429 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 Vascular & Interventional BackTable

    • Health & Fitness
    • 4.8 • 120 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. 418 Acute Limb Ischemia: Timing, Technology, and Triage with Dr. Charles Bailey

    Ep. 418 Acute Limb Ischemia: Timing, Technology, and Triage with Dr. Charles Bailey

    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.

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    CHECK OUT OUR SPONSOR

    Penumbra Lightning Flash
    https://www.penumbrainc.com/products/lightning-flash/

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    SHOW NOTES

    00:00 - Introduction
    02:43 - Dr. Bailey’s Journey to Florida and His Practice
    06:43 - Importance of Timely Intervention in Acute Limb Ischemia
    21:29 - Role of Debulking in Acute Limb Ischemia
    28:20 - Tips and Tricks for Successful Outcomes
    31:17 - Impact of the Limb Alert Program
    41:19 - Future of Acute Limb Ischemia Treatment
    47:40 - The Need for New Randomized Trials

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    RESOURCES

    Acute 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

    • 51 min
    Ep. 417 IR Training: Perspectives and Expectations with Dr. Thomas P. Sullivan

    Ep. 417 IR Training: Perspectives and Expectations with Dr. Thomas P. Sullivan

    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.

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    CHECK OUT OUR SPONSOR

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

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    SHOW NOTES

    00:00 - Introduction
    02:50 - Discussion on IR Training and Practice
    04:51 - Survey Discussion and Key Findings
    16:47 - Importance of Diagnostic Skills in IR
    19:01 - Deciding Factors for First Job After Training
    21:04 - Need for Medical Services in Rural Settings
    25:23 - Role of Mentorship in Job Seeking
    28:21 - Importance of Networking in Career Development
    32:37 - Future of IR Training and Practice
    38:23 - Role of BackTable in IR Training

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    RESOURCES

    SIR 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

    • 43 min
    Ep. 416 PAE in the OBL with Dr. Charles Nutting

    Ep. 416 PAE in the OBL with Dr. Charles Nutting

    In this episode of the BackTable Podcast, host Dr. Michael Barraza interviews guest Dr. Charles Nutting about prostatic artery embolization (PAE) in the outpatient-based lab (OBL) setting. Dr. Nutting is an interventional radiologist at Endovascular Consultants in Lone Tree, Colorado. The doctors discuss procedure techniques, patient selection, follow-up care, and benefits of the OBL environment over the hospital.

    Dr. Nutting emphasizes that it is important to learn PAE in a hospital setting before transitioning to the OBL. He recommends using consistent equipment to help with the learning process. Dr. Nutting also shares his experience with radiopaque beads in PAE and describes the advantages of seeing the deposition of the beads into the gland. The doctors discuss the potential impact of the 2023 American Urological Association (AUA) Guidelines, which for the first time recognizes PAE for the treatment of symptomatic benign prostatic hyperplasia (BPH), and what this might mean for patient volume and interventional radiology training.

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    CHECK OUT OUR SPONSOR

    Varian, a Siemens Healthineers company
    https://www.varian.com/products/interventional-solutions/embolization-solutions

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    SHOW NOTES

    00:00 - Introduction
    03:03 - Impact of New AUA Guidelines on PAE
    04:48 - Benefits of PAE for Patients
    06:37 - Role of Primary Care Physicians in PAE
    08:18 - Practice of PAE in the OBL
    19:08 - Role of Urodynamic Studies
    22:23 - Challenges of Treating Small Glands
    26:11 - Procedure Steps and Techniques
    34:19 - Post-Procedure Care and Follow-up
    38:33 - The Future of Prostate Embolization

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    RESOURCES

    Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (BPH): AUA Guideline Amendment 2023:
    https://www.auanet.org/guidelines-and-quality/guidelines/benign-prostatic-hyperplasia-(bph)-guideline

    Efficacy and safety of prostate artery embolization for benign prostatic hyperplasia: an observational study and propensity-matched comparison with transurethral resection of the prostate (the UK-ROPE study):
    https://pubmed.ncbi.nlm.nih.gov/29645352/

    NICE - Prostate artery embolisation for lower urinary tract symptoms caused by benign prostatic hyperplasia:
    https://www.nice.org.uk/guidance/ipg611

    Yttrium-90 Radioembolization in the Office-Based Lab:
    https://pubmed.ncbi.nlm.nih.gov/32800662/

