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.
Site
RSS
Apple
Classements récents
Dernières positions dans les classements Apple Podcasts et Spotify.
Liens partagés entre épisodes et podcasts
Liens présents dans les descriptions d'épisodes et autres podcasts les utilisant également.
Ep. 477 Building a Successful Lymphangiography Practice with Dr. Bill Majdalany
mardi 3 septembre 2024 • Durée 55:25
What’s needed to build a successful lymphangiography practice? Dr. Bill Majdalany joins host Dr. Chris Beck to answer this question and to discuss advancements in lymphangiography over the past decade. Dr. Majdalany is the Chief and Vice Chair of Research of Interventional Radiology at University of Vermont.
---
CHECK OUT OUR SPONSOR
Guerbet
---
SYNPOSIS
The doctors provide insights on various lymphatic procedures such as thoracic duct embolization, stenting, and recanalization. They also discuss the evolving significance of lymphatic medicine in interventional radiology and its potential applications in treating conditions like ascites and variceal bleeding. The conversation underscores the interconnected nature of the lymphatic system throughout the body, emphasizing the revolutionary potential of lymphangiography in modern medicine.
---
TIMESTAMPS
00:00 - Introduction
04:23 - Building a Lymphangiography Practice
08:36 - The Lymphatic Revolution
17:42 - Practical Tips and Equipment for Lymphangiography
30:09 - Advanced Interventions and Tools
48:45 - Future of Lymphatic Interventions
51:23 - Conclusion and Resources
---
RESOURCES
BackTable VI Podcast Episode #135 - IR Residency Pathways & Getting In! (Part 1)
with Dr. Jeff Bodner and Dr. Bill Majdalany:
https://www.backtable.com/shows/vi/contributors/dr-bill-majdalany
Seminars in Interventional Radiology - Lymphatics:
https://www.thieme-connect.com/products/ejournals/issue/10.1055/s-010-49075
Lymphatic Anatomy:
https://www.techvir.com/article/S1089-2516(16)30042-7/abstract
Ep. 476 Medical Innovations: IR in Space with Dominic Tanzillo and Dr. Richard Moon
mardi 27 août 2024 • Durée 38:06
What is the final frontier of interventional radiology? Dominic Tanzillo and Dr. Richard Moon believe it could be space. Dominic is a 3rd year medical student at Duke University interested in interventional radiology (IR) and space medicine, and Dr. Moon is a Professor at Duke University and an expert in hyperbaric and aerospace medicine.
---
CHECK OUT OUR SPONSOR
Medtronic DCB
https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/drug-coated-balloons.html
---
SYNPOSIS
Dominic and Dr. Moon cover the potential for IR in deep space missions, focusing on the unique challenges astronauts face, such as altered blood flow, increased clotting risks, and the impacts of microgravity on the human body. The episode dives into NASA’s investments in portable medical technologies, the practicalities of emergency medical procedures in space, and the need for minimally invasive interventions. The significance of IR in diagnosing and managing vascular issues in space is discussed, as well as the broader implications for future Mars missions and long-term space travel.
---
TIMESTAMPS
00:00 - Introduction
02:36 - IR in Space
20:04 - Medical Issues Astronauts Face
26:27 - Remote Surgery and Telesurgery
30:45 - Emergency Evacuations in Space
32:32 - More on Space Medicine
---
RESOURCES
Aerospace Medicine Association:
https://www.asma.org/about-asma/careers/aerospace-medicine
Translational Research Institute for Space Health:
https://www.bcm.edu/academic-centers/space-medicine/translational-research-institute
Space Medicine Coursera:
https://www.coursera.org/learn/space-medicine-duke
What Space Medicine Taught Me About Science Communication | Dominic Tanzillo | TEDxDuke:
https://www.youtube.com/watch?v=PBkdvSByneM
Dominic Tanzillo:
https://dominictanzillo.github.io/
Ep. 467 Independent IR Practice in Rural America with Dr. Frederick D. Johnson
vendredi 26 juillet 2024 • Durée 50:15
Bringing more interventional radiology to rural America would benefit many patients who currently do not have access to minimally invasive, image guided medicine. In today's episode, Dr. Frederick Johnson, an interventional radiologist practicing in Thomasville, Georgia joins us to discuss the unique dynamics and challenges of setting up and maintaining a successful rural IR practice.
