162 episodes

The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Listen on BackTable.com or on the streaming platform of your choice. You can also visit www.BackTable.com to browse our open access, physician-catered knowledge center for all things vascular and interventional; now featuring practice tools, procedure walkthroughs, and expert guidance on more than 40 endovascular procedures.

BackTable Podcast BackTable

    • Health & Fitness
    • 4.7 • 55 Ratings

The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Listen on BackTable.com or on the streaming platform of your choice. You can also visit www.BackTable.com to browse our open access, physician-catered knowledge center for all things vascular and interventional; now featuring practice tools, procedure walkthroughs, and expert guidance on more than 40 endovascular procedures.

    Ep. 161 RF Ablation for Painful Spinal Metastases with Dr. Nam Tran

    Ep. 161 RF Ablation for Painful Spinal Metastases with Dr. Nam Tran

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    • 17 min
    Ep. 160 BRTO: Beyond the Basics with Dr. Saher Sabri

    Ep. 160 BRTO: Beyond the Basics with Dr. Saher Sabri

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    • 48 min
    Ep. 159 Renal Ablation Technique and Devices with Dr. Nainesh Parikh

    Ep. 159 Renal Ablation Technique and Devices with Dr. Nainesh Parikh

    In this episode, Dr. Nainesh Parikh and our host Dr. Michael Barraza discuss tips for renal ablation and multispecialty care for kidney cancers.

    First, they delve into the decision-making process for choosing between cryoablation and microwave ablation. Dr. Parikh believes that cryoablation is relatively safe to use in lesions near the collection system; however, it can cause a large inflammatory response in surrounding tissues. On the other hand, he prefers to use microwave ablation on exophytic lesions. Both doctors share their experiences with tricky lesions near the spine and various nerves. They also discuss the usage of pre-ablation embolization lesions larger than 5 cm. 

    Throughout the episode, the doctors emphasize the importance of constant communication with urologists, since embolization and ablation can provide significant benefits for patients who are poor surgical candidates. Collaboration can help the medical team better manage recurrences as they arise. Dr. Parikh notes that follow up care for image-guided procedures should occur around four weeks, which is sooner than the conventional urology follow up period.

    Finally, Dr. Parikh gives pearls of wisdom regarding the advantages of hydrodissection pneumodissection, and CT fluoroscopy for a safer and more efficient procedure. 


    RESOURCES MENTIONED:

    Moffitt Cancer Center IR Page- https://moffitt.org/for-healthcare-professionals/clinical-programs-and-services/radiology-diagnostic-imaging-and-interventional-radiology-program/
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    • 52 min
    Ep. 158 Microwave Ablation for Liver Lesions with Dr. Driss Raissi

    Ep. 158 Microwave Ablation for Liver Lesions with Dr. Driss Raissi

    In this episode, Dr. Driss Raissi and our host Dr. Chris Beck discuss the planning, technique, and follow-up considerations for microwave ablation of liver lesions.

    First, they talk through the process of mapping out the tumor. Dr. Raissi often attends tumor boards to contribute to the variety of treatment perspectives and gain consensus for microwave ablation from colleagues in different specialties. He also discusses the differences between cirrhotic and steatotic livers because the latter can limit the efficiency of microwave energy delivery. 

    During the procedure, Dr. Raissi appreciates the simplicity of a one-needle device. He offers advice for maneuvering near critical organs: direct the tip of the needle towards the critical structure to gain control. Additionally, he prefers to align the long axis of the needle with the long axis of the tumor and to minimize the number of new liver punctured by overlapping ablation zones. 

    The doctors also discuss the need to balance clean margins with preservation of liver tissue, noting that lesions in different lobes can be treated in different sessions. Finally, they cover telehealth follow-ups and MRI follow-up during the subsequent month.

    Throughout this episode, we refer to findings about microwave ablation from previous publications, which are linked below.


    RESOURCES MENTIONED:

    Comparison of microwave ablation and radiofrequency ablation for hepatocellular carcinoma: a systematic review and meta-analysis- https://pubmed.ncbi.nlm.nih.gov/30676100/

    Liver microwave ablation: a systematic review of various FDA-approved systems- https://pubmed.ncbi.nlm.nih.gov/30506218/

    Early Outcomes with Single-antenna High-powered Percutaneous Microwave Ablation for Primary and Secondary Hepatic Malignancies: Safety, Effectiveness, and Predictors of Ablative Failure- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110402/
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    • 1 hr
    Ep. 157 Lung Biopsies Part II: Pleural and Parenchymal Blood Patching with Dr. Fred Lee

    Ep. 157 Lung Biopsies Part II: Pleural and Parenchymal Blood Patching with Dr. Fred Lee

    In this episode, Dr. Fred Lee and our host Dr. Chris Beck discuss the use of parenchymal and pleural blood patches to reduce the rate of lung biopsy re-interventions.

