Ep. 118 Treating Acute Limb Ischemia with Dr. Donald Garbett

Ep. 118 Treating Acute Limb Ischemia with Dr. Donald Garbett

Interventional Radiologist Dr. Donald Garbett talks with Dr. Michael Barraza about how he approaches acute limb ischemia, including different endovascular techniques for removing acute arterial clot. --- SHOW NOTES In this episode, Dr. Donald Garbett joins Dr. Michael Barraza to discuss treating acute limb ischemia. We explain when to take a hospital patient to the OR instead of angio, and Dr. Garbett tells us why he prefers establishing severity of the limb ischemia using the Rutherford classification. We discuss the circumstances of needing to have an immediate procedure, and what challenges may occur in these patients. We discuss the beginning of treating acute limb ischemia, including getting access, initial angions, and when to get an ACT. We review how to get femoral access, and we explain some cases where a different type of access is needed. We discuss which sheath size to use for diagnostics and when lysing overnight. Dr. Garbett tells us when he will lyse while treating acute limb ischemia and why he treats the underlying issue first. We review the different kinds of grafts, and we discuss what guides the approach to re-vascularizing a graft. We talk through some challenging situations that can occur when working on a graft and the dangers of the lipstick effect. We discuss how to use balloons to treat an underlying stenosis and how to deal with an unexpected intraprocedural clot. We discuss follow-up care and working with vascular surgery to coordinate care.

Episoder(641)

Ep. 612 Interventional Radiology in Military Medicine with Dr. John York

Ep. 612 Interventional Radiology in Military Medicine with Dr. John York

What does day-to-day interventional radiology look like in the military? Here’s a firsthand account. Dr. John York, interventional radiologist at University of California San Diego with 37 years of ac...

30 Jan 51min

Ep. 611 Challenges in Prostate Artery Embolization with Dr. Rajasekhara Ayyagari

Ep. 611 Challenges in Prostate Artery Embolization with Dr. Rajasekhara Ayyagari

Are balloon occlusion microcatheters your new best friend for prostate artery embolization (PAE)? In this episode of BackTable, Dr. Raj Ayyagari, interventional radiologist at Boston Medical Center, ...

27 Jan 47min

Ep. 610 Interventional Radiology in UAE: Current Practices with Dr. Jamal Alkoteesh

Ep. 610 Interventional Radiology in UAE: Current Practices with Dr. Jamal Alkoteesh

Have you ever considered taking a sabbatical to practice Interventional Radiology in the Middle East? In this episode, Dr. Jamal AlKoteesh, the Chairman of Clinical Imaging at SEHA and the "Godfather ...

23 Jan 36min

Ep. 609 Chronic Venous Disease Diagnosis & Management Strategies with Dr. Steven Abramowitz

Ep. 609 Chronic Venous Disease Diagnosis & Management Strategies with Dr. Steven Abramowitz

20 Jan 51min

Ep. 608 Interventional Radiology Global Survey: Training & Awareness with Dr. Justin Guan and Dr. Constantinos Sofocleous

Ep. 608 Interventional Radiology Global Survey: Training & Awareness with Dr. Justin Guan and Dr. Constantinos Sofocleous

Patient access to interventional radiology services remains highly variable worldwide, reflecting global differences in training opportunities and infrastructure. Drawing on responses from more than 1...

16 Jan 39min

Ep. 607 Interventional Radiology Coding & Compliance Essentials with Dr. David Zielske

Ep. 607 Interventional Radiology Coding & Compliance Essentials with Dr. David Zielske

Are you getting paid for the work you do? In this episode of the BackTable Podcast, interventional radiology coding expert Dr. David Zielske joins host Dr. Ally Baheti to share practical tips for bill...

13 Jan 1h 6min

Ep. 606 Building a Case Video Library with Dr. Rusty Hofmann

Ep. 606 Building a Case Video Library with Dr. Rusty Hofmann

The modes and methods of medical education have changed drastically in the past decade. Social media, podcasts (like this one), and other on-demand learning formats have fundamentally shifted how heal...

11 Jan 52min

Ep. 605 Advanced Surgical Approaches in Lung Cancer Management with Dr. Scott Atay and Dr. Scott Oh

Ep. 605 Advanced Surgical Approaches in Lung Cancer Management with Dr. Scott Atay and Dr. Scott Oh

Is the open thoracotomy becoming outdated as robotic surgery and advanced ablation techniques take center stage in lung cancer treatment? In the final discussion of the 2025 NSCLC Creator Weekend™ ser...

9 Jan 1h 18min

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