BackTable Vascular & Interventional

Dr. Mark Little, a consultant radiologist, discusses genicular artery embolization (GAE) for knee osteoarthritis, its impact on patients, future applications, challenges in patient selection, and the importance of research in advancing MSK interventions.

En este episodio de nuestro podcast, Dra. Anna Alguersuari Cabiscol, una radióloga intervencionista que dejó su especialidad hace cuatro años, comparte su experiencia personal sobre los desafíos relacionados con la salud mental dentro de la profesión médica.---SYNPOSISExpone cómo la insatisfacción profesional, el síndrome del impostor y la falta de bienestar mental la llevaron a tomar la decisión drástica de abandonar el intervencionismo. A través de su relato, se discute la relevancia de crear un entorno positivo en el trabajo, invertir en el bienestar mental, y la importancia de enfrentar y superar el estigma asociado con estos temas en el ámbito médico. El episodio también aborda la necesidad de cambiar la percepción del éxito y cómo el apoyo de la comunidad médica y científica es fundamental para mejorar la situación actual.Finalmente, se destaca el rol crucial de los mentores en todas las etapas de la carrera médica para fomentar un equilibrio entre competencia y confianza, así como promover un entorno laboral saludable y respetuoso.---TIMESTAMPS00:00 - Bienvenido al podcast07:16 - Redefiniendo el éxito10:20 - Los cuatro pilares de una vida y un trabajo significativos28:36 - Crecimiento personal y la importancia de la tutoría32:22 - Pensamientos finales

Dr. Jason Hoffmann, an interventional radiologist at NYU Langone Health, shares his personal battle with portal vein thrombosis while on-call at his hospital. He discusses the impact on his medical practice, emphasizing empathy, patient education, and trust. The podcast highlights his new perspective on patient care and reflects on his family's medical history influencing his approach.

En este episodio de BackTable la Dra. Maite Velázquez, hemodinamista del Hospital 12 de Octubre de Madrid, aborda el creciente porcentaje de mujeres que ingresan en el campo de la medicina y, en comparación, el escaso porcentaje de mujeres entre los profesionales que trabajan en entornos con radiación ocupacional, como la radiología vascular intervencionista, hemodinámica o cirugía vascular. Además, se analizan los desafíos existentes alrededor del embarazo de estas profesionales, legislación existente y qué medidas protectoras existen en España y Europa, así como los riesgos reales de radiación para el feto basados en evidencia científica.---SYNPOSISLa Dra. Velázquez disipa mitos, enfatiza la seguridad existente a la hora de mantener la actividad profesional durante el embarazo con las protecciones adecuadas y destaca la brecha de género y el impacto de la escasez de relevo generacional en estas especialidades. La conversación tiene como objetivo informar y reflejar la evidencia científica existente en cuanto al manejo del embarazo mientras se trabaja en ambientes expuestos a la radiación ionizante.---TIMESTAMPS00:00 - Introducción03:11 - Exposición a la radiación durante el embarazo07:33 – Evidencia científica y legislación20:19 - Abordar el impacto profesional del embarazo26:56 - Combatir conceptos erróneos y promover prácticas seguras34:59 - Comentarios finales

Dr. Amit Srivastava discusses innovative approaches in peripheral interventions and radial access techniques, highlighting lower complication rates, the variety of devices available, and same-day discharge options. The conversation covers the success of transradial approach, evolution of devices, and virtual reality training for practitioners to adopt radial access efficiently.

In this episode, Dr. Nicole Lamparello discusses the strides and challenges in achieving gender equity in interventional radiology (IR), sharing insights from her research on gender disparities in IR, and revealing how women currently comprise a significantly low percentage of the IR workforce compared to men despite equal numbers of male and female medical students. Dr. Lamparello is an interventional radiologist and serves as the Program Director for Weill Cornell Medicine’s Integrated IR Residency in New York City.---CHECK OUT OUR SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISThe doctors cover the importance of workplace culture with flexibility for family and maternity needs, mentorship, visibility of female leaders in IR, and strategies for attracting more women to the field. The conversation also touches on the impact of diverse IR professionals on patient outcomes, and how outsourcing personal tasks can help maintain work-life balance. The necessity of early exposure to IR for medical students and addressing specific hurdles for women in IR, such as work-life balance, radiation exposure fears, and lack of female role models are also explored.---TIMESTAMPS00:00 - Introduction05:40 - Addressing Gender Disparity in IR13:48 - Importance of Physician Workforce Diversity18:31 - Challenges and Solutions for Gender Equity in IR25:28 - Work-Life Balance38:40 - Concluding Thoughts---RESOURCESThe Gender Gap in Interventional Radiology: Barriers, Opportunities, and the Role of the Integrated IR Residency:https://pubmed.ncbi.nlm.nih.gov/36870809/The IR Trainee Workforce 10 Years after Becoming a Primary Medical Specialty:https://www.jvir.org/article/S1051-0443(23)00651-6/fulltextLack of exposure and perceived occupational hazards as barriers to entry into IR for women: a survey of 143 female medical students:https://www.jvir.org/article/S1051-0443(16)31526-3/fulltextUntapped Resources: Attaining Equitable Representation for Women in IR:https://www.jvir.org/article/S1051-0443(18)31645-2/fulltextGender and racial diversity among plenary session speakers at the Society of Abdominal Radiology Annual Meetings: a five-year assessment:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226100/Bridging the Gender Gap in the Society of IR: A Benchmark Study:https://www.jvir.org/article/S1051-0443(18)31492-1/pdf

Dr. Aron Chary discusses cryoneurolysis for pain management, collaboration with Boston Scientific, procedural specifics, patient response, outcomes, and navigating insurance challenges. The podcast covers various areas such as genicular nerve, palliative care, celiac cryoneurolysis, outpatient settings, and future of pain management research.

