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BackTable / MSK / Podcast / Episode #26

Building a GAE Practice in the OBL

with Dr. David Wood

Dr. David Wood, interventional radiologist and chief medical officer of Advantage IR, tells us about his experiences with geniculate artery embolization (GAE) practice building in the office-based lab (OBL).

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Building a GAE Practice in the OBL with Dr. David Wood on the BackTable MSK Podcast)
Ep 26 Building a GAE Practice in the OBL with Dr. David Wood
00:00 / 01:04

BackTable, LLC (Producer). (2023, August 9). Ep. 26 – Building a GAE Practice in the OBL [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. David Wood discusses Building a GAE Practice in the OBL on the BackTable 26 Podcast

Dr. David Wood

Dr. David Wood is a practicing interventional radiologist and the chief medical officer of Advantage IR in Scottsdale, Arizona.

Dr. Michael Barraza discusses Building a GAE Practice in the OBL on the BackTable 26 Podcast

Dr. Michael Barraza

Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.

Synopsis

In this episode, host Dr. Michael Barraza interviews Dr. David Wood, interventional radiologist and chief medical officer of Advantage IR, about building office based labs (OBLs), the untapped potential of the geniculate artery embolization (GAE) market, and how to build patient referrals for new OBLs.

We begin by discussing why Dr. Wood chose to do geniculate artery embolization (GAE) in his OBLs. He says that GAE makes a great procedure for an office setting because it is relatively easy, only requiring a C arm with digital subtraction angiography (DSA). It is also a quick procedure with little side effects and low rates of complications. He says that patients who get GAE are a unique patient population because they know they have arthritis, and have exhausted conservative measures or declined treatment options that they have been offered, which are often quite invasive.

Dr. Wood says his GAE patients are mostly self-referred. He has marketing liaisons for local clinics, but what he has found most effective is TV commercials in English and Spanish, because this reaches the populations that need the most help. His patient population for GAEs consists mostly of self referred patients, as well as referrals from PCPs and occasionally orthopedic or sports medicine providers.

Regarding how Dr. Wood evaluates which patients to treat, he says that he began by using the point of maximal tenderness as described by Sandeep Bagla and required MRI before patient selection. He now uses primarily X-ray and only treats pain rated at least 5 out of 10. He does not do GAE in patients who have had knee surgery or with a history of significant PAD or calcification seen on preoperative X-ray. He generally tells patients they can expect up to a 70% improvement of pain after geniculate artery embolization.

Resources

BackTable Ep. 27: Geniculate Artery Embolization for OA with Dr. Sandeep Bagla and Dr. Ari Isaacson
https://www.backtable.com/shows/vi/podcasts/27/geniculate-artery-embolization-for-osteoarthritis

BackTable Ep. 85: Genicular Artery Embolization for OA with Dr. Jafar Golzarian
https://www.backtable.com/shows/vi/podcasts/85/genicular-artery-embolization-for-oa

Bagla GAE Publication:
https://pubmed.ncbi.nlm.nih.gov/31837946/

Padia GAE Publication:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542160/

Disclaimer: The Materials available on BackTable.com 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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