retratamiento de pacientes a largo plazo, en comparación con las opciones quirúrgicas.

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SHOW NOTES

00:00 - Introducción

01:43 - Comprender la hipertrofia prostática benigna

03:42 - Impacto en la calidad de vida de los pacientes

04:31 - Introducción a la embolización de la próstata.

06:25 - Candidatura del paciente para la embolización

07:29 - Comparación de embolización y cirugía.

11:08 - Riesgos asociados con la embolización de la próstata

14:51 - Tasas de éxito de la embolización de la próstata

24:17 - El futuro de la embolización de la próstata

45:01 - Conclusión y pensamientos finales

In this episode of the BackTable Podcast, hosts Dr. Aaron Fritts and Dr. Chris Beck discuss their Mediport removal workflows and the common challenges of a port removal procedure.

Often seen as a significant milestone for cancer patients who have completed their treatment, successful Mediport removal requires a thorough understanding of the catheter and reservoir removal processes. This discussion covers tips and tricks for removing Mediports with minimal discomfort to the patient, effective anesthesia, careful dissection, and appropriate closure procedures. The hosts also emphasize the importance of preparing for unexpected scenarios such as catheter fractures or infection, and they outline strategies to effectively handle these complications.

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RADPAD® Radiation Protection

https://www.radpad.com/

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SHOW NOTES

00:00 - Introduction

03:06 - Overview of Mediport Removal

13:25 - Mediport Removal Procedure

20:59 - Procedural Challenges and Complications

22:12 - Infected Ports

30:17 - Stuck Ports

33:14 - Fractured Ports

In this episode of the Back Table Podcast, host Dr. Aaron Fritts and Dr. Sameh Sayfo discuss radial to peripheral interventions, also known as R2P. Dr. Sayfo is an interventional cardiologist and the program director of the endovascular fellowship at Baylor Heart Hospital in Plano, Texas.

Dr. Sayfo points out the need for research data on the financial impact of these interventions on patients. Dr. Amit P. Amin’s work in 2017, 2018 and 2021 is highlighted for its valuable contribution in this area, specifically in the radial to coronary world. The conversation then veers into the possibilities for radial to peripheral interventions in the coming years. There’s a discussion about the potential financial impact on the healthcare system, and how radial to peripheral interventions may yield a lower length of stay and more same day discharges, which can serve as motivators for more practitioners to adopt this technology. The episode also highlights training, patient selection, complications, bailout techniques and post-procedure care related to radial to peripheral interventions.

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Surmodics Sublime Radial Access Platform

https://sublimeradial.com/

Reflow Medical

https://www.reflowmedical.com/

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SHOW NOTES

00:00 - Introduction

04:40 - Discussion on Radial to Peripheral

15:52 - Addressing Hesitations about Radial Approach

25:24 - Crossing Complex Lesions: Challenges and Solutions

28:50 - Need for Research and Equipment Advancement

33:43 - Importance of Landmark Study in Radial to Peripheral

35:23 - Complications to Avoid and Bailout Techniques

40:53 - The Radial Movement and Future Prospects

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RESOURCES

From Femoral to Radial Approach in Coronary Intervention:

https://pubmed.ncbi.nlm.nih.gov/27401210/

Intravascular Lithotripsy for Peripheral Artery Calcification: 30-Day Outcomes From the Randomized Disrupt PAD III Trial:

https://pubmed.ncbi.nlm.nih.gov/34167675/

Prospective, Multicenter Registry to Assess Safety and Efficacy of Radial Access for Peripheral Artery Interventions:

https://www.jscai.org/article/S2772-9303(23)00813-X/fulltext

Distal Versus Proximal Radial Artery Access for Cardiac Catheterization and Intervention: Design and Rationale of the DIPRA Trial:

https://pubmed.ncbi.nlm.nih.gov/33926835/

Costs associated with transradial access and same-day discharge after percutaneous coronary intervention: a systematic review and meta-analysis:

https://pubmed.ncbi.nlm.nih.gov/34258909/

The Value of Transradial: Impact on Patient Satisfaction and Health Care Economics:

https://pubmed.ncbi.nlm.nih.gov/31733737/

Transradial Access for High-Risk Percutaneous Coronary Intervention: Implications of the Risk-Treatment Paradox:

https://pubmed.ncbi.nlm.nih.gov/34253050/

Cost of coronary syndrome treated with percutaneous coronary intervention and 30-day unplanned readmission in the United States:

https://pubmed.ncbi.nlm.nih.gov/31876371/

Terumo Radial Sheath:

https://www.terumois.com/products/access/glidesheath-slender-introducer-sheath.html

