Let’s talk liver ablations. This week’s episode of the BackTable Podcast provides a thorough review of modern microwave ablation methods, tools, and tech, featuring Dr. Asad Baig (interventional radiologist at Columbia University) and host Dr. Michael Barraza.

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This podcast is supported by an educational grant from Medtronic .

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SYNPOSIS

Dr. Baig shares practical advice on how to become a key contributor at your tumor board and how to position your skillset as an interventional radiologist. He talks through his microwave ablation procedure technique, highlighting the role of ablation zone visualization software. The doctors go on to discuss a variety of ablation approaches, needle placement, intra- and post-operative imaging, and tips for dealing with challenging tumor locations. The episode concludes with Dr. Baig summarizing best practices for ensuring safe and effective ablations, and underscoring the importance of solid patient-physician communication throughout care.

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TIMESTAMPS

00:00 - Introduction

08:28 - Microwave Ablation Techniques

12:54 - Collaborative Approach in Tumor Boards

23:30 - Combined Ablation Cases and Techniques

36:12 - Challenging Liver Ablations

45:56 - Tips for Safe and Effective Ablations

50:07 - Balancing Biopsy and Ablation

01:00:34 - Conclusion

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RESOURCES

The Emprint™ Ablation System with Thermosphere™ Technology: One of the Newer Next-Generation Microwave Ablation Technologies:

https://pmc.ncbi.nlm.nih.gov/articles/PMC4640908/

Comparison of microwave ablation and surgical resection for treatment of hepatocellular carcinomas conforming to Milan criteria:

https://pubmed.ncbi.nlm.nih.gov/24628534/

Percutaneous microwave ablation of hepatic lesions near the heart:

https://pubmed.ncbi.nlm.nih.gov/34805581/

Microwave Ablation of Hepatic Tumors Abutting the Diaphragm Is Safe and Effective:

https://ajronline.org/doi/10.2214/AJR.14.12879