BackTable Vascular & Interventional

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

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.

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.

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.

Discussion on peripartum and postpartum hemorrhage, its impact on quality of life. Expertise of Dr. Dan Sheeran. Categorization and management strategies for hemorrhages. Technical details of balloon occlusion. Prophylactic embolization and future pregnancies. Potential of transient aortic occlusion in high-risk pregnancies.

In this episode of the BackTable Podcast, host Dr. Ally Baheti and Dr. Paramjit “Romi” Chopra discuss the processes involved in successful interventional radiology practice management. Dr. Chopra is an interventional radiologist practicing in Chicago, IL. He is the founder and CEO of Midwest Institute for Minimally Invasive Therapies.Dr. Chopra advises young IRs against going solo, and he suggests finding people who’ve done it before, to avoid “reinventing the wheel.” Dr. Chopra emphasizes the importance of adopting a patient-centered approach, building systems, developing business sense, and understanding risk. He shares his own experiences of building systems using Salesforce and explains the concept of ‘omni-channel healthcare delivery’. He particularly discusses the importance of patient, provider, and payer relationships, and he offers solutions for dealing with inherent complications. The episode also covers identifying the right electronic health record and developing an effective inventory management system.---CHECK OUT OUR SPONSORSMedtronic IN.PACT 018 DCBhttps://www.medtronic.com/018Reflow Medicalhttps://www.reflowmedical.com/---SHOW NOTES00:00 - Introduction05:41 - Shift from Academic Medicine to Entrepreneurship09:40 - Patient-Centered Care in Interventional Radiology11:13 - Challenges of Starting an Independent Practice17:49 - Role of Electronic Health Records (EHRs) in Modern Healthcare26:15 - Challenges of Implementing EHRs in Interventional Radiology35:30 - Misconceptions about Outpatient Based Labs (OBLs)37:01 - Understanding the Payer System38:19 - Challenge of Insurance Coverage51:43 - Practice Management Companies---RESOURCESMIMIT Healthcare:https://mimithealth.com/physicians-executivesThe E-Myth Revisited: Why Most Small Businesses Don't Work and What to Do About It by Michael E. Gerber:https://a.co/d/2TuGpTnAdvancedMD Cloud Based EMR:https://www.googleadservices.com/pagead/aclkAthena Cloud Based EMR:https://www.athenahealth.com/landing/athenaclinicalsCIMSS Management Services Organization (MSO):https://www.cimss.com/Salesforce:https://www.salesforce.com/

Dr. Jamil Muasher, interventional radiologist, discusses the potential for radiologists to offer prostate biopsy work. He emphasizes the importance of MRI guidance and understanding grading systems. The doctors talk about various biopsy techniques, post-procedure care, and the future of biopsies.

Dr. Tony Das, an interventional cardiologist, discusses atherectomy, laser technologies, and their use in vessel treatment. He shares insights on the PATHFINDER registry, explores the role of atherectomy in reducing stent usage and enhancing thrombus removal. Dr. Das also provides recommendations for building a successful atherectomy program and discusses future applications for AI and remote monitoring.

In this episode, Dr. Ally Baheti talks with Ingrid Harm-Ernandes, a pelvic floor physical therapist and author. They discuss the importance of holistic and interdisciplinary approaches in physical therapy and the need for earlier interventions. They also touch on common misconceptions around pelvic therapy issues and the significant role of interventional radiologists in treatment. Ingrid shares insights from her book, aiming to demystify pelvic floor issues for both patients and practitioners.

Dr. Rehan Quadri, practicing interventional radiologist at UT Southwestern in Dallas, Texas, discusses the impact of a new arterial sheath technology that enables real-time blood pressure monitoring in trauma, GI bleeds, stroke, and other emergent arterial interventions. They break down the specs of the sheath and its accuracy, cost, and value. They also discuss advancements in the technology, including improved warmup times and a radial-specific sheath.