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BackTable Vascular & Interventional

Latest episodes

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Jan 10, 2024 • 45min

Ep. 403 Intra-Arterial Therapies for Migraine Management with Dr. Adnan Qureshi

Exploring the use of lidocaine injection for migraines, discussing its effectiveness and duration of headache relief. Exploring the mechanism of action and therapeutic effect of lidocaine in nerve blocks. Exploring the symptoms and treatment options for status migrainosus. Discussing the dosage, administration, and results of lidocaine injection for migraine management. Discussing the potential of early intervention for migraines and modifying the natural history of the disease. Inviting listeners to a brain conference in London and reminding them to subscribe, rate, and share the podcast.
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11 snips
Jan 8, 2024 • 1h 13min

Ep. 402 Immunotherapy in HCC: Evolving Treatment Paradigms with Dr. Edward Kim and Dr. Terence Gade

The podcast discusses the importance of educating medical oncologists about local regional therapy in the treatment of hepatocellular carcinoma. It also explores the role of immunotherapy and the potential of combination therapies. The chapter highlights the molecular subtypes of HCC and the need for therapy decisions based on them. Furthermore, it explores the benefits of combining local regional therapy with immunotherapy. The podcast also focuses on the challenges and ablative techniques in treating multifocal HCC.
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5 snips
Jan 5, 2024 • 37min

Ep. 401 The MOTION Study: Cryoablation for Painful Bone Metastases with Dr. Jack Jennings

In this episode of the BackTable Podcast, host Dr. Jacob Fleming and guest Dr. Jack Jennings discuss advancements in interventional oncology, specifically regarding cryoablation for bone metastases. Dr. Jennings is an interventional musculoskeletal radiologist at Washington University School of Medicine and President of the American Society of Spine Radiology.They discuss the results of the MOTION Study, the benefits of industry collaboration, and the future of robotic guidance systems in interventional procedures. They also explain techniques like hydrodissection and pneumodissection in detail. With constant advancements in technology such as guidance navigation systems to reduce pain from bone metastases, it is crucial for interventional radiologists to adapt to these changes. At the end of the episode the doctors give a shout out to the upcoming Society of Interventional Oncology (SIO) 2024 meeting and the enriching opportunities that it offers for interventional radiologists.---CHECK OUT OUR SPONSORBoston Scientific Visual ICE Cryoablation Systemhttps://www.bostonscientific.com/en-US/products/cryoablation/visual-ice.html---SHOW NOTES00:00 - Introduction02:25 - Overview of the MOTION Study04:23 - Benefits and Challenges of Cryoablation09:37 - Results of the MOTION Study12:13 - Future of Interventional Oncology19:38 - Role of Imaging Guidance in Cryoablation23:07 - Future of Robotic Guidance Systems31:40 - Importance of Industry Partnerships---RESOURCESSociety of Interventional Oncology Annual Meeting, Long Beach, CA January 25th-29th:https://www.sio-central.org/Events/Annual-Scientific-Meeting/RegistrationInterventional Oncology MOTION Multicenter Study:https://www.bostonscientific.com/en-EU/medical-specialties/interventional-radiology/interventional-oncology/latest-evidence/motion-study.htmlPercutaneous image-guided cryoablation of painful metastases involving bone: multicenter trial:https://pubmed.ncbi.nlm.nih.gov/23065947/Cryoablation Needles from Boston Scientific:https://www.bostonscientific.com/en-US/products/cryoablation/visual-ice/visual-ice-cryoablation-needles.htm
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Jan 3, 2024 • 1h 7min

Ep. 400 Intra-Arterial Approaches in Tumor Therapy: Overcoming the Blood-Brain Barrier with Dr. Piotr Walczak and Dr. Prakash Ambady

Dr. Piotr Walczak and Dr. Prakash Ambady discuss intra-arterial approaches in tumor therapy, overcoming the blood-brain barrier using hyperosmolar mannitol and focused ultrasound, cell delivery, and engineered cells. They explore potential risks, new perspectives, and advancements in drug delivery to the brain tissue.
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Jan 1, 2024 • 55min

Ep. 399 Pros and Cons of Independence in the OBL with Dr. Mahmood Razavi and Dr. Mark Garcia

