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.

Episoder(641)

Ep. 620 Ergonomic Strategies for Radiologists: Preventing Back & Neck Pain with Dr. Keith Horton

Ep. 620 Ergonomic Strategies for Radiologists: Preventing Back & Neck Pain with Dr. Keith Horton

Better habits start now. Poor ergonomics in the angio suite lead to cumulative neck and back injuries, absenteeism, presenteeism, and even early retirement. This episode of the BackTable Podcast offer...

27 Feb 50min

Ep. 619 Clinical Insights: Managing LUTs in BPH Patients with Dr. Art Rastinehad

Ep. 619 Clinical Insights: Managing LUTs in BPH Patients with Dr. Art Rastinehad

Prostate artery embolization may be performed by interventional radiologists, but its indications are rooted in urologic evaluation. In the second installment of our 2026 PAE University Series, Dr. Ch...

24 Feb 56min

Ep. 618 How to Manage Advanced DVA Cases: Techniques & Tips with Dr. Kumar Madassery

Ep. 618 How to Manage Advanced DVA Cases: Techniques & Tips with Dr. Kumar Madassery

How do experienced operators approach the most technically demanding aspects of deep venous arterialization (DVA)? In this episode of BackTable, host Dr. Sabeen Dhand sits down with Dr. Kumar Madasser...

20 Feb 1h 9min

Ep. 617 Cybersecurity Essentials for Medical Professionals with Didier Jourdain

Ep. 617 Cybersecurity Essentials for Medical Professionals with Didier Jourdain

Think your medical practice is safe from hackers? Learn why humans, rather than software, are often the weakest link in patient data protection. In this episode of the BackTable Podcast, host Dr. Chri...

17 Feb 48min

Ep. 616 Exploring Unique Outpatient Models in Interventional Radiology with Dr. Richard Daniels

Ep. 616 Exploring Unique Outpatient Models in Interventional Radiology with Dr. Richard Daniels

How can patients receive more consistent interventional radiology care amid a national shortage of IR physicians? That question led Dr. Rick Daniels to develop a new outpatient practice model centered...

13 Feb 50min

Ep. 615 Exploring Intravascular Lithotripsy in Below the Knee CLTI with Dr. Constantino Peña

Ep. 615 Exploring Intravascular Lithotripsy in Below the Knee CLTI with Dr. Constantino Peña

As new calcium-modifying technologies expand the repertoire of below-the-knee (BTK) arterial disease interventions, how should your treatment algorithm evolve, and what endpoints matter most? In this ...

10 Feb 50min

Ep. 614 Interventional Radiology’s Evolution: Insights from Dr. Ernest Ring

Ep. 614 Interventional Radiology’s Evolution: Insights from Dr. Ernest Ring

Have you ever wondered what it was like to be in the room when the first pelvic embolization was performed or how the TIPS procedure was pioneered? Dr. Ernie Ring, a legendary figure from UCSF and a t...

6 Feb 51min

Ep. 613 Microwave Ablation in Renal Tumors with Dr. Steven Huang

Ep. 613 Microwave Ablation in Renal Tumors with Dr. Steven Huang

You’re about to biopsy a renal lesion; should you ablate at the same time? In this episode of the BackTable Podcast, host Michael Barraza talks with Dr. Steven Huang from MD Anderson Cancer Center abo...

3 Feb 50min

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