Burns = big consequences. Let’s talk thermoprotection. In this episode of the BackTable MSK Podcast, host Jacob Fleming welcomes longtime friend and colleague Dr. Alan Sag to discuss thermoprotection in musculoskeletal ablation procedures over this two-part episode series. Part 1 focuses on established strategies and new techniques for protecting critical structures during ablation.

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SYNPOSIS

Dr. Sag shares how he approaches thermoprotection in complex MSK ablation cases. The discussion covers hydro-dissection techniques, hydro convection needle strategies, pump and tubing set up, troubleshooting, and visualization of the protective layer.

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TIMESTAMPS

00:00 - Introduction
02:49 - Thermoprotection 101
12:37 - Skin Injury and Mitigation Strategies
18:57 - Avoiding Bottlenecks with Hydrodissection
23:49 - Practical Recommendations for Cold Skin Protection
29:36 - Managing Complications and Wound Care
38:12 - Heating up with RFA and Microwave Ablations

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RESOURCES

Dr. Alan Alper Sag, M.D., FSIR
https://med.miami.edu/faculty/alan-alper-sag-md-fsir

Thermal Protection: Heightened Safety for Minimally Invasive Percutaneous Ablation of Musculoskeletal Tumors
https://pubs.rsna.org/doi/10.1148/rg.240238

Intraoperative Neuromonitoring for Peripheral Nerve Surgery
https://mayoclinic.elsevierpure.com/en/publications/intraoperative-neuromonitoring-for-peripheral-nerve-surgery/