Episode # 15 • 02 Dec 2025
Evolving Approaches in PE Management
When there's something strange in your vasculature, who are you going to call? Clot busters! In this episode of the BackTable Podcast, interventional cardiologist Dr. Sameh Sayfo hosts interventional radiologist Dr. Sabah Butty from Indiana University to discuss contemporary interventional approaches to pulmonary embolism (PE).
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Timestamps
00:00 - Introduction
02:53 - Development of AMI, Stroke and VTE Management
07:52 - Device Selection
04:25 - The Shift in Mechanical and Medicinal Therapies
13:23 - The Alpha Vac Device
16:50 - Benefits of Using Alpha Vac Device
20:26 - Considerations for Blood Loss During Procedure
24:30 - End of Case Criteria for Thrombectomy
28:24 - Post Procedure Follow-Up
Resources
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More about this episode
Dr. Butty shares his extensive experience in managing venous thromboembolism (VTE) and pulmonary embolism, highlighting the evolution of treatment strategies over the past 15 years. The discussion covers the shift from catheter-directed thrombolysis (CDT) to large bore mechanical thrombectomy, the importance of understanding the disease process, the efficiency and effectiveness of various devices–including the Alpha Vac–and the importance of achieving both short-term and long-term efficacy. Dr. Butty also shares insights on post-procedure management and follow-up protocols for PE patients.
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