Cordis Radial Sheath:

https://cordis.com/na/products/access/cardiology/rain-sheath-transradial-thin-walled-introducer

Surmodic Radial Sheath:

https://www.surmodics.com/

In this episode of the BackTable Podcast, host Dr. Jacob Fleming and Dr. Alexa Levey have an in-depth discussion about the current uses and potential future applications of cryoneurolysis in interventional radiology. Dr. Levey is an interventional radiologist at the Memorial Hermann Health System in Houston, TX.

The doctors discuss how cryoneurolysis differs from radiofrequency (RF) ablation, highlighting the increased precision and gentleness to surrounding tissues. Dr. Levey describes the specifics of stellate ganglion procedures and cryoneurolysis techniques. They delve into the importance of research and collaboration in advancing the field, as well as the necessity of being patient-centered. They also address the need for financial discussions in medicine and the prospect for cryoneurolysis as desmoid tumor treatments. Additionally, Dr. Levey shares her journey in building a career as a female in a male-dominated space and emphasizes the importance of physician availability to patients and colleagues.

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Boston Scientific Visual ICE Cryoablation System

https://www.bostonscientific.com/en-US/products/cryoablation/visual-ice.html

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SHOW NOTES

00:00 - Introduction to RF Ablation and Cryoneurolysis

03:20 - Dr. Alexa Levey’s Journey and Inspiration

07:00 - Building a Pain Practice

14:03 - Advantages of Cryoneurolysis over RF

21:09 - Patient Selection and Planning for Cryoneurolysis

32:02 - Understanding Patient’s Condition and Treatment Options

36:21 - Role of Stellate Ganglion Procedures in PTSD and Anxiety Management

37:48 - Challenges and Impact of Long COVID

41:34 - The Future of Cryoneurolysis in Medical Practice

54:55 - Future of Cryo Treatment in Medical Practice

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RESOURCES

Safety and Effectiveness of Stellate Ganglion Cryoablation in Complex Regional Pain Syndrome:

https://doi.org/10.1016/j.jvir.2023.09.030

Treating phantom limb pain: cryoablation of the posterior tibial nerve:

https://pubmed.ncbi.nlm.nih.gov/35801126/

Stellate Ganglion Block for Psychiatric Disorders: A Systematic Review of the Clinical Research Landscape:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664306/

The Efficacy of the Stellate Ganglion Block as a Treatment Modality for Posttraumatic Stress Disorder Among Active Duty Combat Veterans: A Pilot Program Evaluation:

https://pubmed.ncbi.nlm.nih.gov/33242072/

Stellate Ganglion Block in the Treatment of Post-traumatic Stress Disorder: A Review of Historical and Recent Literature:

https://pubmed.ncbi.nlm.nih.gov/27739175/

Stellate ganglion block reduces symptoms of Long COVID: A case series:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8653406/

Stellate Ganglion Block Relieves Long COVID-19 Symptoms in 86% of Patients: A Retrospective Cohort Study:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498998/

In this episode of the BackTable Podcast, host Dr. Ally Baheti and Dr. Daniel Sheeran discuss the management and treatment of peripartum and postpartum hemorrhage.

Dr. Sheeran highlights the importance of imaging-based diagnostics, particularly with MRI, to identify the source of bleeding and guide therapy. He also explains the need to employ a variety of techniques tailored towards each individual situation, which may involve utilizing different types of catheters, occlusion balloons, and embolics. He underlines the necessity to balance effective treatment with the preservation of uterine health, especially for women who may wish to have future pregnancies. In severe cases, he mentions the possibility of temporary aortic occlusion. As a final point, Dr. Sheeran argues that Interventional Radiology can play a crucial role in managing these types of cases and potentially avoiding hysterectomies.

