BackTable Vascular & Interventional Ep. 528 Approach to Microwave Liver Ablations with Dr. Asad Baig
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Mar 25, 2025 This week, Dr. Asad Baig, an interventional radiologist from Columbia University, dives into the world of microwave liver ablation. He shares innovative techniques and the importance of personalizing treatment based on patient needs. Dr. Baig discusses how real-time visualization software enhances ablation accuracy and emphasizes the critical role of teamwork in tumor boards. The conversation also covers best practices for tackling challenging tumors, ensuring patient safety, and fostering effective communication with patients throughout their care.
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Microwave Ablation Candidate Selection
- Prioritize peripheral liver lesions for microwave ablation, avoiding central or capsular locations initially.
- Aim for tumors 3 cm or less, especially when starting, for easier margin achievement.
Tumor Board Collaboration
- Dr. Baig highlights Columbia's multidisciplinary tumor board approach, involving surgeons, IRs, hepatologists, and oncologists.
- This collaborative approach fosters trust and allows tailored treatment plans based on patient specifics and disease characteristics.
Building Relationships and Trust
- Build relationships within your institution by initially observing and listening before offering suggestions.
- Gradually increase case complexity and demonstrate your skills to gain referrer trust and confidence.