Ep. 271 How Can AI Help with Acute Aortic Emergencies? with Dr. Ben Starnes
BackTable Vascular & Interventional12 Dec 2022

Ep. 271 How Can AI Help with Acute Aortic Emergencies? with Dr. Ben Starnes

In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Benjamin Starnes about artificial intelligence in aortic intervention, from aneurysm detection to procedural planning and coordination of aortic aneurysm surveillance. --- CHECK OUT OUR SPONSOR Viz.ai https://www.viz.ai/ --- SHOW NOTES Dr. Starnes is a vascular surgeon at the University of Washington. He is one of the first adopters of artificial intelligence (AI) in aortic intervention. He uses Viz.ai to help coordinate care for aortic dissections and ruptured aortic aneurysms. He began to implement this due to frustration with an outdated workflow. He serves a large patient population in Washington, Alaska, Idaho, Montana, and Wyoming. With different hospital systems and antiquated methods of communication, he realized it was very inefficient to evaluate a patient from some of these locations, and then have them transferred to Seattle for surgical repair. Dr. Starnes overviews the outdated workflow that’s prevalent in aortic emergency care. If there is a ruptured aortic aneurysm or aortic dissection, he would first get a call from an ER physician who ordered the imaging. The transfer center wouild be contacted, and then he had to find a desktop to view images from the outside facility. If there was no way to view the images due to incompatible PACS, he had to use a screenshot of an image sent by a provider at that hospital. After reviewing the imaging, he would decide whether to accept the transfer. If a patient is transferred, he would do the procedure and then hand off the patient to the ICU team, who was rarely (never) aware of this transfer until the patient arrived in their unit. After starting to use Viz.ai, this process has been streamlined. Dr. Starnes modeled the AI platform he uses for aortic emergencies in a similar way that AI stroke alert platforms already function. He now gets an alert on his phone, he is able to view good-quality images on his phone wherever he is, decide on the next steps, and communicate with members of the team in a HIPAA-compliant fashion all via the user-friendly interface. He uses AI software to detect ruptures and dissections and reports that it is very accurate. Dr. Starnes and colleagues at the University of Washington do over 350 aortic cases per year. The implementation of AI has helped them work more efficiently and has improved patient outcomes by cutting down the time from diagnosis to intervention. He hopes that machines can be trained to measure the aneurysm size for stent graft selection and manage elective aortas by integrating surveillance, follow-up, and elective repair. He also is very hopeful that AI will be able to identify many genetic aortopathies due to the integration of genetics and AI. --- RESOURCES Viz AI: https://www.viz.ai

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Ep. 59 Endovascular Treatment of DVT with Dr. Dexter and Dr. Abramowitz

Ep. 59 Endovascular Treatment of DVT with Dr. Dexter and Dr. Abramowitz

Vascular Surgeons David Dexter and Steven Abramowitz discuss endovascular treatment of lower extremity DVT, including patient selection and risks and benefits of catheter-directed therapy (CDT), mechanical thrombectomy, and pharmaco-mechanical thrombolysis.

24 Mars 202059min

Ep. 58 Endovascular Treatment of PE with Dr. Venkat Tummala and Dr. Thomas Tu

Ep. 58 Endovascular Treatment of PE with Dr. Venkat Tummala and Dr. Thomas Tu

Interventional Cardiologist Thomas Tu, MD and Interventional Radiologist Venkat Tummala MD discuss their respective approach to the treatment of Pulmonary Embolism, including risk stratification, treatment options, and endovascular technique.

11 Mars 202045min

Ep. 57 Practicing IR in the UK with Dr. Gregory Makris

Ep. 57 Practicing IR in the UK with Dr. Gregory Makris

Dr. Christopher Beck talks with Dr. Gregory Makris of Guy's and St. Thomas' NHS Foundation Trust in London about IR education and practice in the UK, as well as his involvement with CIRSE and the European Trainee Forum.

5 Mars 202045min

Ep. 56 Transitioning from a Hospital to OBL practice (Part II) with Dr. Yates and Dr. Patel

Ep. 56 Transitioning from a Hospital to OBL practice (Part II) with Dr. Yates and Dr. Patel

In Part 2 of this 2-part series, Dr. Tim yates and Dr. Lincoln Patel provide insight on marketing strategies, as well as the importance of experience and partners in an outpatient based endovascular practice. --- CHECK OUT OUR SPONSORS RADPAD® Radiation Protection https://www.radpad.com/ Accountable Revenue Cycle Solutions https://www.accountablerevcycle.com/ Accountable Physician Advisors http://www.accountablephysicianadvisors.com/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/5UxgxL

23 Feb 202043min

Ep. 55 Transitioning from a Hospital to OBL practice (Part I) with Dr. Yates and Dr. Patel

Ep. 55 Transitioning from a Hospital to OBL practice (Part I) with Dr. Yates and Dr. Patel

In Part 1 of this 2-part series, Dr. Tim yates and Dr. Lincoln Patel provide insight on how they made their career change decisions, as well as the advantages and disadvantages of a hospital-based vs. outpatient-based endovascular practice. --- CHECK OUT OUR SPONSORS RADPAD® Radiation Protection https://www.radpad.com/ Accountable Physician Advisors http://www.accountablephysicianadvisors.com/ Accountable Revenue Cycle Solutions https://www.accountablerevcycle.com/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/vog6G0

11 Feb 202051min

Ep. 54 Inclusivity in IR with Dr. Barbara Hamilton and Dr. Mary Costantino

Ep. 54 Inclusivity in IR with Dr. Barbara Hamilton and Dr. Mary Costantino

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/o6ecMR Dr. Barbara Hamilton and Dr. Mary Costantino, MD discuss inclusivity in IR, including the importance of mentorship and diversity in medicine.

16 Jan 202023min

Ep. 53 International Volunteer Work with Dr. Stephen Hunt

Ep. 53 International Volunteer Work with Dr. Stephen Hunt

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/Fh5LxS Dr. Stephen Hunt shares his international volunteer experiences traveling with IR4Nigeria and RAD-AID International. Get involved at www.rad-aid.org.

1 Jan 202026min

Ep. 52 IVUS for Iliac Vein Compression with Dr. Mark Lessne and Dr. Mike Cumming

Ep. 52 IVUS for Iliac Vein Compression with Dr. Mark Lessne and Dr. Mike Cumming

Dr. Michael Cumming and Dr. Mark Lessne discuss the utility of Intravascular Ultrasound (IVUS) in the diagnosis and treatment of Deep Venous Disease, including patient selection, appropriate assessment of stenoses and assistance with stent placement. Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/ySM6hy

11 Nov 201944min

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