---
CHECK OUT OUR SPONSOR
Medtronic ClosureFast
https://www.medtronic.com/us-en/c/cardiovascular/closurefast-rfa-system.html
---
SYNPOSIS
Dr. Johnson provides insights into the professional service agreement (PSA) model that allows his practice to maintain autonomy while collaborating with the local hospital. The episode explores the complexities of recruiting to a rural setting, maintaining a broad case mix, ensuring financial stability, and fostering professional satisfaction. The conversation highlights the importance of redefining independence and the benefits of integrating collaboration into IR practices.
---
TIMESTAMPS
00:00 - Introduction
02:29 - Dr. Johnson’s Background and Journey
11:46 - Professional Service Agreement (PSA) Explained
18:48 - Daily Operations and Structure
24:19 - Teamwork in Rural Healthcare
30:35 - Recruitment and Growth
33:33 - Compensation and Financial Incentives
42:05 - Benefits of Small Town Living
44:34 - Advice for Aspiring Rural Healthcare Practitioners
---
RESOURCES
Vita Surgery/Vascular Website:
https://vitadr.org/
Ep. 377 Management of HCC: Focus on Radiation Segmentectomy Part 1 with Dr. Juan Gimenez and Dr. Tyler Sandow
lundi 23 octobre 2023 • Durée 25:03
In this episode, host Dr. Chris Beck interviews Dr. Juan Gimenez and Dr. Tyler Sandow. Juan and Tyler are both interventional radiologists in New Orleans, Louisiana who practice at Ochsner Health System - one of the United States’ leading transplant centers. As a result, both doctors have significant experience in Y-90 radiation segmentectomy and other complex procedures for treatment of hepatocellular carcinoma (HCC).
---
CHECK OUT OUR SPONSOR
Boston Scientific TheraSphere
https://www.bostonscientific.com/therasphere
---
SHOW NOTES
Juan and Tyler start the episode by telling us about how their practice has evolved over the years, their experience on tumor boards, and advice for building strong relations with transplant surgeons. The doctors also tell us about their approach to working-up patients with HCC, the variety of treatment modalities, and overall timeline to transplant.
Next we discuss considerations for building an effective interventional oncology service. Taking full ownership at every step of the way is critical to this goal. To conclude the episode, Juan and Tyler discuss the Barcelona Clinic Liver Cancer (BCLC) staging algorithm, their research, and other factors that guide their treatment plan. Stay tuned for Part 2 of this discussion, releasing later this week!
---
RESOURCES
Premiere and TRACE Trials:
https://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology/therasphere/clinical-data/premiere-trial-and-trace-trial.html
Ep. 376 New Frontiers in Spinal Tumor Ablation and Augmentation with Dr. Dana Dunleavy
mercredi 18 octobre 2023 • Durée 01:02:52
In this episode, host Dr. Jacob Fleming interviews Dr. Dana Dunleavy about spinal tumor ablation and vertebral augmentation. Dana is an interventional radiologist and Director of Windsong Interventional & Vascular Services.
---
CHECK OUT OUR SPONSOR
Stryker Interventional Spine
https://www.strykerivs.com
---
SHOW NOTES
Dana begins the discussion by reflecting on his upbringing in a small country town. His parents, his mother a midwife and his father a contractor, shaped his early experiences. His exposure to medicine began through his mother, particularly in witnessing childbirths. As he navigated his way through medical school, he contemplated various specialties, including orthopedic surgery, interventional radiology, and neurosurgery. He discovered incredible mentors in radiology and ultimately found his place in the field of interventional radiology. During his residency at Johns Hopkins, he sought externships in interventional spine and had the opportunity to immerse himself in this field for one month.