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Reflow Medical

https://www.reflowmedical.com/

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SHOW NOTES

00:00 - Introduction

03:00 - Breakdown of Types of Hemorrhages

03:26 - Understanding Peripartum Hemorrhage

04:05 - Discussion on Postpartum Hemorrhage

07:52 - Technical Details of Balloon Occlusion

08:00 - Procedure for Peripartum Hemorrhage

21:15 - Blood Loss in Medical Procedures

22:48 - Uterine Artery Embolization

27:10 - Post-Procedure Follow Up and Fertility Concerns

30:05 - Technical Points for Newcomers in the Field

36:12 - The Role of REBOA in Treating Postpartum Hemorrhage

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RESOURCES

The role of interventional radiology in the management of abnormally invasive placenta: a systematic review of current evidences:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276355/

Magnetic Resonance Imaging of Placenta Accreta Spectrum: A Step-by-Step Approach:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817633/

Role of interventional radiology in placenta accreta spectrum (PAS) disorders:

https://www.sciencedirect.com/science/article/pii/S1521693421000146

Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta:

https://pubmed.ncbi.nlm.nih.gov/21598085/

Aberrant Ovarian and Uterine Feeding from the Renal Artery at the End of Gestation: Two Cases:

https://www.jvir.org/article/S1051-0443(10)00863-8/fulltext

Uterine Fundal Blood Supply from an Aberrant Left Ovarian Artery Originating from the Inferior Mesenteric Artery: Implications for Uterine Artery Embolization:

https://www.jvir.org/article/S1051-0443(10)00191-0/fulltext

Pregnancy success and outcomes after uterine fibroid embolization: updated review of published literature:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948071/

Uterine artery embolisation: fertility, adenomyosis and size – what is the evidence?:

https://cvirendovasc.springeropen.com/articles/10.1186/s42155-023-00353-2

Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Proximal Aortic Control in Patients With Severe Hemorrhage and Arrest:

https://pubmed.ncbi.nlm.nih.gov/28973104/

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA):

https://prytimemedical.com/clinical/reboa/

Resuscitative endovascular balloon occlusion of the aorta (REBOA) for life-threatening postpartum hemorrhage: A nationwide observational study in Japan:

https://pubmed.ncbi.nlm.nih.gov/35444149/

Efficacy of resuscitative endovascular balloon occlusion of the aorta (REBOA) for hemorrhage control in patients with abnormally invasive placenta: a historical cohort study:

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05649-8

An elective hybrid suite approach to the management of placenta accreta-associated postpartum hemorrhage (PPH):

https://www.jvir.org/article/S1051-0443(13)00311-4/fulltext

The role of interventional radiology in primary postpartum hemorrhage:

https://www.jstage.jst.go.jp/article/jsshp/4/2/4_HRP2015-016/_article

In this episode of the BackTable Podcast, host Dr. Ally Baheti and Dr. Paramjit “Romi” Chopra discuss the processes involved in successful interventional radiology practice management. Dr. Chopra is an interventional radiologist practicing in Chicago, IL. He is the founder and CEO of Midwest Institute for Minimally Invasive Therapies.

Dr. Chopra advises young IRs against going solo, and he suggests finding people who’ve done it before, to avoid “reinventing the wheel.” Dr. Chopra emphasizes the importance of adopting a patient-centered approach, building systems, developing business sense, and understanding risk. He shares his own experiences of building systems using Salesforce and explains the concept of ‘omni-channel healthcare delivery’. He particularly discusses the importance of patient, provider, and payer relationships, and he offers solutions for dealing with inherent complications. The episode also covers identifying the right electronic health record and developing an effective inventory management system.

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Medtronic IN.PACT 018 DCB

https://www.medtronic.com/018

Reflow Medical

https://www.reflowmedical.com/

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SHOW NOTES

00:00 - Introduction

05:41 - Shift from Academic Medicine to Entrepreneurship

09:40 - Patient-Centered Care in Interventional Radiology

11:13 - Challenges of Starting an Independent Practice

17:49 - Role of Electronic Health Records (EHRs) in Modern Healthcare

26:15 - Challenges of Implementing EHRs in Interventional Radiology

35:30 - Misconceptions about Outpatient Based Labs (OBLs)

