Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

We talk with Dr. Blake Parsons about his approach to Radial vs. Femoral access for Prostate Artery Embolization for BPH, including patient selection, device considerations, and practice pearls. --- SHOW NOTES In this episode, Dr. Blake Parsons and our host Dr. Chris Beck discuss access sites for prostate artery embolization, along with advice for visualizing pelvic anatomy, procedural tips, and post-operative care. We start by comparing radial and femoral access. Dr. Parsons prefers femoral access because it is faster, although both approaches share the same amount of bleeding risk. Radial access may offer more pushability and may be more appropriate for patients with tortuous iliac arteries. Additionally, we discuss the closure methods for each approach-- TR Band for radial access, and Angio-Seal for femoral access. Since pelvic anatomy varies from patient to patient, it can be challenging and time-consuming to identify the prostate artery. Dr. Parsons recommends using the obturator and pudendal arteries as landmarks. He also emphasizes that resources like lectures, meetings, papers, and courses can help IRs gain exposure and confidence in the pelvic anatomy. Finally, we talk about managing patient expectations about post-operative pain and dysuria relief. Dr. Parsons prescribes antibiotics, Medrol Dosepak, and Pyridium. The timeline for improvement in benign prostatic hyperplasia is different in each patient, but improvement can be tracked with the IPSS score at follow up appointments. --- RESOURCES STREAM Meeting: https://www.thestreammeeting.com/

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Ep. 568 Understanding CON Laws: Effects on Rural Cardiovascular Care with Dr. Ash Sastry and Dr. Sree Nair

Ep. 568 Understanding CON Laws: Effects on Rural Cardiovascular Care with Dr. Ash Sastry and Dr. Sree Nair

What does it really take to bring cutting-edge vascular care to the most underserved corners of the rural South? In this episode of the BackTable Podcast, host Dr. Ally Baheti welcomes interventional ...

29 Elo 202534min

Ep. 567 How to Manage Biliary Strictures with Dr. Premal Trivedi

Ep. 567 How to Manage Biliary Strictures with Dr. Premal Trivedi

What piques your clinical suspicion for biliary structure? And when is interventional endoscopy the preferred approach? Fine tune your diagnostic and treatment algorithm with Dr. Premal Trivedi from t...

26 Elo 202557min

Ep. 566 Navigating the Private Equity Practice Setting with Dr. Oleksandra Kutsenko

Ep. 566 Navigating the Private Equity Practice Setting with Dr. Oleksandra Kutsenko

As new graduates enter the workforce, what are the key differences between academic, private, and hybrid practice models? Dr. Oleksandra Kutsenko, Chief of Interventional Radiology at Red Rock Radiol...

22 Elo 202535min

Ep. 565 Resorbable Embolics in MSK Embolizations with Dr. Keerthi Prasad

Ep. 565 Resorbable Embolics in MSK Embolizations with Dr. Keerthi Prasad

Resorbable embolics are gaining traction in musculoskeletal interventions, but what are the key technical considerations? Dr. Keerthi Prasad, interventional radiologist at the Centers for Pain Control...

19 Elo 202540min

Ep. 564 Pressure-Enabled Drug Delivery in HCC & Metastatic Liver Lesions with Dr. Zach Berman

Ep. 564 Pressure-Enabled Drug Delivery in HCC & Metastatic Liver Lesions with Dr. Zach Berman

Can you manipulate blood flow in the tumor microenvironment to optimize drug delivery? In this episode of the BackTable Podcast, interventional oncologist Dr. Zachary Berman (UC San Diego) joins host ...

12 Elo 202558min

Ep. 563 Techniques for Effective Vessel Prep with Dr. Jay Mathews and Dr. Michael Siah

Ep. 563 Techniques for Effective Vessel Prep with Dr. Jay Mathews and Dr. Michael Siah

The toolbox for vessel preparation is rapidly expanding. Are you keeping up? In this episode, host Dr. Sabeen Dhand is joined by Dr. Jay Mathews, interventional cardiologist (Manatee Memorial Hospital...

5 Elo 202555min

Ep. 562 IR as a Business Engine: Scaling High-Acuity Care in Private Practice with Dr. Harris Chengazi

Ep. 562 IR as a Business Engine: Scaling High-Acuity Care in Private Practice with Dr. Harris Chengazi

What are the key elements of a robust interventional radiology practice, and how can IRs effectively demonstrate their value to hospitals? Guest, Dr. Harris Chengazi, interventional radiologist at Gre...

1 Elo 202554min

Ep. 561 Dosimetry University VI: Challenging Case Review with Dr. Tyler Sandow and Dr. Zach Berman

Ep. 561 Dosimetry University VI: Challenging Case Review with Dr. Tyler Sandow and Dr. Zach Berman

When is Y90 the right treatment for metastatic disease? Join Drs. Tyler Sandow, Zach Berman and host Kavi Krishnasamy in the conclusion of Dosimetry University where they discuss the complexities of t...

29 Heinä 202548min

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