BackTable Vascular & Interventional BackTable

In this episode, Dr. Mark Little shares his insights about genicular artery embolization (GAE), implications for patients with knee osteoarthritis, possible applications in other MSK interventions, and the importance of research for advancing the field. Dr. Little is a consultant diagnostic and interventional radiologist at Berkshire Imaging and Visiting Professor at the University of Reading in England.

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Varian, a Siemens Healthineers company
https://www.siemens-healthineers.com/

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SYNPOSIS

The doctors also discuss challenges and considerations in patient selection, particularly concerning patients with comorbid peripheral arterial disease, and they further emphasize the need for high-quality research and collaboration within the IR community to continue improving MSK embolization practices.

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TIMESTAMPS

00:00 - Introduction
12:28 - Genicular Artery Embolization
24:30 - GENESIS 1 and 2 Studies
41:04 - Future of MSK Embolization

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RESOURCES

BackTable VI Episode 27 - Geniculate Artery Embolization for Osteoarthritis with Dr. Sandeep Bagla and Dr. Ari Isaacson:
https://www.backtable.com/shows/vi/podcasts/27/geniculate-artery-embolization-for-osteoarthritis

BackTable VI Episode 85 - Genicular Artery Embolization for OA with Dr. Jafar Golzarian:
https://www.backtable.com/shows/vi/podcasts/85/genicular-artery-embolization-for-oa
GEST MSK Annual Meeting:
https://thegestgroup.com/annual-msk-meeting/

GENESIS 1 - Genicular artEry embolizatioN in patiEnts with oSteoarthrItiS of the Knee (GENESIS) Using Permanent Microspheres: Interim Analysis:
https://pubmed.ncbi.nlm.nih.gov/33474601/

GENESIS 2 - Genicular Artery Embolisation in Patients with Osteoarthritis of the Knee (GENESIS 2): Protocol for a Double-Blind Randomised Sham-Controlled Trial:
https://pubmed.ncbi.nlm.nih.gov/37337060/

Dr. Little Genicular Artery Anatomy Paper - Cadaveric and Angiographic Anatomical Considerations in the Genicular Arterial System: Implications for Genicular Artery Embolisation in Patients with Knee Osteoarthritis:
https://pubmed.ncbi.nlm.nih.gov/34657976/

Dr. Sid Padia’s Knee OA Research (UCLA) - Genicular Artery Embolization for the Treatment of Symptomatic Knee Osteoarthritis:
https://pubmed.ncbi.nlm.nih.gov/34703964/

Dr. Lars Lönn from Copenhagen Trial - Genicular Artery Embolization as Pain Treatment of Knee Osteoarthritis (GETKO):
https://classic.clinicaltrials.gov/ct2/show/NCT05360329

Dr. Anna Martinez from Spain Shoulder Study - Mid-Term Results of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment:
https://pubmed.ncbi.nlm.nih.gov/33135118/

Dr. Anna Martinez from Spain Shoulder Study - Clinical Outcomes of Transcatheter Arterial Embolization for Secondary Stiff Shoulder:
https://pubmed.ncbi.nlm.nih.gov/33478903/

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.

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SYNPOSIS

Expone 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.

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TIMESTAMPS

00:00 - Bienvenido al podcast
07:16 - Redefiniendo el éxito
10:20 - Los cuatro pilares de una vida y un trabajo significativos
28:36 - Crecimiento personal y la importancia de la tutoría
32:22 - Pensamientos finales

In this episode, Dr. Jason Hoffmann shares his harrowing personal experience as a patient with massive portal vein thrombosis - recounting the onset of his symptoms, the subsequent diagnosis, treatment, and recovery, all occurring while he was on-call for his own hospital. Dr. Hoffmann is an interventional radiologist and educator at NYU Langone Health.

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Reflow Medical
https://www.reflowmedical.com/

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SYNPOSIS

Reflecting on how this experience impacted his approach to medicine and patient care, Dr. Hoffmann discusses the importance of empathy, patient education, and building trust. Additionally, he touches upon his personal and family medical history, and how these events have influenced his medical practice and perspective on patient care.

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TIMESTAMPS

00:00 - Introduction
05:55 - Dr. Hoffmann’s IR Practice and Passions
09:23 - Physician’s Experience as a Patient
22:47 - New Perspective on Patient Care
28:53 - Closing Thoughts

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RESOURCES

Combating the Health Risks of Sedentary Behavior in the Contemporary Radiology Reading Room:
https://pubmed.ncbi.nlm.nih.gov/27057784/

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.

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SYNPOSIS

La 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.

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TIMESTAMPS

00:00 - Introducción
03:11 - Exposición a la radiación durante el embarazo
07:33 – Evidencia científica y legislación
20:19 - Abordar el impacto profesional del embarazo
26:56 - Combatir conceptos erróneos y promover prácticas seguras
34:59 - Comentarios finales

In this episode, Dr. Amit Srivastava discusses the transformation of peripheral interventional practices through radial access techniques, emphasizing reduced complication rates, the extensive range of devices now available, and the option for same-day discharge.

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Terumo Interventional Systems
https://terumois.com/education

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SYNPOSIS

Through a series of real-world examples and discussion on the R2P registry, the doctors illustrate the high success rates and low complications of the transradial approach, debunking common misconceptions, and highlighting the significance of team collaboration in executing these procedures efficiently. Additionally, the conversation covers the evolution of devices suited for R2P, including longer length wires, catheters, and novel training methods like immersive virtual reality courses designed to educate and inspire practitioners to adopt radial access in their endovascular practices.

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TIMESTAMPS

00:00 - Introduction
02:19 - Current Role of Radial Access in Peripheral Interventions
15:08 - Future of Radial Access
21:11 - The R2P Registry
28:44 - Educational Opportunities and Community Support

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RESOURCES

TERUMO Transradial Training & Education:
https://www.terumois.com/education-training/healthcare-provider-education-programs/transradial-courses.html

BT Episode 342 - Radial Access for PAD with Dr. Rami Tadros:
https://www.backtable.com/shows/vi/podcasts/342/radial-access-for-pad

Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study:
https://pubmed.ncbi.nlm.nih.gov/22858390/

Prospective, Multicenter Registry to Assess Safety and Efficacy of Radial Access for Peripheral Artery Interventions (RPI Study):
https://www.jscai.org/article/S2772-9303(23)00813-X/fulltext

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.

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RADPAD® Radiation Protection
https://www.radpad.com/

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SYNPOSIS

The 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.

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TIMESTAMPS

00:00 - Introduction
05:40 - Addressing Gender Disparity in IR
13:48 - Importance of Physician Workforce Diversity
18:31 - Challenges and Solutions for Gender Equity in IR
25:28 - Work-Life Balance
38:40 - Concluding Thoughts

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RESOURCES

The 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/fulltext

Lack 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/fulltext

Untapped Resources: Attaining Equitable Representation for Women in IR:
https://www.jvir.org/article/S1051-0443(18)31645-2/fulltext

Gender 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