Can arterial closure devices transform your OBL workflow and get patients moving sooner? In this episode of the BackTable Podcast, Dr. Mike Barraza sits down with Interventional Radiologist Dr. Dave Johnson to discuss the ins and outs of launching and running an office-based lab (OBL) in Florida. While covering startup logistics, staffing, regulatory requirements, and cost-saving strategies, the conversation centers on how the use of arterial closure devices can streamline workflow, speed post-procedure recovery, and enhance both efficiency and patient care in the OBL setting.

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https://www.terumo.com/

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Timestamps

00:00 - Introduction
01:31- Launching The OBL
04:41- Logistics And Staffing
07:14 - Standardizing Supplies
11:57 - OBL vs. Hospital Cases
15:30 - Patient Experience Benefits
17:41 - Efficiency And Throughput
20:49 - Closure Devices For Flow
23:28 - Early Ambulation With AngioSeal
26:14 - Anticoagulation Decisions
28:31 - AngioSeal Access Technique
30:20 - Avoiding Hostile CFA Access
32:19 - Choosing SFA or Radial
34:04 - Do You Need Groin Runs
36:14 - Closure Device Fundamentals
38:53 - Ultrasound Guided AngioSeal
45:11 - Post Op Monitoring Checklist

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More about this episode

Dr. Johnson explains that some procedures, such as Prostate Artery Embolization (PAE), may still require a hospital setting due to insurance coverage, patient preference, or unique clinical needs. He compares patient experiences in OBLs versus hospitals, emphasizing the advantages of privacy, convenience, and personalized communication in the OBL environment. A major challenge discussed is managing post-procedure recovery and patient throughput with limited holding beds, where femoral arterial closure devices like Angio-Seal are essential for early ambulation and efficient turnover. The discussion highlights best practices for access site selection, ultrasound guidance, and post-closure assessment, providing actionable insights for IR physicians aiming to optimize office-based procedures.

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Resources

Cost Comparison of Prostatic Artery Embolization Between In-Hospital and Outpatient-Based Lab Settings
https://pubmed.ncbi.nlm.nih.gov/39310461/

Prostate Artery Embolization: Indication, Technique and Clinical Results
https://pubmed.ncbi.nlm.nih.gov/29975976/

Ultrasound-guided angio-seal deployment
https://pubmed.ncbi.nlm.nih.gov/25735527/

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

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