In this episode, Dr. David Guez discusses the advancements in contrast enhanced ultrasound, its application in detecting endoleaks, and his journey of learning and applying this modality from residency to his current practice.Dr. Guez emphasizes ultrasound’s utility in lesion characterization, endoleak monitoring, and sparing patients from more invasive diagnostic procedures. The doctors delve into the specifics of using ultrasound contrast agents, particularly LUMASON and its intravascular utility for real-time monitoring of disease states with superior resolution compared to CT or MRI. Dr. Guez also discusses the potential for contrast enhanced ultrasound in interventional radiology, including diagnosing vascular lesions and augmenting tumor treatments. The conversation highlights the technique’s advantages, its high sensitivity for endoleaks, and potential areas for future research and application. The episode underscores the underutilized potential of contrast enhanced ultrasound in both diagnostic and interventional radiology settings.---CHECK OUT OUR SPONSORReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction03:54 - Exploring the Basics of Contrast Enhanced Ultrasound06:49 - Clinical Applications and Advantages of Contrast Enhanced Ultrasound09:15 - Contrast Enhanced Ultrasound in Action: Diagnosing Endoleaks23:52 - Future of Contrast Enhanced Ultrasound in Interventional Radiology27:02 - Closing Thoughts---RESOURCESBracco LUMASON:https://lumason.com/Nontraditional Uses of US Contrast Agents in Abdominal Imaging and Intervention:https://pubs.rsna.org/doi/full/10.1148/rg.220016Book written by Andrej Lyshchik, MD, PhD (Thomas Jefferson) - Specialty Imaging: Fundamentals of CEUS:https://www.amazon.com/Specialty-Imaging-Fundamentals-Andrej-Lyshchik/dp/0323625649Contrast-enhanced Ultrasound Identifies Patent Feeding Vessels in Transarterial Chemoembolization Patients With Residual Tumor Vascularity:https://pubmed.ncbi.nlm.nih.gov/32890324/Contrast-enhanced ultrasound (CEUS) versus computed tomography angiography (CTA) in detection of endoleaks in post-EVAR patients. Are delayed type II endoleaks being missed? A systematic review and meta-analysis:https://pubmed.ncbi.nlm.nih.gov/26191109/

In this episode, guest host Dr. Krishna Mannava interviews Dr. Bob Tahara about the significant multilevel impacts, ripple effects, and fallout of cyberattacks on the healthcare industry, specifically covering the recent cyberattack that targeted major clearinghouse, Change Healthcare.Dr. Tahara is a vascular surgeon practicing in rural northwest Pennsylvania and President of Outpatient Endovascular Interventional Society (OEIS). Dr. Tahara shares his experiences as a solo vascular surgeon in rural Pennsylvania, highlighting the complexities of modern billing systems, the advantages of hiring a quality billing company, and the challenges posed by the consolidation of clearinghouses. The conversation also delves into the alarming ransomware attack on Change Healthcare, where 6 terabytes of patient data were compromised. This incident exposed vulnerabilities across the healthcare sector, from payment processes to electronic medical and prescription records. The doctors underscore the importance of cybersecurity preparedness, diversification of clearinghouses, and the role of physicians in advocating for more secure and efficient healthcare systems. They also touch on personal hobbies like Kendo to manage stress.---CHECK OUT OUR SPONSORReflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction02:02 - Cyberattack on Change Healthcare: An Overview06:37 - Impact of the Cyberattack on Healthcare Practices09:50 - Understanding Clearinghouses in Healthcare Billing14:30 - Fallout from the Cyber Attack: A Personal Account16:40 - Navigating the Aftermath: Strategies and Solutions22:54 - Value of Medical Records and Cybersecurity Measures29:18 - Action Items and Advocacy for Physicians35:00 - OEIS 2024 Meeting and Final Thoughts---RESOURCESOEIS Annual Meeting Schedule 2024:https://oeisweb.com/wp-content/uploads/2024/04/2024-AM-attendee-brochure-v4-FINAL-proof-lowres.pdfBackTable Episode 349 - Cybersecurity for Physicians with Jason Newton, Esq:https://www.backtable.com/shows/vi/podcasts/349/cybersecurity-for-physicians

Drs. Saleh and Watts share challenging cases in vascular interventions, emphasizing preparedness, interdisciplinary collaboration, and device management. They discuss hybrid OBL and hospital practices, highlighting the importance of handling complications effectively for patient safety.