Episodit

  • How can interventional radiologists help patients with long COVID? Today we hear directly from Jillian Angeline, a long COVID survivor that benefited tremendously from minimally invasive interventional care. Jillian sits down with host Dr. Eric Keller, and shares how interventional radiologist Dr. Brooke Spencer helped get her life back by turning the tide against her long-haul COVID symptoms which had been ongoing for multiple years.

    ---

    This podcast was developed in collaboration with:

    Interventional Initiative
    https://theii.org/

    ---

    SYNPOSIS

    Jillian shares her challenging journey from being an extremely active individual to barely being able to walk, due to persistent inflammation following COVID-19 infection. After seeing numerous physicians across various states and experiencing dismissal and misdiagnosis, Jillian was finally referred to Dr. Spencer at the MIPS Center in Colorado where she underwent a series of venous interventions that significantly helped her. This episode aims to raise awareness about possible life-changing IR options for patients suffering from long COVID, the importance of patient advocacy, and underscores multidisciplinary collaboration amongst medical professionals.

    ---

    TIMESTAMPS

    00:00 - Introduction
    02:33 - Jillian’s Journey
    05:11 - Finding Interventional Radiologist, Dr. Brooke Spencer
    08:39 - Venous Interventions
    16:03 - Road to Healing
    32:21 - Advice for Long COVID Patients

    ---

    RESOURCES

    Dr. Brooke Spencer, MD, FSIR Practice:
    https://mipscenter.com/about-us/dr-e-brooke-spencer-md-fsir/

    The Interventional Initiative:
    https://theii.org/

  • Looking to enhance your interventional oncology practice with renal tumor ablation? In this episode, host Dr. Don Garbett is joined by Dr. AJ Gunn to discuss the current landscape of renal tumor ablation and Dr. Gunn’s procedural tips for successful outcomes. Dr. Gunn is an interventional radiologist at the University of Alabama at Birmingham, with extensive experience in building service lines, including renal tumor management.

    ---

    This podcast is supported by:

    RADPAD® Radiation Protection
    https://www.radpad.com/

    ---

    SYNPOSIS

    The doctors review various scoring systems to predict the risks associated with renal ablation. Dr. Gunn emphasizes that tumor size is the most consistent predictor of procedural complications, local recurrence, and metastasis. He also discusses ablation techniques and proactive steps to avoid complications, such as hydrodissection and the selection of appropriate ablation technology. He employs cryoablation for central renal tumors and large tumors to minimize damage to the collecting system, while using microwave ablation for smaller peripheral lesions. Additionally, prior literature and his personal experience suggest that preoperative embolization may be beneficial for larger hypervascular tumors.

    Finally, Dr. Gunn speaks about the ongoing Embolization Before Ablation of Renal Cell Carcinoma (EMBARC) study and the importance of sharing knowledge and experiences within the interventional oncology community.


    ---

    TIMESTAMPS

    00:00 - Introduction
    04:24 - Practice Building Philosophy
    09:29 - Importance of Clinical Follow Up
    12:17 - Predictive Factors of Ablation Success
    23:30 - Renal Ablation Technique
    31:41 - Embolization Before Ablation
    44:13 - The Future of Renal Tumor Treatments

    ---

    RESOURCES

    Percutaneous Cryoablation of Stage T1b Renal Cell Carcinoma: Safety, Technical Results, and Clinical Outcomes (Gunn et al, 2019):
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8983093/

    Should Renal Mass Biopsy Be Performed prior to or Concomitantly with Thermal Ablation? (Chung et al, 2018): https://pubmed.ncbi.nlm.nih.gov/30075976/

    EMBARC Trial:
    https://med.stanford.edu/ir/clinical-trials/embarc.html

    Society for Interventional Oncology (SIO) Conference: https://www.sio-central.org/Events/Annual-Scientific-Meeting

  • Puuttuva jakso?

    Paina tästä ja päivitä feedi.

  • As providers, we know firsthand how impactful interventional radiology procedures can be. Today, we hear the perspective of Suzanne Martin, a patient who underwent life-saving radioembolization for stage 4 colorectal cancer. Suzanne shares her story with host Dr. Eric Keller, including how things took a positive turn when she was introduced to interventional radiologist Dr. Charles Nutting after initially undergoing ineffective chemotherapy treatment.