37:01 - Understanding the Payer System

38:19 - Challenge of Insurance Coverage

51:43 - Practice Management Companies

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RESOURCES

MIMIT Healthcare:

https://mimithealth.com/physicians-executives

The E-Myth Revisited: Why Most Small Businesses Don't Work and What to Do About It by Michael E. Gerber:

https://a.co/d/2TuGpTn

AdvancedMD Cloud Based EMR:

https://www.googleadservices.com/pagead/aclk

Athena Cloud Based EMR:

https://www.athenahealth.com/landing/athenaclinicals

CIMSS Management Services Organization (MSO):

https://www.cimss.com/

Salesforce:

https://www.salesforce.com/

In this episode, Dr. Aaron Fritts and Dr. Jose Silva invite interventional radiologist Dr. Jamil Muasher to highlight the potential that interventional radiologists possess in offering prostate biopsy work alongside Urology colleagues.

Given the advancement in MRI guidance, the discussion addresses the opportunity for radiologists to step in and provide crucial expertise to optimize patient outcomes. Dr. Muasher talks about his approach of using an MR imaging to guide the biopsy procedure. He further expresses importance in understanding the grading, reading, interpreting systems like Prostate Imaging-Reporting and Data System (PI-RADS) and significant experience needed for accurate results. The doctors also explain various biopsy procedures, details about post-procedure care and follow-ups, and observations about billing for the services.

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RADPAD® Radiation Protection

https://www.radpad.com/

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SHOW NOTES

00:00 - Introduction

07:29 - Learning to Read Prostate MRI

09:43 - The Role of Radiologists and Grading Systems in Prostate Biopsies

24:00 - Techniques in Prostate Biopsy

31:16 - The Role of Antibiotics in Biopsy

32:34 - The Debate Between Transperineal and Transrectal Biopsy

40:36 - Post-Procedure Care and Follow-Up

45:49 - The Future of Biopsy

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RESOURCES

Decipher Prostate Genomic Classifier by Veracyte:

https://decipherbio.com/

In this episode of the BackTable Podcast, host Dr. Chris Beck discusses atherectomy, laser technologies, and their use in vessel treatment with Dr. Tony Das, an interventional cardiologist practicing in Dallas, TX and one of the founding members of the VIVA Vascular Education Course in Las Vegas.

Dr. Das shares insights on the PATHFINDER registry, which is a prospective non-randomized, multicenter study to evaluate the performance and outcome of the Auryon laser atherectomy system. Their conversation explores the role of atherectomy in reducing stent usage, decreasing embolization likelihood, enhancing thrombus removal, and uncovering lesions. Dr. Das further provides recommendations for building a successful atherectomy program, utilizing laser technologies, and the importance of having ablative technology in outpatient labs. The doctors forecast future applications for artificial intelligence and remote monitoring.

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CHECK OUT OUR SPONSOR

AngioDynamics Auryon System

https://www.auryon-system.com/

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SHOW NOTES

00:00 - Introduction

03:38 - Discussion about Connected Cardiovascular Care Associates

05:09 - Deep Dive into Atherectomy

14:06 - Understanding Laser Atherectomy

23:23 - Discussion on the PATHFINDER Study

34:52 - Advice for Building an Atherectomy Program

38:49 - Future Topics and Closing Remarks

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RESOURCES

Connected Cardiovascular Care Associates:

https://www.texasc3.com/

Pathfinder Registry Trial:

https://www.clinicaltrials.gov/study/NCT04229563#publications

Pathfinder Registry Trial Introduction:

https://evtoday.com/articles/2021-sept/introduction-to-the-pathfinder-registry-and-complex-endovascular-cases-with-the-auryon-atherectomy-system

Limb salvage following laser-assisted angioplasty for critical limb ischemia: results of the LACI multicenter trial:

https://pubmed.ncbi.nlm.nih.gov/16445313/

Randomized controlled study of excimer laser atherectomy for treatment of femoropopliteal in-stent restenosis: initial results from the EXCITE ISR trial (EXCImer Laser Randomized Controlled Study for Treatment of FemoropopliTEal In-Stent Restenosis):

https://pubmed.ncbi.nlm.nih.gov/25499305/

Cryoplasty Versus Conventional Balloon Angioplasty of the Femoropopliteal Artery in Diabetic Patients: Long-Term Results from a Prospective Randomized Single-Center Controlled Trial:

https://link.springer.com/article/10.1007/s00270-010-9915-x#Abs1

Cryoplasty for the treatment of femoropopliteal arterial disease: results of a prospective, multicenter registry:

https://pubmed.ncbi.nlm.nih.gov/16105918/

Auryon Laser from AngioDynamics:

https://www.angiodynamics.com/product/auryon/

Philips Laser System:

https://www.usa.philips.com/healthcare/product/HCIGTDPHLLSRSYSTM/laser-system-hcigtdphllsrsystm

