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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Avsnitt(674)

Ep. 665 Advanced Strategies for Targeted Bone Biopsies with Dr. Peter C. Thurlow

Ep. 665 Advanced Strategies for Targeted Bone Biopsies with Dr. Peter C. Thurlow

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Ep. 664 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko

Ep. 664 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko

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Ep. 663 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil Parikh

Ep. 663 Advancements in Tibial Artery Stenting & Scaffolding with Dr. Sahil Parikh

What is the emerging role of bioresorbable scaffolds in treating tibial artery disease, and how do they compare with traditional stenting and drug delivery approaches? In this episode of the BackTable...

14 Juli 54min

Ep. 662 Pathways to Interventional Radiology: ESIR vs. Integrated Dr. John Cieslak

Ep. 662 Pathways to Interventional Radiology: ESIR vs. Integrated Dr. John Cieslak

With multiple training pathways, how can you determine which is the right choice for your career and clinical goals? In this episode of BackTable Podcast, Dr. Neil Jain sits down with interventional r...

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Ep. 661 Practical Strategies for Advanced Embolization Techniques with Dr. Harris Chengazi

Ep. 661 Practical Strategies for Advanced Embolization Techniques with Dr. Harris Chengazi

As endovascular technologies evolve, how are IRs maximizing control while minimizing metal in modern venous embolization? In this episode of the BackTable Podcast, Dr. Harris Chengazi joins host Dr. S...

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Ep. 660 Techniques & Outcomes of Portal Vein Embolization with Dr. David C. Madoff

Ep. 660 Techniques & Outcomes of Portal Vein Embolization with Dr. David C. Madoff

How is portal vein embolization (PVE) pushing the boundaries of liver tumor resectability, and what does it take to induce hypertrophy without compromising the remnant liver? In this episode of the Ba...

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Ep. 659 Combination Therapy for Hepatocellular Carcinoma with Dr. Beau Toskich and Dr. Lingling Du

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How do you safely combine locoregional and systemic therapies to treat hepatocellular carcinoma (HCC) when traditional guidelines suggest your hands are tied? In this episode of the 2026 HCC Creator W...

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Ep. 658 Expeditionary Interventional Radiology: Innovations in Military Medicine with Dr. Jonathon Schutt and Dr. John Pavlus

Ep. 658 Expeditionary Interventional Radiology: Innovations in Military Medicine with Dr. Jonathon Schutt and Dr. John Pavlus

How will expeditionary IR adapt and advance to meet the challenges of the next generation of combat operations? In this episode of the Backtable Podcast, host Dr. Ally Baheti speaks with Air Force IR ...

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