    ---

    This podcast was developed in collaboration with:

    Interventional Initiative
    https://theii.org/

    ---

    SYNPOSIS

    Suzanne discusses her role as a motivational speaker and highlights the importance of patient self-advocacy and the collaborative efforts between oncologists and interventional radiologists. This inspiring episode underscores the transformative power of minimally invasive treatments and the significance of hope and teamwork in overcoming cancer.

    ---

    TIMESTAMPS

    00:00 - Introduction
    04:25 - SIR Spheres Procedure
    07:10 - Post-Procedure Recovery Experience
    09:49 - Long-Term Outcomes and Reflections
    17:48 - Advocating for Yourself
    19:07 - Finding Support and Hope
    23:35 - Advice for Patients and Doctors

    ---

    RESOURCES

    Dr. Charles Nutting Denver Practice:
    https://www.drnutting.com/

    Say Yes to Hope Cancer Support Group:
    https://www.sayyestohope.org/

  • Get a second opinion on your uterine fibroid embolization (UFE) technique. Dr. Gary Siskin joins host Dr. Chris Beck for an in-depth discussion on his approach to uterine fibroid embolization, detailing techniques, tools, and embolic agents. Dr. Siskin is an experienced UFE practitioner, professor, and Chair of the Department of Radiology and Chief of the Division of Vascular & Interventional Radiology at Albany Med Health System in New York.

    ---

    This podcast is supported by:

    Merit Embolotherapy
    https://www.merit.com/solutions/embolotherapy/

    ---

    SYNPOSIS

    Dr. Siskin shares his journey and evolution of his specialization in GYN-related interventional radiology procedures. The doctors cover various aspects of fibroid embolization, including its effectiveness compared to surgical options like myomectomy and hysterectomy, the referral and evaluation process, and considerations for fertility preservation. Pain management strategies and postoperative care are also explored, emphasizing the importance of patient education and interdisciplinary collaboration to promote less invasive treatments.

    ---

    TIMESTAMPS

    00:00 - Introduction
    04:45 - Building a Fibroid Practice
    08:35 - Workup and Consultation
    17:01 - Recurrence and Re-Embolization
    20:27 - Pre-Procedural Workup and Technique
    30:18 - Embolization Endpoint
    36:07 - Accessing the Correct Uterine Artery
    48:49 - Post-Procedure Patient Care

    ---

    RESOURCES

    List of Publications by Dr. James B. Spies (PubMed):
    https://pubmed.ncbi.nlm.nih.gov/?sort=jour&term=Spies+JB&cauthor_id=24436560

  • Historically, public recognition and understanding of IR has been limited, with a significant portion of patients unaware of interventional procedures and the field as a whole. How can we improve awareness of IR and minimally invasive treatment options? Dr. Mina Makary discusses this and his recent study on public perceptions of IR, with host Dr. Michael Barraza. Dr. Makary is a vascular and interventional radiologist and an Associate Professor of Radiology at The Ohio State University.

    ---

    This podcast is supported by:

    PearsonRavitz
    https://pearsonravitz.com/backtable

    ---

    SYNPOSIS

    Dr. Makary states that less than half of the public believes IRs are physicians, highlighting a knowledge gap with potentially significant implications for patient care and treatment decisions. The doctors delve into possible solutions to address this issue, including educational interventions targeting both the public and healthcare providers, the potential impact of name recognition on public perception, and methods to enhance IR awareness through media and direct engagement with primary care providers. The episode also emphasizes the need for ongoing research and efforts to improve understanding and recognition of IR to ensure patients have informed medical options.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:23 - Study Methodology and Findings
    08:13 - Challenges and Solutions in IR Awareness
    10:23 - Impact of IR Procedures on Public Perception
    15:16 - Future Research and Awareness Efforts
    23:40 - Conclusions

    ---

    RESOURCES

    2023 Paper - Public Awareness of Interventional Radiology: Population-Based Analysis of the Current State of and Pathways for Improvement:
    https://pubmed.ncbi.nlm.nih.gov/36764444/

