Dr. Gregg Alzate, a senior interventional radiologist at Sharp Healthcare, discusses his career journey and the innovative A-RAM technique he pioneered. He shares valuable insights on mastering vessel access techniques and strategies for limb salvage. Dr. Alzate reflects on the challenges of managing complex chronic total occlusions (CTOs) and the moral injuries that can affect medical professionals. He also emphasizes the significance of mentorship and staying open to new techniques in advancing patient care.