BackTable Vascular & Interventional

Dr. Gregg Alzate, a senior interventional radiologist at Sharp Healthcare, discusses his career journey and the innovative A-RAM technique he pioneered. He shares valuable insights on mastering vessel access techniques and strategies for limb salvage. Dr. Alzate reflects on the challenges of managing complex chronic total occlusions (CTOs) and the moral injuries that can affect medical professionals. He also emphasizes the significance of mentorship and staying open to new techniques in advancing patient care.

Zachary Berman and Kirema Garcia-Reyes, interventional radiologists, share their expertise on Y-90 dosimetry, stressing that it's not a one-size-fits-all approach. They discuss factors influencing dosing, such as tumor size and underlying liver function. The guests reflect on gaps in training and the evolution of dosimetry education in interventional radiology. Real-life case examples illustrate the complexities of individualized treatment plans. They also critique planning software and underscore the importance of empirical approaches to achieve optimal dosages.

Dr. Raj Narayanan, an interventional radiologist at the Miami Cancer Institute, and Dr. Sean Tutton from UC San Diego share insights on the rising role of robotics in interventional radiology. They discuss the enhanced precision and efficiency robotic systems bring to complex procedures like tumor ablations and biopsies. The conversation delves into the logistics of integrating robotics into clinical workflows and the learning curve associated with it. Both experts agree that this technology democratizes minimally invasive procedures, paving the way for more advanced skill development.

In this engaging discussion, Dr. Steven Young, a hepatologist, shares his insights on HCC diagnosis and streamlined transplant evaluations. Dr. Jonathan Mizrahi, a medical oncologist, dives into systemic therapies for HCC and building essential referral networks. Patient navigator Deondra Bonds-Adams emphasizes the crucial role of patient education and care coordination. They explore multidisciplinary approaches that improve patient outcomes, tackle barriers in scheduling, and highlight the importance of communication and collaboration in hepatocellular carcinoma care.

Welcome to the first episode of BackTable Tumor Board, and our first recording session at our new in-person studio! Guest host Dr. Tyler Sandow (interventional radiologist) leads a multidisciplinary discussion about patient care coordination in hepatocellular carcinoma (HCC) diagnosis and treatment, with insights from his colleagues at Ochsner Health– Dr. Steven Young (hepatologist), Dr. Jonathan Mizrahi (medical oncologist), and Deondra Bonds-Adams (patient navigator).---This podcast is supported by an educational grant from:AstraZenecahttps://www.astrazeneca.com/our-therapy-areas/oncology.htmlWith additional support from:Boston Scientifichttps://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology.html---SYNPOSISThe team speaks on the value of having multiple specialties weigh in on treatment conversations that are tailored to each patient’s medical history and risk factors, such as underlying cirrhosis and portal hypertension. Deondra highlights the importance of assessing the patient’s understanding of their disease and the role of physician extenders and schedulers in patient education. Dr. Young discusses the value of outreach clinics and streamlining the transplant evaluation process. Finally, Dr. Mizrahi gives advice on building referral networks and establishing early contact with transplant centers.---TIMESTAMPS00:00 - Introduction00:46 - Multidisciplinary Tumor Board06:00 - Patient Experience in Treatment Pathways10:10 - Barriers to Treatment16:03 - Benefits of IR Clinic19:33 - HCC Screening and Risk Factors24:08 - Building Referral Networks30:34 - Strategies for Effective Scheduling35:43 - The Future of HCC Treatment

Dr. Ripal Gandhi, an interventional radiologist focused on pulmonary embolism, teams up with Dr. Zarina Sharalya, an interventional cardiologist, to discuss groundbreaking advancements in treating pulmonary embolism. They dive into the PEERLESS trial, showcasing how mechanical thrombectomy leads to faster recovery and fewer ICU days. The conversation also explores risk stratification, treatment algorithms, and the importance of optimizing catheter techniques. Personal anecdotes highlight the emotional challenges faced in patient care, emphasizing the human side of medical interventions.

Dr. Mark Wilson, an interventional radiologist from Spokane, shares his personal journey of transitioning to a private IR practice. He discusses the emotional challenges of leaving a large group and the strategic decisions that enabled his success. Dr. Wilson also highlights the financial dynamics between diagnostic and interventional radiology, emphasizing IR's significant value to hospitals. He concludes with invaluable insights on establishing an IR-only practice, including tips on securing contracts and navigating the healthcare landscape.

Discover the cutting-edge transfemoral transcaval liver biopsy technique that outshines traditional methods in safety and efficacy. Hear interventional radiologists delve into the benefits of this novel approach, including improved patient outcomes and fewer complications. They share personal experiences, detailed procedural insights, and the importance of pre-procedural imaging. The conversation highlights how innovation in medical techniques can enhance liver diagnostic procedures, paving the way for better healthcare practices.

En este episodio de BackTable, la Dra. María Luisa Die Trill conversa con la Dra. SaraLojo Lendoiro sobre la gestión emocional y la comunicación con los pacientes.---SYNPOSISSe explora la importancia de integrar el sufrimiento como parte de la vida, la necesidadde una formación adecuada en comunicación médico-paciente, y las estrategias paraabordar complicaciones y situaciones complejas. Además, se analizan conceptos comola empatía, la escucha activa, y la introspección, para mejorar la relación con lospacientes y con el resto de compañeros del hospital. Finalmente, la Dra. Trill enfatiza lanecesidad de centrarse en el bienestar del paciente y en manejar el estrés profesionalpara poder ofrecer un cuidado de calidad.---TIMESTAMPS00:00 - Bienvenida y Comprendiendo la Psicología Oncológica05:06 Habilidades de Comunicación en la Práctica Médica10:19 Técnicas Prácticas de Comunicación22:10 La Importancia de Escuchar28:18 La Insensibilidad en la Sociedad Moderna30:49 La Importancia de la Salud Mental en los Profesionales34:24 La Empatía y la Conexión con los Pacientes36:22 El Manejo del Estrés en el Personal Sanitario48:35 El Ego y la Dinámica de Grupo en los Hospitales52:54 Conclusión y Reflexiones Finales

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