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

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 He began to implement this due to frustration with an outdated workflow.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 Starnes overviews the outdated workflow that’s prevalent in aortic emergency care.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. 51 Cone Beam CT Technique with Dr. Austin Bourgeois

Ep. 51 Cone Beam CT Technique with Dr. Austin Bourgeois

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/zGhYib Austin Bourgeois and Dr. Christopher Beck discuss ways you can improve your Cone Beam imaging for liver directed therapy, prostate artery embolization and how it can be used to improve safety of other procedures, such as G-tube placement.

30 Okt 201944min

Ep. 50 Practicing IR in India with Dr. Deepa Shree

Ep. 50 Practicing IR in India with Dr. Deepa Shree

Dr. Deepa Shree tells us about the challenges she faced building her IR practice in Chennai, and how she is spreading awareness of the specialty and training new IRs to help serve the need throughout India.

13 Okt 201948min

Ep. 49 Collaboration in the Hybrid OR with Dr. Racadio and Dr. von Allmen

Ep. 49 Collaboration in the Hybrid OR with Dr. Racadio and Dr. von Allmen

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/Ucy8jI Director of IR Innovation Dr. John Racadio and Pediatric Surgeon-in-Chief Dr. Daniel von Allmen of Cincinnati Children’s Hospital discuss their experiences in the Hybrid OR, how they built it, and how cross-specialty collaboration with pulmonary, urology, and orthopedic surgeons has greatly improved patient care.

30 Sep 201929min

Ep. 48 IR and ENT Treatment of Epistaxis with Dr. Ashley Agan and Dr. Sabeen Dhand

Ep. 48 IR and ENT Treatment of Epistaxis with Dr. Ashley Agan and Dr. Sabeen Dhand

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/xQPc7h In this episode, Dr. Ashley Agan and Dr. Sabeen Dhand join Dr. Gopi Shah to discuss IR and ENT treatment of epistaxis. We cover the differences in how epistaxis presents for ENT and IR as well as how epistaxis presents in children and older patients. Dr. Agan tells us about the types of nosebleeds that are common and the general treatment algorithm she follows. We discuss nasal packing and decongestant sprays for treatment and how to know when to take the patient to the OR. Dr. Agan talks about isolating the bleeding spot, how to use a foley for posterior nosebleeds, and SPA litigation. We discuss why ENT might consult IR for an embolization. Dr. Dhand tells us about the contraindications for embolization and the procedure for treating the epistaxis. We review the materials that should be used and why it is important to look out for artery connections and pseudoaneurysms. We discuss the pearls and pitfalls of ENT and IR treatment of epistaxis and how to avoid the risk of stroke.

30 Aug 201933min

Ep. 47 BRTO vs. PARTO and other Techniques with Dr. Luke Wilkins

Ep. 47 BRTO vs. PARTO and other Techniques with Dr. Luke Wilkins

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/ZvpYnL Special Guest Dr. Luke Wilkins of University of Virginia VIR discusses BRTO and PARTO techniques for treatment of gastric variceal bleeding.

18 Aug 201941min

Ep. 46 Collaboration not Competition between IR and IC with Dr. Achal Sahai and Dr. Chris Beck

Ep. 46 Collaboration not Competition between IR and IC with Dr. Achal Sahai and Dr. Chris Beck

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/bobcIg Interventional Cardiologist (IC) Dr. Achal Sahai and Interventional Radiologist (IR) Dr. Christopher Beck discuss ways these two specialties collaborate on complex cases, share endovascular techniques, and avoid the "turf war" trap.

31 Juli 201945min

Ep. 45 Coping with Complications with Dr. Maureen Kohi and Dr. Sandeep Bagla

Ep. 45 Coping with Complications with Dr. Maureen Kohi and Dr. Sandeep Bagla

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/uVVOw3 Dr. Maureen Kohi from UCSF Medical Center and Dr. Sandeep Bagla from Vascular Institute of Virginia discuss the challenges of dealing with procedural complications, and the importance of talking with colleagues and mentors in effective coping.

1 Juli 201959min

Ep. 44 TIPS Procedure Techniques: East to West Coast with Dr. Peder Horner and Dr. Peter Bream

Ep. 44 TIPS Procedure Techniques: East to West Coast with Dr. Peder Horner and Dr. Peter Bream

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/2WK9kp East Coast "McBreamy" and "Western Peder" discuss their Colapinto vs. Uchida needle preference, advantages of the ICE catheter, and other great pearls and pitfalls for the TIPS Procedure. Special thanks to our sponsor RADPAD® Radiation Protection. Protect yourself and your patients during those lengthy TIPS cases.

16 Juni 20191h

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