Atherectomy plus drug-coated balloon versus drug-coated balloon only for treatment of femoropopliteal artery lesions: A systematic review and meta-analysis:

https://pubmed.ncbi.nlm.nih.gov/33478353/

Laser in Infrapopliteal and Popliteal Stenosis 2 Study (LIPS2): Long-Term Outcomes of Laser-Assisted Balloon Angioplasty Versus Balloon Angioplasty for Below Knee Peripheral Arterial Disease:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407062/

Distal embolization during lower extremity endovascular interventions:

https://pubmed.ncbi.nlm.nih.gov/28366300/

Shockwave™ Lithoplasty in Combination With Atherectomy in Treating Severe Calcified Femoropopliteal and Iliac Artery Disease: A Single-Center Experience:

https://pubmed.ncbi.nlm.nih.gov/32563711/

In this episode of the BackTable Podcast, host Dr. Ally Baheti discusses the relationship between pelvic venous disease and physical therapy with Ingrid Harm-Ernandes, a pelvic floor physical therapist, mentor for Duke University’s Women’s Health Physical Therapy Residency Program, and author of The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms.

Ingrid gives a detailed walkthrough of a physical therapy session, highlighting the importance of holistic and interdisciplinary treatment approaches, as well as patient communication. She shares perspectives on the need for earlier interventions of physical therapy, misconceptions around the pelvic therapy issues, and the significant role of interventional radiologists as part of the treatment team. She also discusses her book which aims to demystify pelvic floor issues and empower both patients and practitioners in treating them.

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CHECK OUT OUR SPONSORS

BD Advance Clinical Training & Education Program

https://page.bd.com/Advance-Training-Program_Homepage.html

RADPAD® Radiation Protection

https://www.radpad.com/

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SHOW NOTES

00:00 - Introduction

02:25 - Discussion on Pelvic Venous Disease and Physical Therapy

02:36 - Exploring the Role of Physical Therapy in Treating Pelvic Pain

04:41 - Understanding the Challenges in Treating Pelvic Pain

06:51 - Identifying Symptoms of Pelvic Venous Disease

10:06 - The Role of Pelvic PT in Treating Pelvic Venous Disease

15:49 - Finding a Qualified Pelvic PT

22:13 - Improving Synergy between Interventional Radiologists and Pelvic PT

28:39 - Understanding the Musculoskeletal Mystery in Pelvic Floor Symptoms

33:48 - Final Thoughts and Advice for Treating Patients with Pelvic Venous Disease

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RESOURCES

The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms:

https://www.pelvicpain.org/resources/marketplace/books/the-musculoskeletal-mystery

In this episode, host Dr. Aaron Fritts interviews Dr. Rehan Quadri about the impact of intra-procedural arterial monitoring via sheath technology. Dr. Quadri is a practicing interventional radiologist at UT Southwestern in Dallas, Texas.

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Endophys

https://endophys.com/

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SHOW NOTES

Dr. Quadri begins by telling us about a new arterial sheath, the EndoPhys Pressure Sense Arterial Sheath, which enables real-time blood pressure monitoring in a number of different cases and advantages that it offers over arterial lines and cuff monitors. We also discuss specific indications for utilizing this technology, such as trauma, GI bleeds, stroke, fistulas, and other emergent arterial interventions requiring minute-to-minute monitoring.

We also breakdown the specs of the sheath, including its setup, calibration, placement, recorded measurements, and the accuracy of the read-outs when compared to those of past technologies. Dr. Quadri speaks on the cost and the overall value of the EndoPhys sheath. He concludes the episode by discussing new advancements in the technology such as improved device warmup times and a radial-specific sheath.

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RESOURCES

Endophys Pressure Sense Arterial Sheath:

https://endophys.com/