Dr. Andrew Sholl discusses percutaneous biopsies, stressing the importance of clinical history and sample quality. Tips for differentiating malignancies, using biopsy devices effectively, and collaboration between radiologists & pathologists for better outcomes are highlighted.

Topics include various biliary interventions techniques, managing dilated systems and obstructions, biopsy techniques for malignant strictures, handling benign strictures, use of internal stents, and managing bleeding complications in biliary procedures

Dr. Chohan and Dr. Chengazi discuss dialysis fistula declot procedures, emphasizing problem-solving, pre-procedure ultrasound, technique refinement, and closure techniques. They share insights on treatment of anastomosis stenosis and wire management risks. Listeners are invited to share their experiences with a 'bottle-cap' hemostasis trick.

A radiologist shares his personal journey of being diagnosed with a large saddle embolus and treated by his friend. The episode discusses the impact on his practice, changes in patient approach, and advice for clinicians. Topics include diagnosis, treatment, recovery, practice impact, and final thoughts.

In this episode, host Dr. Sabeen Dhand interviews Dr. Charles Bailey about Limb Alert, a hospital protocol devised to expedite the diagnosis and treatment of patients presenting with acute limb ischemia. Dr. Bailey is a vascular surgeon and the Director of Peripheral Artery Disease (PAD) and Limb Salvage at the University of South Florida.Dr. Bailey explains how the Limb Alert program standardizes the care pathway, rapidly alerts necessary personnel, initiates labs, and prepares the Penumbra Lightning Bolt 7 System for endovascular thrombectomy. The incorporated protocol significantly streamlines patient management, resulting in encouraging survival rates. Dr. Bailey further emphasizes the necessity for modern endovascular trials in acute limb ischemia and proposes a multicenter randomized trial to provide evidence for endovascular treatment.---CHECK OUT OUR SPONSORPenumbra Lightning Flashhttps://www.penumbrainc.com/products/lightning-flash/---SHOW NOTES00:00 - Introduction02:43 - Dr. Bailey’s Journey to Florida and His Practice06:43 - Importance of Timely Intervention in Acute Limb Ischemia21:29 - Role of Debulking in Acute Limb Ischemia28:20 - Tips and Tricks for Successful Outcomes31:17 - Impact of the Limb Alert Program41:19 - Future of Acute Limb Ischemia Treatment47:40 - The Need for New Randomized Trials---RESOURCESAcute Limb Ischemia: An Update on Diagnosis and Management:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723825/Safety and efficacy of mechanical aspiration thrombectomy at 30 days for patients with lower extremity acute limb ischemia - STRIDE Study:https://www.jvascsurg.org/article/S0741-5214(23)02196-1/fulltext

In this episode of the BackTable Podcast, host Dr. Aaron Fritts interviews guest Dr. Thomas Sullivan about the findings from a recent survey exploring the reasons behind professional job changes among interventional radiologists. Dr. Sullivan is the Assistant Program Director of Diagnostic and Integrated Interventional Radiology Residency programs at Wake Forest University.Dr. Sullivan highlights the importance of mentorship during residency and notes the huge impact of geography and financial compensation in determining job satisfaction and longevity in a role. He also discusses some surprising insights about trainee expectations of future practice settings, the need for a variety in practice caseload, and the desire for about 80% of clinical time to be spent on dedicated IR activities. The conversation also delves into the challenges of equipping residents for rural practice and the potential value of developing a procedural radiology curriculum. Dr. Sullivan anticipates that the survey results will help improve and adapt training paradigms to better align with the evolving landscape of interventional radiology practice.---CHECK OUT OUR SPONSORRADPAD® Radiation Protectionhttps://www.radpad.com/---SHOW NOTES00:00 - Introduction02:50 - Discussion on IR Training and Practice04:51 - Survey Discussion and Key Findings16:47 - Importance of Diagnostic Skills in IR19:01 - Deciding Factors for First Job After Training21:04 - Need for Medical Services in Rural Settings25:23 - Role of Mentorship in Job Seeking28:21 - Importance of Networking in Career Development32:37 - Future of IR Training and Practice38:23 - Role of BackTable in IR Training---RESOURCESSIR 2024 Monday Session (3:27 PM - 3:36 PM MT): Trainee perceptions of current IR workforce: Are we setting our residents up for failure? With Dr. Thomas Sullivan:https://www.sirmeeting.org/fsPopup.asp?PresentationID=1348792&mode=presInfo

Dr. Charles Nutting, interventional radiologist, discusses prostatic artery embolization (PAE) in the outpatient-based lab (OBL), emphasizing the importance of learning PAE in a hospital setting before transitioning to the OBL. They also discuss the advantages of using radiopaque beads in PAE and the potential impact of the 2023 AUA Guidelines. The podcast covers procedure techniques, patient selection, and benefits of the OBL environment over the hospital.

Dr. Gary Tse, practicing interventional radiologist at UCLA Health, discusses the innovative technique of thyroid ablation for treating benign thyroid nodules. He highlights procedural details, patient experiences, potential complications, and follow-up protocols. Dr. Tse encourages other IR specialists to adopt this procedure, which he believes should become a standard of care.

Dr. Jason Wagner discusses using the HeRO graft and Surfacer system for patients with limited vascular access in hemodialysis. He explains the steps to implant the HeRO graft and its benefits, as well as the use of the Surfacer system for central venous access. Dr. Wagner emphasizes the importance of continued learning and training in utilizing these advanced dialysis solutions.

Dr. Darren Klass, interventional radiologist at the University of British Columbia, discusses best practices in aortic dissection management. Topics include intraoperative decision-making, the importance of intravascular ultrasound, treating acute complicated aortic dissections, and follow-up protocols.