He underscores the significance of participating in tumor boards and being a valuable contributor to the team in terms of diagnosis and treatment. He also emphasizes the value of calling consults when performing biopsies and the importance of meeting with the patient face-to-face and engaging in a thorough discussion of the treatment plan.
Next, Dana delves deeper into the topics of bone tumor ablation and mechanical augmentation. He notes the importance of having a comprehensive understanding of the patient's anatomy and being well-versed in interventional tools. Cement extravasation is a feared complication of vertebral augmentation, so Dana discusses the role of implants as a means to establish structural support and mitigate the risk of cement leakage. In addition, he talks about his approach in combining ablation with mechanical augmentation so that the augmentation provides a structure after the ablation.
Lastly, he discusses the use of advanced technology such as cone beam CT in trajectory planning. He shares his hybrid approach to performing bone biopsies, utilizing fluoroscopy during access and cone beam CT to ascertain accurate trajectory.
Ep. 375 How to Get Independent IR Hospital Privileges with Dr. Bill Julien
lundi 16 octobre 2023 • Durée 43:52
In this episode, host Dr. Ally Baheti interviews Dr. Bill Julien about strategies to secure independent IR hospital privileges. Bill is an experienced vascular interventional physician at South Florida Vascular Associates.
---
CHECK OUT OUR SPONSORS
BD Advance Clinical Training & Education Program
https://page.bd.com/Advance-Training-Program_Homepage.html
Siemens Healthineers
https://www.siemens-healthineers.com/
Reflow Medical
https://www.reflowmedical.com/
---
SHOW NOTES
Bill starts the episode by telling us why it is crucial for vascular and interventional physicians to have hospital privileges. We learn about Bill’s career progression. He discusses the growing pains he faced, how he effectively tackled these challenges, and how he became staff at a number of hospitals.
Bill and Ally then unfold Bill’s detailed roadmap for how IRs can join hospital staff. They explore different pathways, and Bill shares his anecdotes and advice throughout. The doctors discuss how many contracts leave little opportunity to build longitudinal care practice, since the majority of time can be dedicated to large volumes of diagnostic reading time and consults for non-complex cases.
At the conclusion of this episode, Bill emphasizes the need for SIR and other societies to step in and usher change. He also shares his 13-point action list for what SIR can do to accomplish this and help IRs secure hospital privileges (linked in Resources section).
---
RESOURCES
SIR Strategic Plan:
https://tinyurl.com/SIRstrategicplan
SIR Policy Statement:
https://tinyurl.com/SIRpolicystatement
Dr. Bill Julien’s Clinical Practice Position:
https://tinyurl.com/clinicalpracticeposition2
ACR Policy Statement:
https://tinyurl.com/ACRpolicystatement
Ep. 374 Independent IR: More Than Locums, It's a Calling with Dr. Ian Wilson and Dr. Kavi Devulapalli
vendredi 13 octobre 2023 • Durée 56:34
In this episode, host Dr. Dana Dunleavy engages in a thought-provoking discussion about independent interventional radiology practice with two esteemed IRs, Dr. Kavi Devulapalli and Dr. Ian Wilson. Together, they discuss the complexities and opportunities in the ever-evolving landscape of IR.
---
CHECK OUT OUR SPONSOR
Philips SymphonySuite
https://www.philips.com/symphonysuite
---
SHOW NOTES
We start off the discussion with Kavi expanding on early experiences in working a standard DR / IR split that most IRs tend to work in. He elaborates on how this split was not what he, as well as most IRs, intended to practice in when they entered the field. Thus, he then shifted over to the OBL space, a gratifying journey, but one he notes was difficult to navigate due to the intricacies. As Kavi finally transitioned to locum tenens work, he reflects on its appeal, despite the scarcity of opportunities. He notes that locum tenens work is usually in areas with an extreme dearth of IRs, such as rural areas. This conversation also explores the topic of exclusive contracts. Their impact on independent IR practices' access to hospital privileges is also explored, shedding light on the challenges faced by IRs seeking to expand their reach.
