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(638)

Ep. 227 The Pregnant Interventionalist: with Dr Barbara Hamilton and Dr Aarti Luhar

Ep. 227 The Pregnant Interventionalist: with Dr Barbara Hamilton and Dr Aarti Luhar

Host Aparna Baheti interviews Barbara Hamilton and Aarti Luhar about navigating training and early career during a pregnancy. They discuss factors to consider such as scheduling, parental leave polici...

22 Jul 202258min

Ep. 226 Better Neck Health with Dr. Gerry Mattia

Ep. 226 Better Neck Health with Dr. Gerry Mattia

In this special crossover BackTable episode, Dr. Aaron Fritts and Dr. Julie Wei talk with Dr. Gerry Mattia, Chiropractor and Director of Rehabilitation of ViscoGen Clinic in Orlando, Florida. The CME...

19 Jul 202251min

Ep. 225 Approaches to IR Locums with Dr. Kavi Devulapalli and Dr. Vishal Kadakia

Ep. 225 Approaches to IR Locums with Dr. Kavi Devulapalli and Dr. Vishal Kadakia

Dr. Shamit Desai talks with Dr. Kavi Devulapalli and Dr. Vishal Kadakia about Locums work, including the current market and opportunities, different practice models, navigating finances and taxes, and...

18 Jul 20221h 40min

Finding Your Place Within Structural Competency with Kelly Knight, PhD

Finding Your Place Within Structural Competency with Kelly Knight, PhD

In this episode, our guest host Dr. Vishal Kumar interviews medical anthropologist and social scientist Dr. Kelly Knight of UCSF. They discuss the meaning of structural competency, methods for incorpo...

15 Jul 202240min

Ep. 224 The Legends: An Interview with Dr. Kathy Krol

Ep. 224 The Legends: An Interview with Dr. Kathy Krol

In this episode, host Dr. Mary Costantino interviews Dr. Kathy Krol, interventional radiologist and former SIR president about the evolution of interventional radiology, her various leadership roles, ...

11 Jul 20221h 19min

Ep. 223 Portal Vein Recan #Recandoit with Dr. Riad Salem

Ep. 223 Portal Vein Recan #Recandoit with Dr. Riad Salem

In this episode, our host Dr. Chris Beck interviews interventional radiologist Dr. Riad Salem about indications, technique, and cross-specialty collaboration in portal vein recanalization in the cirrh...

8 Jul 202246min

Ep. 222 New Tools for TIPS with Dr. George Behrens

Ep. 222 New Tools for TIPS with Dr. George Behrens

In this episode, host Dr. Chris Beck interviews interventional radiologist Dr. George Behrens about how he built a robust multidisciplinary portal hypertension clinic in a community hospital, tips for...

4 Jul 20221h 10min

Ep. 221 Building a Musculoskeletal Interventional Oncology Service with Dr. Alan Sag

Ep. 221 Building a Musculoskeletal Interventional Oncology Service with Dr. Alan Sag

Dr. Jacob Fleming talks with Dr. Alan Alper Sag about building a musculoskeletal (MSK) interventions practice at Duke University Medical Center, collaborating with other specialists, and future predic...

1 Jul 202256min

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