In this episode of The Backtable Podcast, host Dr. Aaron Fritts and guests Dr. Mahmood Razavi and Dr. Mark Garcia discuss the intricacies of owning and operating an outpatient-based lab (OBL). Dr. Razavi and Dr. Garcia are practicing interventional radiologists at Vascular and Interventional Specialists of Orange County (California) and American Vascular Associates (Florida), respectively.The doctors explore the advantages of OBLs, including autonomy, flexibility, and patient satisfaction. They also delve into the challenges of financial sustainability, decision-making restrictions, and insurance navigation. The conversation revolves around the need for a solid business plan before stepping into OBL operation. This includes awareness of potential regulatory oversight, costs, and patient sources. They also discuss the impact of OBLs on healthcare, and they specifically warn that the lack of evidence-based practices might have adverse effects. The doctors propose solutions such as societal guidelines, required accreditation, and stringent care delivery.---CHECK OUT OUR SPONSORSiemens Healthineershttps://www.siemens-healthineers.com/---SHOW NOTES00:00 - Introduction04:26 - Pros and Cons of Owning and Operating in an OBL11:07 - Financial Aspects and Profitability of OBLs23:42 - Exploring Alternative Models for OBLs32:33 - The Role of Societies in Guiding OBL Practices36:27 - The Future of OBLs: Regulation, Consolidation, and Quality42:59 - Exit Strategies and Future Considerations for OBLs50:38 - Final Thoughts on OBLs and the Importance of Quality Care---RESOURCESImpact of Office Based Laboratories on Physician Practice Patterns and Outcomes after Percutaneous Vascular Interventions for Peripheral Artery Disease:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555658/pdf/nihms-1524412.pdf
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Dec 29, 2023 • 39min

Ep. 398 Scheduling Strategies for Clinicians: Flexibility and Transparency with Dr. Brandon St. Amant

Dr. Brandon St. Amant, an interventional radiologist, and Dr. Michael Barraza discuss scheduling strategies in the medical field. They delve into the challenges of manual scheduling, transitioning to online scheduling with QGenda, handling holiday schedules, implementing a buy-sell system for shifts, and providing final tips for effective scheduling.
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Dec 27, 2023 • 48min

Ep. 397 Embolización Prostática: ¿Merecemos Estar en las Guías Clínicas? con Dr. Iñigo Insausti Gorbea

En este episodio del podcast, el Dr. Iñigo Insausti Gorbea y la Dra. Sara Lojo Lendoiro, se centraron en la técnica de embolización prostática como alternativa mínimamente invasiva para el tratamiento de la hiperplasia benigna de próstata.Se detallaron los criterios de inclusión del paciente para poder realizar este procedimiento, las tasas de éxito y los riesgos potenciales. Además, se destaca la importancia de educar a los urólogos y médicos de atención primaria sobre este procedimiento, abogando por una mayor participación clínica de los intervencionistas en la atención al paciente. El Dr. Insausti también abordó la necesidad de que los radiólogos intervencionistas cuenten con consultas y camas propias, para los pacientes. Por último, en el episodio se habla sobre el futuro potencial de la embolización de próstata, incluida la introducción de materiales de embolización alternativos y la tasa de retratamiento de pacientes a largo plazo, en comparación con las opciones quirúrgicas.---SHOW NOTES00:00 - Introducción01:43 - Comprender la hipertrofia prostática benigna03:42 - Impacto en la calidad de vida de los pacientes04:31 - Introducción a la embolización de la próstata.06:25 - Candidatura del paciente para la embolización07:29 - Comparación de embolización y cirugía.11:08 - Riesgos asociados con la embolización de la próstata14:51 - Tasas de éxito de la embolización de la próstata24:17 - El futuro de la embolización de la próstata45:01 - Conclusión y pensamientos finales
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16 snips
Dec 25, 2023 • 40min

Ep. 396 How I Perform a Port Removal with Dr. Chris Beck

Dr. Chris Beck, a specialist in port removal procedures, discusses various techniques and considerations for efficient and pain-free removal. Topics include different indications for port removal, tips for the procedure, techniques for anesthesia, proper closure methods, and foreign body retrieval. Challenges with fractured ports are also mentioned.
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14 snips
Dec 22, 2023 • 44min

Ep. 395 Radial to Peripheral Tools and Technique with Dr. Sameh Sayfo

Interventional cardiologist Dr. Sameh Sayfo discusses radial to peripheral interventions and the need for research data on financial impact. The conversation also covers potential benefits of radial to peripheral interventions, training, patient selection, complications, and post-procedure care. The episode highlights the work of Dr. Amit P. Amin and the possibilities for the future of radial to peripheral interventions.
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Dec 18, 2023 • 1h 3min

Ep. 394 Cryoneurolysis Pearls and Pitfalls with Dr. Alexa Levey

Dr. Alexa Levey, interventional radiologist, discusses cryoneurolysis in interventional radiology, highlighting its advantages over radiofrequency ablation and its potential applications. Topics include stellate ganglion procedures, patient-centered care, financial discussions in medicine, cryoneurolysis as desmoid tumor treatment, and the importance of physician availability. The podcast also explores the innovative problem-solving mindset of interventional radiologists, the role and benefits of blocking the stellate ganglion, future applications, research, collaboration, and reflections on being a female in a male-dominated field.

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