    2019 Paper - Primary Care Provider Awareness of IR: A Single-Center Analysis:
    https://pubmed.ncbi.nlm.nih.gov/31235412/

    2024 Paper - Impact of Educational Videos on Patient Understanding of Interventional Radiology Procedures:
    https://pubmed.ncbi.nlm.nih.gov/39198139/

    BackTable VI Podcast Episode #454 - Moral Injury in Interventional Radiology with Dr. Mina Makary and Dr. Jeffrey Chick:
    https://www.backtable.com/shows/vi/podcasts/454/moral-injury-in-interventional-radiology

    BackTable VI Podcast Episode #195 - Disclosures of Conflicts of Interest with Dr. Mina Makary:
    https://www.backtable.com/shows/vi/podcasts/195/disclosures-of-conflicts-of-interest

    BackTable VI Podcast Episode #62 - Protect Yourself Before You Wreck Yourself with Dr. Mina Makary:
    https://www.backtable.com/shows/vi/podcasts/62/protect-yourself-before-you-wreck-yourself

  • Acetabular lesions present unique challenges for interventionalists due to their location within the pelvis. In this episode of the BackTable Podcast, host Dr. Jacob Fleming interviews Dr. Jason Levy, an experienced practitioner in musculoskeletal interventional oncology based in Atlanta, Georgia, about techniques for ablating acetabular lesions.

    ---

    This podcast is supported by an educational grant from:

    Medtronic
    https://www.medtronic.com/en-us/index.html

    ---

    SYNPOSIS

    The doctors discuss the unique considerations involved in treating the acetabulum, including its susceptibility to various axial loading, shear, and torsion forces. Dr. Levy prefers to use radiofrequency ablation combined with cement augmentation to enhance joint stability. He outlines the procedural steps and shares his preferred imaging methods. Additionally, he addresses potential complications, such as instability from inadequate cement delivery, cement leakage into the hip joint space, and avascular necrosis. Throughout the episode, the doctors emphasize the importance of collaboration with orthopedic oncologists and staying updated on current research in musculoskeletal interventional oncology.\

    ---

    TIMESTAMPS

    00:00 - Introduction
    05:11 - Unique Considerations for Acetabular Lesions
    09:06 - Collaboration with Orthopedic Oncologists
    13:10 - Anatomy and Procedural Steps
    24:40 - Preventing Complications
    35:25 - Concluding Thoughts

    ---

    RESOURCES

    BackTable MSK Ep. 17- Multidisciplinary Approach to Treating Spinal Metastases with Dr. Jason Levy and Dr. Amir Lavaf:
    https://www.backtable.com/shows/msk/podcasts/17/multidisciplinary-approach-to-treating-spinal-metastases

    BackTable VI Ep. 68- RF Ablation Therapy for Bone Metastases with Dr. Jason Levy and Dr. Sandeep Bagla:
    https://www.backtable.com/shows/vi/podcasts/68/rf-ablation-therapy-for-bone-metastases


    BackTable MSK Ep. 12- Ortho/IR Collaboration in Private Practice:
    https://www.backtable.com/shows/msk/podcasts/12/ortho-ir-collaboration-in-private-practice


    Radiofrequency Ablation for the Palliative Treatment of Bone Metastases: Outcomes from the Multicenter OsteoCool Tumor Ablation Post-Market Study (OPuS One Study):
    https://pubmed.ncbi.nlm.nih.gov/33129427/


    Hip Joint Distraction Technique during Cryoablation of Acetabular Bone Tumor to Prevent Femoral Head Osteonecrosis:
    https://www.jvir.org/article/S1051-0443(22)01119-8/fulltext

  • Tumor embolization is a versatile procedure that can provide symptomatic and long-term benefits for patients. In this episode of BackTable MSK, host Dr. Michael Barraza discusses musculoskeletal tumor embolizations with Dr. Gina Landinez from the Miami Cardiac and Vascular Institute, where she is helping to grow the MSK interventions program.