    Role of Urodynamic Studies in Management of Benign Prostatic Obstruction: A Guide for Interventional Radiologists:
    https://www.jvir.org/article/S1051-0443(16)30520-6/fulltext

    International Prostate Symptom Score (IPSS):
    https://www.urologygroup.com/wp-content/uploads/2019/07/IPSS-Form-Before-Tx-_-BPH.pdf

    • 46 min
    Ep. 415 Thyroid Ablation: Efficacy, Safety, and Procedure Overview with Dr. Gary Tse

    Ep. 415 Thyroid Ablation: Efficacy, Safety, and Procedure Overview with Dr. Gary Tse

    In this episode of the BackTable Podcast, host Dr. Chris Beck interviews guest Dr. Gary Tse about the innovative technique of thyroid ablation and its role in treating benign thyroid nodules. Dr. Tse is a practicing interventional radiologist at UCLA Health.

    Dr. Tse highlights the procedural details, patient experiences, potential complications, and follow-up protocols of thyroid ablation. He emphasizes the importance of consistent communication with patients during these procedures, given that the patients are under minimal anesthesia. He explains how interventional radiologists can benefit from embracing this procedure due to their expertise in ultrasound usage, as it leads to reduction in recovery times and complications for patients. Dr. Tse also briefly discusses the future potential of thyroid embolization for larger goiters. He encourages other IR specialists to consider adopting this procedure, which he believes should become a standard of care.

    ---

    CHECK OUT OUR SPONSORS

    Siemens Healthineers
    https://www.siemens-healthineers.com/

    Varian, a Siemens Healthineers company
    https://www.varian.com/products/interventional-solutions/embolization-solutions

    ---

    SHOW NOTES

    00:00 - Introduction
    04:03 - Dr. Tse’s Career Journey and Transition to Academics
    06:32 - Discussion on Thyroid Interventions
    09:15 - Building Referral Patterns for Thyroid Interventions
    11:50 - Thyroid Ablation Procedure Overview
    21:23 - Post-Ablation Outcomes and Goals
    25:52 - Avoiding Complications
    32:55 - Post-Procedure Follow-Up
    36:14 - Exploring Thyroid Embolization
    42:23 - Final Thoughts and Future Prospects

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    RESOURCES

    2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005940/
    Recurrent Laryngeal Nerve Injury in Thermal Ablation of Thyroid Nodules-Risk Factors and Cause Analysis:
    https://pubmed.ncbi.nlm.nih.gov/35311971/

    Effectiveness of Injecting Cold 5% Dextrose into Patients with Nerve Damage Symptoms during Thyroid Radiofrequency Ablation:
    https://doi.org/10.3803/EnM.2020.35.2.407

    Revisiting Rupture of Benign Thyroid Nodules after Radiofrequency Ablation: Various Types and Imaging Features:
    https://doi.org/10.3803/EnM.2019.34.4.415

    Thyroid arterial embolization to treat Graves' disease:
    https://pubmed.ncbi.nlm.nih.gov/17354140/

    Thyroid Embolization for Nonsurgical Treatment of Nodular Goiter: A Single-Center Experience in 56 Consecutive Patients:
    https://www.jvir.org/article/S1051-0443(21)01212-4/fulltext#%20

    • 45 min
    Ep. 414 HeRO Grafts in Dialysis: Techniques, Challenges, and Solutions with Dr. Jason Wagner

    Ep. 414 HeRO Grafts in Dialysis: Techniques, Challenges, and Solutions with Dr. Jason Wagner

    In this episode, host Dr. Chris Beck interviews Dr. Jason Wagner about his experience with using the Hemodialysis Reliable Outflow (HeRO) graft and the Surfacer system for treating patients with end stage renal disease (ESRD) and limited vascular access options. Dr. Wagner is a practicing vascular surgeon in Sarasota, Florida.

    Dr. Wagner explains the steps to implant a HeRO endovascular graft, how it provides a durable and reliable outflow for hemodialysis patients, and how it can be used and revised based on the patient’s needs. He also discusses the Surfacer system in obtaining central venous access, its advantages, and the necessity of preoperative imaging. Dr. Wagner emphasizes the critical role of continued learning in utilizing and optimizing these advanced dialysis solutions.

    The suggestions and other information, which may include Merit products, are for the practitioner’s convenience and for general information purposes only. This information does not constitute medical or legal advice. Before using, refer to the Instructions for Use (IFU) for indications, contraindications, warnings, precautions, and directions for use.

