In this episode, Dr. Alexander Vezeridis discusses advanced biliary interventions; covering stone removal procedures, technical success rates, and practical tips for using Spyglass cholangioscopy, laser lithotripsy, and endobiliary ablation. Dr. Vezeridis is an interventional radiologist, physician-scientist, and Assistant Professor of Radiology at Stanford.
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SYNPOSIS
Dr. Vezeridis highlights the importance of continuous learning, collaboration with other specialties, and shares his experiences and tips for optimizing patient outcomes. The doctors also touch on innovative approaches such as photodynamic therapy and the use of various tools in managing benign and malignant biliary diseases.
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TIMESTAMPS
00:00 - Introduction
03:25 - Setting Up Spyglass in Your Practice
10:50 - Patient Selection and Procedure Details
24:27 - Stone Fragmentation Techniques
27:35 - Success Rates and Patient Outcomes
35:06 - Endobiliary Ablation Techniques
47:35 - Laser Treatment for Biliary Obstructions
49:18 - Future Innovations
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RESOURCES
BackTable VI Podcast Episode #146 - Spyglass Interventions with Dr. Jeffrey Chick and Dr. Ravi Srinivasa:
https://www.backtable.com/shows/vi/podcasts/146/spyglass-interventions
Spyglass - Boston Scientific:
https://www.bostonscientific.com/en-US/medical-specialties/gastroenterology/advancements-cholangioscopy.html
Percutaneous Gallstone Removal: Long-term Follow-up (Dr. Hovsepian Paper):
https://www.jvir.org/article/S1051-0443(96)70766-2/pdf
SIR’s Percutaneous Cholangiopancreatoscopy (PCPS) registry:
https://clinicaltrials.gov/study/NCT05210322
StarMed Endoscopic RFA Clinical Articles:
https://www.starmedacademy.com/endoscopic-rfa-clinical-articles-elra
Habib Endobiliary Ablation Catheter:
https://www.bostonscientific.com/en-US/products/rf-ablation/habib-endohpb-bipolar-radiofrequency-catheter.html
Interventional Radiology-Operated Choledochoscopic-Guided Radiofrequency Wire and Holmium Laser Ablations May Facilitate Treatment and Long-Term Patency of Benign Biliary Strictures:
https://www.jvir.org/article/S1051-0443(18)31535-5/abstract
Percutaneous Cholangioscope-Assisted Laser Incision of Severe Benign Hepaticojejunostomy Stenoses:
https://pubmed.ncbi.nlm.nih.gov/35504434/
Percutaneous Endoluminal Benign Biliary Laser (PEBBL) (Clinical Trial):
https://clinicaltrials.gov/study/NCT05567003
BackTable Vascular & Interventional