BackTable / Cardiology / Podcast / Episode #15

Evolving Approaches in PE Management

with Dr. Sabah Butty

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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Evolving Approaches in PE Management with Dr. Sabah Butty on the BackTable Cardiology Podcast

Ep 15 Evolving Approaches in PE Management with Dr. Sabah Butty

00:00 / 01:04

BackTable, LLC (Producer). (2025, December 2). Ep. 15 – Evolving Approaches in PE Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Sabah Butty

Dr. Sabah Butty is an interventional radiologist practicing at Indiana University Health in Muncie, Indiana.

Dr. Sameh Sayfo

Dr. Sameh Sayfo is an interventional cardiologist and the program director of endovascular intervention fellowship at Baylor Scott & White in Plano, Texas.

Synopsis

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.

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

Dr. Sameh Sayfo Provider Profile
https://www.bswhealth.com/physician/sameh-sayfo

Dr. Sabah Butty Provider Profile
https://iuhealth.org/find-providers/provider/sabah-d-butty-md-5216

Prospective Multicenter IDE Study of the Next-Generation Precision Aspiration Thrombectomy System for Intermediate-Risk Pulmonary Embolism: The SYMPHONY-PE Trial
https://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.125.015815

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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