BackTable Vascular & Interventional

En este episodio del BackTable, Dr. José Andrés Guirola Ortíz, radiólogointervencionista, aborda la embolización como tratamiento para las hemorroides,mediante la técnica Emborrhoid y comparte su valoración de la embolización comotécnica de futuro.---SYNPOSISEn primer lugar, la Dra. Sara Lojo Lendoiro le invita a explicar qué son las hemorroidesy porqué y cuando hay que tratarlas. Además, el Dr. Guirola Ortíz analiza la historia delas hemorroides, sus síntomas y opciones de tratamiento. También se discuten lasindicaciones, técnicas y posibles complicaciones de la embolización hemorroidal, asícomo el futuro de esta técnica dentro de la radiología intervencionista.---TIMESTAMPS00:00 - Introducción al BackTable y Dr. Ortíz01:56 - Entendiendo las Hemorroides: Historia y Conceptos Básicos03:39 - Síntomas y Causas de las Hemorroides07:36 - Opciones de Tratamiento para las Hemorroides12:50 - Explicación de la Técnica de Embolización19:25 - Complicaciones y Seguimiento29:05 - Futuro de la Embolización y Conclusión

Clinton Lanier, a resilient kidney cancer survivor, shares his inspiring journey after being diagnosed during a sailing trip. He delves into how he discovered cryoablation through research, highlighting its life-saving and minimally invasive nature. Clinton emphasizes the positive impact this procedure has had on his quality of life and advocates for increased awareness among patients and healthcare providers. His story aims to empower others to explore innovative treatment options and champion informed patient advocacy.

Dr. Janice Newsome, a global women's health expert, teams up with Dr. Azza Naif, a pioneer in interventional radiology in Tanzania. They discuss how to make uterine fibroid embolization (UFE) a standard treatment worldwide. Their conversation dives into overcoming cultural barriers, training local specialists, and addressing economic challenges. They highlight the importance of community support and education in women's health, and share insights on advancements in UFE techniques. Their goal: to empower women with accessible healthcare options.

Dr. Lyssa Ochoa, founder of the San Antonio Vascular and Endovascular Clinic, passionately discusses her mission to enhance healthcare access for underserved communities. She shares her journey from private practice to founding her clinic, focusing on tackling social determinants of health. Dr. Ochoa emphasizes innovative multi-clinic models, community engagement, and the significance of teamwork in delivering quality care. She outlines challenges faced, rewards of providing care in economically segregated areas, and offers insights for other healthcare providers aiming to create impactful change.

The original hosts gather to celebrate a monumental milestone, sharing their personal anecdotes and the podcast's origins. They reflect on early technological challenges and the evolution of their content. Funny behind-the-scenes moments and favorite episodes bring nostalgia to the conversation. The team discusses the balance between frequency and quality in podcasting, as well as their collaborative approach to selecting guests. Excitement builds over the introduction of the new studio and future Creator Weekends, along with heartfelt gratitude for their community.

Lake Odom, a seasoned IR tech with over 14 years in interventional radiology, shares his insights on the critical role technologists play in patient safety. He discusses his unique career path and the rise of his consulting businesses, emphasizing the importance of passion in the profession. Odom highlights the transition from hospital to outpatient care, focusing on inventory management and workflow optimization. He also shares strategies to enhance workplace culture, accountability, and teamwork in high-pressure environments.

Dr. Michael Miller, an interventional radiologist and Associate Professor at Atrium Health, shares his expertise on Cone Beam CT. He discusses advanced techniques that enhance imaging for vascular malformations and emphasizes the importance of foundational training. Dr. Miller also provides insights into best practices for setting up interventional radiology suites and the critical role of collaboration with anesthesia teams. His experiences reveal how innovative imaging techniques can significantly improve procedural outcomes in complex cases.

Dr. John Matson, an Assistant Professor of Interventional Radiology at the University of Virginia, shares invaluable insights into varicocele embolization. He explores its role as the least invasive treatment option and highlights essential pre-procedure evaluations and imaging requirements. The discussion covers the importance of coil sizing, varied embolic materials, and managing complications during the procedure. Dr. Matson also emphasizes effective post-procedure care and follow-up, making this a must-listen for both junior and experienced interventional radiologists.

Kristen Richards, Vice President of Ambulatory Care at Cardiovascular Logistics, dives into the world of outpatient cardiovascular care. She emphasizes the importance of safety and quality metrics in Ambulatory Surgery Centers (ASCs). Kristen discusses the operational advantages of ASCs over traditional hospitals, including enhanced patient experiences and satisfaction. She also explores the future of outpatient procedures, touching on patient selection, financial considerations, and the need for continuous data tracking to elevate care standards.

Dr. Ed Kim, Director of Interventional Oncology at Mount Sinai, shares his expertise on microwave ablation for treating hepatocellular carcinoma. He discusses the importance of personalized treatment plans and the role of technology in overcoming challenges with tumor locations. The conversation highlights advancements in imaging techniques and the need for real-time monitoring. Dr. Kim also emphasizes the value of interdisciplinary collaboration and innovative technologies, like augmented reality, in enhancing patient outcomes in interventional radiology.