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.

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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 50min

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 49min

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 50min

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 46min

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 35min

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 50min

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 38min

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 5min

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