    ---

    This podcast is supported by:

    Accountable Physician Advisors
    http://www.accountablephysicianadvisors.com/

    ---

    SYNPOSIS

    Dr. Landinez explains that the main indications for embolization are preoperative tumor shrinkage and pain palliation. Embolization decreases hemorrhagic risk and procedure time during surgical resection and leads to better surgical margins. Pain palliation can also be achieved due to tumor size reduction and decreased pressure on surrounding nerves and tissue. Dr. Landinez explains that lesions well-suited embolization are hypervascular, large, not sensitive to radiation, and painful. She also describes the risks of off-target skin and muscle embolization and the importance of exercising caution with vertebral tumors.
    Finally, Dr. Landinez shares valuable practice-building tips about developing relationships with orthopedic surgeons and providing adequate follow up care.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:51 - Indications for Embolization
    08:08 - Building Referral Networks
    13:45 - Preoperative Planning
    18:34 - Technical Aspects of Embolization
    27:25 - Challenges and Considerations
    31:23 - Importance of Outpatient Follow Up

  • Is your practice profitable? The success of a private medical practice often hinges on effective revenue cycle management (RCM). In this episode of the BackTable Podcast, private practice consultant Teri Yates and host Dr. Ally Baheti share best practices in revenue cycle management for physicians. Teri Yates is the CEO of Accountable Physician Advisors and President of DocCentric.

    ---

    This podcast is supported by:S

    Accountable Physician Advisors
    http://www.accountablephysicianadvisors.com/

    Reflow Medical
    https://www.reflowmedical.com/

    ---

    SYNPOSIS

    Teri explains the importance of understanding payer rules, the benefits of using professional coders, and managing front desk staff efficiently. The episode includes real-world examples of RCM challenges and solutions, the impact of insurance policies, and the role of cybersecurity. Teri also provides actionable tips for improving collections and navigating recent changes in healthcare reimbursement, especially for outpatient-based labs (OBLs) and ambulatory surgery centers (ASCs).

    ---

    TIMESTAMPS

    00:00 - Introduction
    09:17 - Revenue Cycle Management: Case Scenarios
    19:55 - In-House vs. Outsourced Billing
    31:51 - Winning Strategies for Physicians
    40:55 - Healthcare Cybersecurity
    43:52 - Proposed Reimbursement Changes for 2025
    48:32 - Telehealth and Legislative Concerns
    55:25 - Conclusion

    ---

    RESOURCES

    BackTable VI Podcast - Episode #366 Navigating OBL & ASC Business, Pitfalls to Avoid with Teri Yates:
    https://www.backtable.com/shows/vi/podcasts/366/navigating-obl-asc-business-pitfalls-to-avoid


    BackTable VI Podcast - Episode #431 OBL or ASC for Your Private Practice? How to Decide with Teri Yates:
    https://www.backtable.com/shows/vi/podcasts/431/obl-or-asc-for-your-private-practice-how-to-decide

    Accountable Physician Advisors:
    http://www.accountablephysicianadvisors.com/services

    DocCentric:
    https://doccentricasc.com/

    G2211 Add-on Code: What It Is and When To Use It:
    https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management/G2211-what-it-is-and-how-to-use-it.html

  • Are you up-to-date on microwave ablation for hepatocellular carcinoma (HCC) treatment? Dr. Zachary Berman and host Dr. Michael Barraza discuss this treatment modality. They cover the spectrum of pre-procedure imaging and planning, procedure steps, and tips for navigating difficult cases. Dr. Berman is a hepatobiliary interventional oncologist and Associate Clinical Professor of Radiology at UC San Diego School of Medicine.

    ---

    This podcast is supported by an educational grant from:

    Variant
    https://www.varian.com/

    ---

    SYNPOSIS

    Dr. Berman highlights the importance of a multidisciplinary approach, referral pathways, and the role of tumor boards in decision-making. The doctors also cover various ablation technologies, pre-procedure embolization, hydrodissection, biopsy considerations, and the incorporation of immunotherapy in ongoing research. Finally, Dr. Berman emphasizes the importance of ultrasound skills and presents some cases.