    First, Dr. Lee describes why he has incorporated parenchymal blood patching at the end of most biopsies, noting that it is a straightforward procedure that only adds on a few extra minutes to the overall biopsy, and it can reduce the rate of re-intervention. Both doctors agree that minimizing the need for chest tubes can greatly improve the patient experience.

    Pleural blood patches are used as a salvage technique in the event of a pneumothorax. Dr. Lee walks through his process of re-inflating the lung, finishing the biopsy, and using a three-way stopcock to inject blood onto the pleural surface and along the needle track. He notes that there are other valid ways of treating intraprocedural pneumothoraces (saline, fibrin plug, etc); however, he prefers the pleural blood patch because of its liquid-to-solid clotting transition, minimal time, minimal cost, and relatively low risk.

    Throughout this episode, we cite data from Dr. Lee’s previous publications, which are cited below.


    RESOURCES MENTIONED:

    Percutaneous Lung Biopsy with Pleural and Parenchymal Blood Patching: Results and Complications from 1,112 Core Biopsies- https://www.jvir.org/article/S1051-0443(21)01202-1/fulltext 

    CT-Guided Lung Biopsies: Pleural Blood Patching Reduces the Rate of Chest Tube Placement for Postbiopsy Pneumothorax- https://www.ajronline.org/doi/full/10.2214/AJR.10.6324 
     
    Pulmonary Intraparenchymal Blood Patching Decreases the Rate of Pneumothorax-Related Complications following Percutaneous CT–Guided Needle Biopsy- https://www.jvir.org/article/S1051-0443(16)32178-9/fulltext
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    • 44 min
    Ep. 156 Percutaneous Lung Biopsies Part I: The Basics and Tips/Tricks with Dr. Fred Lee

    Ep. 156 Percutaneous Lung Biopsies Part I: The Basics and Tips/Tricks with Dr. Fred Lee

    In this episode, Dr. Fred Lee and our host Dr. Chris Beck discuss tips for achieving safe and successful percutaneous lung biopsies.

    They start by discussing the increasing popularity of core biopsy (as opposed to fine needle aspiration), since an adequate amount of specimen is needed for genetic testing and personalized medicine. Dr. Lee emphasizes that knowing the goals of lung biopsy for each individual patient helps him decide how much specimen to collect and how the specimen should be handled.

    Next, Dr. Lee walks through his lung biopsy technique. He outlines the difference between conventional CT and CT with fluoroscopy. While CT with fluoroscopy can be more efficient, it poses radiation risk to the patient and the physician. To minimize radiation risks, he advises IRs to intermittently tap the foot pedal and stand lateral to the CT scanner. The doctors also discuss some of the trickiest lung regions to biopsy and ways to avoid pneumothorax. 

    Finally, Dr. Lee comments on the choice between percutaneous lung biopsies and electromagnetic navigation bronchoscopy, noting that each procedure has different advantages and risks. He encourages interventional radiologists and interventional pulmonologists to explore these options and take evidence-based approaches.

    Throughout this episode, we cite data from Dr. Lee’s previous publications, which are cited below.


    RESOURCES MENTIONED:

    Percutaneous Lung Biopsy with Pleural and Parenchymal Blood Patching: Results and Complications from 1,112 Core Biopsies-


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    • 47 min

Customer Reviews

4.7 out of 5
55 Ratings

55 Ratings

Louisiana livin' ,

What a great podcast!

Great audio! Essential listening for anyone in the endovascular space. Love the content!

Azizbin ,

IR podcast

Best one! Made for IR to IR. I would love to elaborate in techniques in some episodes as well as discussion of recent papers on IR with the author! Keep it up folks

MLKearney ,

Really great podcast even for an NP

I think this podcast does a great job weaving the IR content into everyday life even when this isn’t my primary specialty anymore. Loved the ones about medical residencies. The July 5th one about start-ups was worth saving for future endeavors regardless of the business/product idea! Keep up the great work!

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