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

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

Dr. Aparna Baheti talks with Dr. Saher Sabri from MedStar Georgetown University Hospital about his approach to Balloon-occluded retrograde transvenous obliteration (BRTO) for portal hypertension, including advanced tips and tricks. --- CHECK OUT OUR SPONSOR Medtronic Embolization https://www.medtronic.com/embolization --- SHOW NOTES In this episode, Dr. Saher Sabri and our host Dr. Aparna Baheti discuss PARTO, BRTO, and combined TIPS and BRTO procedures. First, they discuss differences between PARTO (Plug-Assisted Retrograde Transvenous Obliteration) and BRTO (Balloon-Occluded Retrograde Transvenous Obliteration). Dr. Sabri walks us through the steps of both, noting that it is important to study the shunt before the procedure to identify its narrowest part. He also emphasizes the need to confirm successful balloon occlusion before starting embolization. This can require minor adjustments to balloon size and positioning. To identify the endpoint for injection, Dr. Sabri tracks sclerosant movement up to the diaphragm and then down to the gastric varix. He confirms that the shunt has been obliterated and prevented from recruiting other outflows in the future. When considering combined TIPS and BRTO procedure, Dr. Sabri focuses on key indications such as bleeding gastric varices, high-risk esophageal varices, and ascites. He prefers to do the TIPS procedure first, then the BRTO, then re-measuring the gradient and deciding if more ballooning of the TIPS is needed. Finally, the doctors discuss post-procedural follow up and imaging. Dr. Sabri aims to have CT imaging within 2-4 weeks after BRTO and an ultrasound within 2 weeks after TIPS.

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Ep. 665 Advanced Strategies for Targeted Bone Biopsies with Dr. Peter C. Thurlow

Ep. 665 Advanced Strategies for Targeted Bone Biopsies with Dr. Peter C. Thurlow

A bone biopsy can reach the target and still miss the diagnosis. In this episode of the BackTable Podcast, host Dr. Neil Jain is joined by Dr. Peter Thurlow to discuss how lesion selection, imaging re...

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Ep. 664 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko

Ep. 664 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko

Genicular artery embolization (GAE) continues to gain traction worldwide, but is the evidence catching up to the hype? In this episode of BackTable Bone and Sports Podcast, host Dr. Kavi Krishnasamy w...

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Ep. 663 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil Parikh

Ep. 663 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil Parikh

What is the emerging role of bioresorbable scaffolds in treating tibial artery disease, and how do they compare with traditional stenting and drug delivery approaches? In this episode of the BackTable...

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Ep. 662 Pathways to Interventional Radiology: ESIR vs. Integrated Dr. John Cieslak

Ep. 662 Pathways to Interventional Radiology: ESIR vs. Integrated Dr. John Cieslak

With multiple training pathways, how can you determine which is the right choice for your career and clinical goals? In this episode of BackTable Podcast, Dr. Neil Jain sits down with interventional r...

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Ep. 661 Practical Strategies for Advanced Embolization Techniques with Dr. Harris Chengazi

Ep. 661 Practical Strategies for Advanced Embolization Techniques with Dr. Harris Chengazi

As endovascular technologies evolve, how are IRs maximizing control while minimizing metal in modern venous embolization? In this episode of the BackTable Podcast, Dr. Harris Chengazi joins host Dr. S...

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Ep. 660 Techniques & Outcomes of Portal Vein Embolization with Dr. David C. Madoff

Ep. 660 Techniques & Outcomes of Portal Vein Embolization with Dr. David C. Madoff

How is portal vein embolization (PVE) pushing the boundaries of liver tumor resectability, and what does it take to induce hypertrophy without compromising the remnant liver? In this episode of the Ba...

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Ep. 659 Combination Therapy for Hepatocellular Carcinoma with Dr. Beau Toskich and Dr. Lingling Du

Ep. 659 Combination Therapy for Hepatocellular Carcinoma with Dr. Beau Toskich and Dr. Lingling Du

How do you safely combine locoregional and systemic therapies to treat hepatocellular carcinoma (HCC) when traditional guidelines suggest your hands are tied? In this episode of the 2026 HCC Creator W...

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Ep. 658 Expeditionary Interventional Radiology: Innovations in Military Medicine with Dr. Jonathon Schutt and Dr. John Pavlus

Ep. 658 Expeditionary Interventional Radiology: Innovations in Military Medicine with Dr. Jonathon Schutt and Dr. John Pavlus

How will expeditionary IR adapt and advance to meet the challenges of the next generation of combat operations? In this episode of the Backtable Podcast, host Dr. Ally Baheti speaks with Air Force IR ...

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