    ---

    TIMESTAMPS

    00:00 - Introduction
    10:09 - Techniques and Technologies
    17:26 - Planning and Performing Ablations
    21:35 - Tumor Size and Margins
    25:09 - Navigational Software and Skills
    30:47 - Hydrodissection Techniques
    33:20 - Post-Ablation Imaging and Follow-Up
    35:52 - Future of Ablation in IR and Cases

    ---

    RESOURCES

    Liver Imaging Reporting & Data System (LI-RADS®):
    https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS

    Liver Cancer Stages (BCLC):
    https://www.cancer.gov/types/liver/what-is-liver-cancer/stages

    Radiofrequency Ablation and Microwave Ablation in Liver Tumors: An Update:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795153/

    Microwave ablation compared with radiofrequency ablation for treatment of hepatocellular carcinoma and liver metastases: a systematic review and meta-analysis:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698169/

    Prospective double-blinded randomized controlled trial of Microwave versus RadioFrequency Ablation for hepatocellular carcinoma (McRFA trial):
    https://www.hpbonline.org/article/S1365-182X(20)30023-X/fulltext#:~:text=A%20total%20of%2093%20patients,RFA%20in%20treating%20small%20HCC.

    Percutaneous radiofrequency versus microwave ablation for management of hepatocellular carcinoma: a randomized controlled trial:
    https://jgo.amegroups.org/article/view/26929/html#:~:text=to%2080%20years.-,There%20were%20no%20statistically%20significant%20differences%20between%20both%20groups%20regarding,HCC%20ablation%20(Table%202).

    Surgical microwave ablation for the treatment of hepatocellular carcinoma in 791 operations:
    https://www.sciencedirect.com/science/article/abs/pii/S1365182X23020002

    Surgery versus thermal ablation for small-size colorectal liver metastases (COLLISION): An international, multicenter, phase III randomized controlled trial:
    https://meetings.asco.org/abstracts-presentations/234189

    One-millimeter cancer-free margin is curative for colorectal liver metastases: a propensity score case-match approach:
    https://pubmed.ncbi.nlm.nih.gov/23732261/

  • Is your critical limb ischemia (CLI) toolbox up to date? Dr. Kevin Herman and host Dr. Sabeen Dhand discuss treating CLI in the outpatient based lab (OBL) and ambulatory surgery center (ASC) settings. Dr. Herman is an interventional radiologist at American Endovascular and Holy Name Hospital in New Jersey.

    ---

    This podcast is supported by:

    Reflow Medical
    https://www.reflowmedical.com/

    ---

    SYNPOSIS

    Dr. Herman discusses the evolution of vascular interventions over the past 15 years, the role of advanced devices like the Wingman catheter and IVUS, and the nuances of tackling complex cases in both hospital and outpatient settings. Additionally, Dr. Herman highlights the business challenges of OBL practices, effective marketing strategies, and the integration of innovative tools such as live-streaming cases for real-time education and consultations. The episode concludes with a detailed case study showcasing a successful treatment of CLI, underscoring the application of advanced techniques and collaborative efforts in management.

    ---

    TIMESTAMPS

    00:00 - Introduction
    06:57 - Balancing Hospital and OBL Work
    13:48 - Educational Initiatives and Innovations
    17:12 - Strategic Planning and Treatments
    26:25 - Crossing Devices and Techniques
    32:04 - DEEPER REVEAL Trial
    39:33 - Case Presentation: Non-Healing Wound
    50:09 - Conclusion

    ---

    RESOURCES

    A Prospective Single-Arm Multicenter StuDy of the BarE TEmporary SPur StEnt System foR the tREatment of Vascular Lesions Located in the infrapoplitEal Arteries beLow the Knee (DEEPER REVEAL) (DEEPER REVEAL):
    https://clinicaltrials.gov/study/NCT05358353

    Wingman Catheter:
    https://www.reflowmedical.com/wingman/

  • Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical device? In this episode of the BackTable Podcast, Dr. Jeffrey Hull discusses the challenging journey of developing the Ellipsys system for endovascular AVF creation.

    ---

    CHECK OUT OUR SPONSOR

    Medtronic ClosureFast
    https://www.medtronic.com/closurefast6f

    ---

    SYNPOSIS

    We trace Dr. Hull’s path from the device's initial conception in 2006, through the first-in-human cases in 2013, to regulatory approval and acquisition by Medtronic in 2020. Dr. Hull highlights the roles of key business mentors, the importance of multidisciplinary collaboration with vascular surgery and nephrology, and the impact of investment. He also shares valuable insights on the benefits of having competitors and selecting a well-thought-out exit strategy. Additionally, we explore deep vein arterialization (DVA) as another application of endovascular AVF creation in the context of peripheral arterial disease.

