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/

Episoder(628)

Ep. 473 Portal Hypertension Treatment Strategies: IR and Hepatology Perspectives with Dr. Thomas Leventhal and Dr. Siobhan Flanagan

Ep. 473 Portal Hypertension Treatment Strategies: IR and Hepatology Perspectives with Dr. Thomas Leventhal and Dr. Siobhan Flanagan

The management of portal hypertension has drastically evolved over the years. What are the current best practices? And what’s coming next? Dr. Tom Leventhal and Dr. Siobahn Flanagan from University of...

13 Aug 202458min

Ep. 472 All Things Enteral Access Part 2 from Dr. Peter Bream

Ep. 472 All Things Enteral Access Part 2 from Dr. Peter Bream

We are back with Part 2 of All Things Enteral Access with Dr. Peter Bream! We discuss various aspects of enteric access and management of complications with G and GJ-tubes. --- SYNPOSIS Dr. Bream p...

9 Aug 202437min

Ep. 471 All Things Enteral Access Part 1 from Dr. Peter Bream

Ep. 471 All Things Enteral Access Part 1 from Dr. Peter Bream

Do you have questions about enteral access? Dr. Peter Bream’s got you covered! In this episode Dr. Bream, former Professor at UNC Chapel Hill School of Medicine and current private practice interventi...

8 Aug 202458min

Ep. 470 Updated Guidance on Paclitaxel-Coated Devices with Dr. Sahil Parikh and Dr. John Park

Ep. 470 Updated Guidance on Paclitaxel-Coated Devices with Dr. Sahil Parikh and Dr. John Park

The use of drug-coated balloons (DCBs) for peripheral arterial disease has been controversial in the past. However, new data and updated FDA guidance have helped these devices regain popularity. In th...

6 Aug 202446min

Ep. 469 Price Transparency in Healthcare with Dr. Keith Smith

Ep. 469 Price Transparency in Healthcare with Dr. Keith Smith

Creating an ambulatory surgery center (ASC) with transparent, affordable pricing is possible and can go a long way in protecting our patients’ health, pockets, and futures. Dr. Keith Smith, founder of...

2 Aug 202438min

Ep. 468 Advancements in Laser Atherectomy with Dr. On Topaz

Ep. 468 Advancements in Laser Atherectomy with Dr. On Topaz

How has Laser Atherectomy advanced over the years to treat patients with coronary and peripheral artery disease? Dr. On Topaz, renowned specialist in laser atherectomy, answers exactly that and much m...

30 Jul 20241h 7min

Ep. 467 Independent IR Practice in Rural America with Dr. Frederick D. Johnson

Ep. 467 Independent IR Practice in Rural America with Dr. Frederick D. Johnson

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 Joh...

26 Jul 202449min

Ep. 466 Exploring IR in Australia with Dr. Chris Rogan

Ep. 466 Exploring IR in Australia with Dr. Chris Rogan

Ever wonder what it’s like to practice interventional radiology down under? Dr. Chris Rogan joins us on the BackTable Podcast this week to tell us about his IR practice in Australia, with special emph...

23 Jul 202437min

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