BackTable Vascular & Interventional Ep. 573 BackTable Tricks Competition 2025
7 snips
Sep 15, 2025 The hosts dive into innovative techniques shared in a recent tips and tricks competition, showcasing accessibility in interventional radiology. They explore advanced urological catheterization methods, peppered with humor and personal experiences. The discussion on direct portal access for TIPS procedures highlights its benefits over newer approaches. Practical tips to navigate challenging liver procedures are shared, along with creative access techniques to enhance patient comfort and procedural efficiency. Listener engagement is celebrated throughout, enhancing the community spirit.
AI Snips
Chapters
Transcript
Episode notes
Question-Mark Wire For Angulated Prostates
- Use a back-curved wire tip (question-mark shape) to access highly angulated prostate vessels when you lack an angled microcatheter.
- Try starting with a regular curve then add the back bend if initial access fails for better in-plane control.
Make A Large Snare With A Benson Wire
- Create a large loop snare by kinking an 0.035 Benson wire inside a 7–8 Fr sheath and pushing from one side while pinning the other.
- Use push–pull on the non-kinked limb to open and close the snare and retrieve pigtail stents or catheters in capacious bladders.
Rim Catheter Switch For Profunda To SFA
- When you access the profunda instead of the SFA, use a rim or mini-rim catheter and a pre-shaped back-curve wire to switch and redirect into the SFA under roadmap.
- Pull back the wire with its curve and retarget rather than repeatedly probing blindly to save time.