Ian then notes that his locum tenens work was also in a rural setting, and how he had served this location for an extended period of time due to their lack of retention of IRs. The discussion then reveals a growing trend among physicians, as more and more are turning to locum work due to its exclusive focus on the IR aspect of the job that initially attracted them to this field. It's a mutual demand, as physicians seeking to specialize in IR find locum work to be a well-suited avenue, while areas of healthcare dearth are equally eager to tap into the expertise of these specialists.
Both guests emphasize the urgent need for sustainable solutions to address this growing public health crisis in rural areas. This is precisely where organizations like Travelier come into play. Travelier was established by IRs, one of whom is Kavi, with a mission to bridge this critical gap by offering world-class IR services to communities with unmet needs. Their approach involves assembling dedicated physician teams and creating interventional radiology practices that generate revenue while providing viable work solutions for radiologists. This discussion is a testament to the adaptability and innovation that drive the field of IR, characterized by the commitment to improving healthcare access in areas where it is needed the most. It's also a testament to the increasing mutual demand for specialized IR services and the unique opportunities that come with it.
---
RESOURCES
Travelier:
https://travelierir.com
Ep. 373 Sharp Recanalization Using the RF Wire with Dr. Marcelo Guimaraes
lundi 9 octobre 2023 • Durée 55:23
In this episode, host Dr. Ally Baheti interviews Dr. Marcelo Guimaraes about using radiofrequency wires for sharp recanalization. Marcelo is an interventional radiologist at the Medical University of South Carolina.
---
CHECK OUT OUR SPONSORS
BD Advance Clinical Training & Education Program
https://page.bd.com/Advance-Training-Program_Homepage.html
RADPAD® Radiation Protection
https://www.radpad.com/
---
SHOW NOTES
Marcelo begins by telling us about the Sniper technique, what RF wires are, and how they are used in sharp recanalization. He provides indications for using RF wires and his general workup and intraoperative flow for recanalization interventions. Marcelo also discusses the use of RF wires for iliocaval occlusions, SVC/upper extremity occlusions, and chronically occluded stents.
Marcelo gives a comprehensive explanation of how and why the Sniper technique has evolved over the years. We also cover RF wires’ capabilities in crossing particularly, long occluded segments and the importance of cone-beam CT in complex cases. Ally and Marcelo then discuss applications of IVUS in sharp recanalization.
Marcelo also shares his thoughts on possible alternatives to the RF wire and speaks about current and future applications of RF wires in non-vascular cases. Marcelo ends the episode by sharing tips on how to avoid unfavorable outcomes when using an RF wire, which includes his caution against using the Sniper technique in the office-based lab (OBL) setting.
---
RESOURCES
JVIR Paper from Dr. Marcelo Guimaraes on RF wires in recanalization of central vein occlusions:
https://pubmed.ncbi.nlm.nih.gov/22739648/
PowerWire Radiofrequency Guidewire:
https://baylismedtech.com/radio-frequency-wires/powerwire-rf-guidewire/
Ep. 372 IR Pathways Unveiled: Matching, Training, and Beyond with Dr. Neil Jain
vendredi 6 octobre 2023 • Durée 01:00:54
In this episode, host Christopher Beck discusses the current landscape of IR training with Dr. Neil Jain, a fourth-year IR/DR resident at Georgetown University. Neil, who attended medical school in New Jersey, discusses his early desire for a diverse medical career encompassing clinical work, innovation, and mentorship.
---
CHECK OUT OUR SPONSOR
RADPAD® Radiation Protection
https://www.radpad.com/
---
SHOW NOTES
To start the episode off, Neil offers valuable advice on when to decide on interventional radiology as a career path. He emphasizes that the ideal timing varies based on one's portfolio, but he personally found his passion for IR during his first year of medical school, which facilitated building meaningful connections early on.
