BackTable Vascular & Interventional

Dr. Jeff Hull, a pioneering figure in endovascular technology, discusses the innovative Ellipsys system for arteriovenous fistula creation in dialysis care. He shares the journey from conception in 2006 to its acquisition by Medtronic in 2020, highlighting the significance of mentorship and cross-discipline teamwork. Hull emphasizes the value of competition and strategic exit planning in the startup landscape. Additionally, he introduces deep vein arterialization as a novel application in treating peripheral arterial disease, showcasing the future of vascular access.

In this engaging discussion, Dr. Jason Hoffman, an interventional radiologist at NYU Langone Health, shares his expertise on prostate artery embolization (PAE) and the future of practice building. He emphasizes collaboration with urologists for better patient management and discusses innovative catheter technologies that enhance procedural efficiency. The conversation touches on recent PAE guidelines, patient expectation management, and the vital role of effective communication in improving care quality. Discover the importance of fostering trust and enhancing patient experiences in interventional radiology.

Dr. Osman Ahmed is an interventional radiologist at the University of Chicago, specializing in genicular artery embolization (GAE) for knee osteoarthritis. He dives into the origins and procedure of GAE, highlighting its rise as a treatment when other options fail. The discussion covers patient selection, potential complications, and the importance of ongoing research. Dr. Ahmed also shares insights on managing patient expectations and the use of temporary agents during the procedure, emphasizing the significance of meticulous technique and data collection.

Dr. Adam Raskin, an interventional cardiologist and medical director at Mercy Health in Cincinnati, dives into the latest advancements in DVT and PE treatments. He emphasizes the need for more randomized trials to refine venous disease guidelines. The discussion highlights innovative thrombectomy systems, the importance of accurate diagnostics, and improved follow-up care to enhance patient outcomes. Raskin also shares insights on future trends in venous interventions, showcasing the evolution of endovascular therapy.

Viknesh Kasthuri, a fourth-year medical student from Brown University, dives into the impactful documentary 'A World of Hurt,' which sheds light on medical malpractice through compelling personal stories. He discusses the critical need for better communication between healthcare providers and patients, alongside the emotional toll of malpractice litigation on doctors. Viknesh also shares insights on the challenges of documentary filmmaking during COVID and the importance of education on malpractice within medical training. Expect a thought-provoking conversation that promotes empathy and systemic solutions.

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 SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISJason 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.---TIMESTAMPS00:00 - Introduction03:11 - OBL to ASC Conversion06:08 - Financial and Regulatory Aspects15:35 - Ownership and Investment Strategies29:41 - Non-Competes and Legal Risks34:21 - Specialized Legal Advice and Conclusion---RESOURCESVive Vascular:https://www.vivevascular.com/SIR Business Center:https://irbc.sirweb.org/

Dr. Bill Majdalany, Chief and Vice Chair of Research at the University of Vermont, shares his expertise on building a successful lymphangiography practice. He discusses advancements in lymphatic procedures like thoracic duct embolization and stenting, emphasizing their growing significance in modern medicine. The conversation reveals the interconnectedness of the lymphatic system and its potential to treat conditions like ascites and variceal bleeding, highlighting innovative techniques and the future of lymphatic interventions.

Dominic Tanzillo, a third-year medical student at Duke University passionate about interventional radiology and space medicine, teams up with Dr. Richard Moon, a Duke professor specializing in hyperbaric and aerospace medicine. They explore the groundbreaking role of interventional radiology in space, tackling challenges like altered blood flow and clotting risks for astronauts. The duo discusses NASA's strides in portable medical tech, the practicality of remote surgeries, and the implications for future Mars missions, emphasizing the need for advanced, minimally invasive medical interventions in microgravity.

Dr. Cliff Weiss, the Director of IR Research at Johns Hopkins, dives into the promising realm of bariatric arterial embolization (BAE) for obesity treatment. He discusses how BAE can enhance weight loss efforts alongside surgical and pharmaceutical options. Highlighting his research on ghrelin's effect on hunger, Dr. Weiss explains the technique involves targeted embolization using specific spheres. He shares findings from notable trials, revealing that patients often achieve significant weight loss around six to nine months post-procedure, reshaping obesity management strategies.

Dr. Adam Tanious, an Assistant Professor of Vascular Surgery at the Medical University of South Carolina, shares insights on enhancing physician and industry collaborations. He discusses the balance between patient care and industry influences, emphasizing ethics and possible conflicts of interest. The conversation also highlights the necessity of business education for doctors and advocates for transparent communication in these partnerships. Additionally, Dr. Tanious reflects on his impactful TED Talk regarding the integration of big business in surgery.