    ---

    CHECK OUT OUR SPONSOR

    Merit HeRO Graft
    https://www.merit.com/product/merit-hero-graft/

    ---

    SHOW NOTES

    00:00 - Introduction
    02:25 - Dr. Wagner’s Experience in Vascular Surgery
    05:49 - Understanding End-Stage Vascular Access
    08:52 - Introduction to the HeRO Graft
    16:15 - Implantation of the HeRO Graft
    28:38 - The Surfacer: A Game Changer in Vascular Access
    31:49 - Potential Risks and Precautions with the Surfacer
    33:38 - Using Both HeRO Graft and Surfacer
    36:31 - Final Thoughts and Resources on Both Devices

    ---

    RESOURCES

    Think Dialysis Access Course from Merit:
    https://www.merit.com/education/courses/thinkaccess/

    HeRO Graft: Indications, Technique, Outcomes, and Secondary Intervention:
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856774/

    KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update:
    https://pubmed.ncbi.nlm.nih.gov/32778223/

    The Surfacer:
    https://bluegrassvascular.com/surfacer-2/

    • 45 min
    Ep. 413 TBAD Management: Best Practices in Aortic Dissection with Dr. Darren Klass

    Ep. 413 TBAD Management: Best Practices in Aortic Dissection with Dr. Darren Klass

    This week on the BackTable Podcast, Dr. Darren Klass shares his experiences in the treatment of aortic dissections. Dr. Klass is an interventional radiologist at the University of British Columbia.

    Dr. Klass underscores the criticality of intraoperative decision-making, the use of intravascular ultrasound (IVUS), and the importance of taking a multidisciplinary approach. The conversation further explores the nuances of treating acute complicated aortic dissections, stabilizing the intermedial flap, follow-up protocols, and the importance of raising awareness about this high risk disease.

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    CHECK OUT OUR SPONSOR

    Cook Medical Aortic Interventions
    https://www.cookmedical.com/patient-resources/aortic-dissection/aortic-dissection-cook-medical-products/

    ---

    SHOW NOTES

    00:00 - Introduction
    07:45 - Identifying and Treating Type B Aortic Dissections
    09:35 - Role of Imaging
    18:24 - Patient Journey Through Aortic Dissection Treatment
    29:35 - Importance of Intravascular Ultrasound
    39:01 - Petticoat Technique
    47:12 - Role of Lumbar Drains
    50:10 - Importance of Follow-ups

    ---

    RESOURCES

    Cook Medical Essential Prescribing Information:
    https://www.cookmedical.com/patient-resources/aortic-dissection/aortic-dissection-cook-medical-products/

    Dr. Darren Klass’ ResearchGate Profile:
    https://www.researchgate.net/profile/Darren-Klass

    The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection:
    https://www.sts.org/sites/default/files/content/TBAD_Guideline_2022.pdf

    Krukenberg E. Beiträge zur Frage des Aneurysma dissecans. Beitr Patho Anat Allg Pathol. 1920; 67:329-351. (Paper that first described acute intramural hematoma from 1920):
    https://cir.nii.ac.jp/crid/1571698600607606272

    Acute Aortic Dissection and Intramural Hematoma: A Systematic Review:
    https://pubmed.ncbi.nlm.nih.gov/27533160/

    The PETTICOAT Technique for Complicated Acute Stanford Type B Aortic Dissection Using a Tapered Self-Expanding Nitinol Device as Distal Uncovered Stent:
    https://pubmed.ncbi.nlm.nih.gov/28279721/

    • 57 min

Customer Reviews

4.8 out of 5
120 Ratings

120 Ratings

miltylion ,

Episode 381 Anesthesia

Another outstanding episode and discussion about sedation and escalation to anesthesia. Collaboration with anesthesia and building their resources into your IR platform improves access and effectiveness. It’s more than an anesthesia machine. Getting their Omnicell and proper gas access into the room while formalizing escalation strategy has been effective at our institution. Bringing anesthesia in has drastically improved our patient experience and also has elevated our ability to do more advanced procedures that take time or cause pain.

Vascular doc Ohio ,

My morning drive listen!

Great shows with relevant and broad content hosted in a casual format. Superb audio quality! Really good episodes on the other Backtable Podcasts that cross specialties! Great job Backtable team!

CTAgony ,

Top class show

Love to hear real world stories with great educational content

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