The conversation then explores the different pathways to entering the field of interventional radiology, including integrated, ESIR, and classic routes. Neil provides insights into the pros and cons of each pathway, shedding light on the evolving landscape of residency applications.
We then delve into the changing dynamics of application processes, as Neil discusses the nuances of the recent changes and how students can strategically navigate them. He introduces the concept of "signaling" features, gold and silver star preferences, and the importance of proper program selection when applying to IR residency.
Neil also offers guidance on away rotations, emphasizing their significance for students aspiring to match into competitive IR programs. He underscores the dedication to IR as a crucial factor in securing a match. Another key factor is mentorship, and Neil highlights how peer and attending mentors as well as the resources provided by the Society of Interventional Radiology (SIR) can play an enormous role in matching into IR.
The discussion then shifts to the virtual residency application process, with Neil offering valuable do's and don'ts for applicants. He underscores the importance of creating a proper environment and engaging in hobbies during virtual interviews. He also provides valuable advice on preparing for common interview questions, encouraging applicants to build compelling stories that showcase their clinical understanding.
As the field of interventional radiology continues to evolve, Neil emphasizes the importance of staying informed and maintaining close connections with mentors and resources like SIR.
Ep. 371 Transverse Sinus Stenting for Idiopathic Intracranial Hypertension with Dr. Aaron Bress
lundi 2 octobre 2023 • Durée 32:09
In this episode, host Dr. Michael Barraza interviews neurointerventional radiologist Dr. Aaron Bress about transverse sinus stenting for benign intracranial hypertension.
---
CHECK OUT OUR SPONSORS
MicroVention FRED X
https://www.fred-x.com/
RADPAD® Radiation Protection
https://www.radpad.com/
---
SHOW NOTES
Aaron starts off the discussion by describing his typical patient population that requires stenting. Patients usually present to the clinic experiencing headaches, vision issues, and pulsatile tinnitus. Typically, these patients are female and overweight, and have been referred from headache clinics, neurosurgeons, and ENT specialists. Around 50% of his patients arrive with prior diagnoses and a complete workup already done, and they only require the procedure to be done. For the remaining patients, Aaron starts from scratch, emphasizing meticulous preparation imaging, which includes MRV with contrast.
Aaron has a sequential approach for outpatients. He typically conducts diagnostic and treatment processes separately, to ensure that no complicating fistulas are present during interventions. Three months after the procedure, patients are referred for follow-ups with ophthalmologists to verify progress.
During the procedure, Aaron starts with a diagnostic angiogram from the groin. During this time, he also obtains pressure measurements using a 27 mm diagnostic microcatheter. He typically measures from superior central sinus and then works his way back. He then obtains an MR venogram, which typically shows bilateral transverse sinus stenosis, and he measures pressure on both sides of the sinus. For him, a significant enough gradient to stent is typically 10 mmHg, however clinical presentation remains a key factor in deciding to stent patients with a lesser gradient.
For the treatment procedure, patients are prescribed 75 mg Plavix and baby aspirin for five days before the intervention. On the day of the procedure, general anesthesia is administered, due to its neck-based approach. This approach not only provides better maneuverability, but also avoids complications associated with the heart, given the complexities of navigating the transverse sinus junction. Stent sizing remains highly personalized and tailored to the size of the patient's sinus, with no rigid guidelines in place. Patients typically stay overnight, with clear communication regarding the likelihood of experiencing a headache post-treatment. Following the procedure, they adhere to a six-month regimen of the dual antiplatelet therapy, which improves their recovery and treatment outcomes.
Podcasts Similaires Basées sur le Contenu
Découvrez des podcasts liées à BackTable Vascular & Interventional. Explorez des podcasts avec des thèmes, sujets, et formats similaires. Ces similarités sont calculées grâce à des données tangibles, pas d'extrapolations !