    ---

    TIMESTAMPS

    00:00 - Introduction
    03:05 - The Birth of the Percutaneous AV Fistula Creation
    15:04 - First-in-Human Cases
    17:58 - Navigating the Startup Journey
    21:52 - Identifying Mentors and Investors
    27:33 - Competition and Criticism
    36:43 - Regulatory Hurdles
    44:45 - Acquisition by Medtronic
    49:14 - Deep Vein Arterialization for Peripheral Arterial Disease
    54:40 - Final Thoughts and Advice

    ---

    RESOURCES

    Avenu Medical:
    https://avenumedical.com/

    Gracz KC et al. Proximal forearm fistula for maintenance hemodialysis (1977):
    https://pubmed.ncbi.nlm.nih.gov/839655/

    Hull JE et al. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access (2018):
    https://pubmed.ncbi.nlm.nih.gov/29275056/

    Endovascular Today- Update on Percutaneous AV Fistula Creation (2015):
    https://evtoday.com/articles/2015-june/update-on-percutaneous-av-fistula-creation

    Mallios A, Jennings WC. Percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System-the state of the art (2020):
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353338/

  • Get caught up on prostate artery embolization (PAE) best practices and learn the ins-and-outs of building a PAE program in 2024. Dr. Jason Hoffmann covers this and more, with host Dr. Michael Barraza. Dr. Hoffmann is an interventional radiologist and educator at NYU Langone Health.

    ---

    CHECK OUT OUR SPONSOR

    Merit Embolotherapy
    https://www.merit.com/solutions/embolotherapy/

    ---

    SYNPOSIS

    The doctors delve into strategies for developing expertise within a practice, coordinating with urologists, and effectively managing patient expectations. Dr. Hoffmann shares insights on leveraging different imaging techniques, equipment choices, and best practices for ensuring post-procedure patient satisfaction. The discussion also touches on the evolution of PAE guidelines, insurance challenges, and the importance of longitudinal care in interventional radiology.

    ---

    TIMESTAMPS

    00:00 - Introduction
    04:12 - Building a BPH Program and PAE Practice
    06:28 - Referrals and Relationship with Urology
    15:27 - Patient Workup and Setting Expectations
    27:10 - SwiftNinja Study: Initial Impressions and Findings
    31:43 - Patient Management and Post-Procedure Care
    35:37 - Building a Successful PAE Practice
    42:19 - Conclusion


    ---

    RESOURCES

    BackTable VI Podcast Episode #445 - Inside the IR Suite: A Clinician's Own Battle with Portal Vein Thrombosis with Dr. Jason Hoffmann:
    https://www.backtable.com/shows/vi/podcasts/445/inside-the-ir-suite-a-clinicians-own-battle-with-portal-vein-thrombosis

    AUA Guidelines on Benign Prostatic Hyperplasia (Updated 2023):
    https://www.auanet.org/guidelines-and-quality/guidelines/benign-prostatic-hyperplasia-(bph)-guideline

    Use of a steerable microcatheter during superselective angiography: impact on radiation exposure and procedural efficiency:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966367/

  • 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.

    ---

    This podcast is supported by an educational grant from:

    Guerbet
    https://www.guerbet-us.com

    ---

    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.

    ---

    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


    ---

    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.

    ---

    CHECK OUT OUR SPONSOR

    Imperative Care
    https://imperativecare.com/vascular/

    ---

    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

    ---

    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.

    ---

    CHECK OUT OUR SPONSOR

    RADPAD® Radiation Protection
    https://www.radpad.com/

    ---

    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.

    ---

    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.

    ---

    CHECK OUT OUR SPONSOR

    RADPAD® Radiation Protection
    https://www.radpad.com/

    ---

    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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    CHECK OUT OUR SPONSOR

    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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    CHECK OUT OUR SPONSOR

    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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    CHECK OUT OUR SPONSOR

    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/