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BackTable / MSK / Podcast / Episode #75
Genicular Artery Embolization: Current Controversies & Insights
with Dr. Sid Padia and Dr. Osman Ahmed
Who is the optimal candidate for GAE, which technical approach is best, and how do you set your patients up for success? Tune into this week’s episode of BackTable to hear from interventional radiologists Dr. Osman Ahmed (University of Chicago Medicine) and Dr. Siddharth Padia (UCLA Health) as they discuss everything from patient selection to follow-up care, covering pre-procedure imaging, access, embolics, technical challenges, clinical data, and the future of genicular artery embolization.
This podcast is supported by an educational grant from Guerbet.
BackTable, LLC (Producer). (2025, April 22). Ep. 75 – Genicular Artery Embolization: Current Controversies & Insights [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
Dr. Ahmed and Dr. Padia debate their approaches to patient selection criteria, the use of MRI and cone beam CT, permanent vs. resorbable embolic materials, how many arteries to embolize, and the relevance of pain metrics post GAE. They also delve into follow-up considerations and the potential for GAE as a long term treatment.
Timestamps
00:00 - Introduction
01:08 - MRI for Patient Selection in GAE
08:53 - Access Techniques: Femoral vs. Pedal
17:07 - Cone Beam CT in GAE Procedures
27:20 - Embolization Strategies
39:30 - Challenges and Complications in Embolization
44:50 - Follow-Up and Pain Metrics in Clinical Practice and Research
01:06:30 - Repeat GAE Procedures: When and Why?
01:11:13 - GAE after Total Knee Replacement
01:21:01 - Advice for IRs Looking to do GAE
01:24:32 - Conclusion and Final Thoughts
Resources
GENESIS Trial: https://pubmed.ncbi.nlm.nih.gov/33474601/
Landers et al Trial: https://pubmed.ncbi.nlm.nih.gov/37051829/
Transcript Preview
[Dr. Venkatesh Krishnasamy]
I think we actually have a big advantage to look at long-term data because the nice thing about GA is that it lasts. It lasts a long time, like that's the greatest part about this, that you can tell patients that I'm not interested in a short-term Band-Aid. I'm interested in getting you duration of response that's not measured on the order of weeks or months. I'm interested in getting you a duration of response that's measured on the order of years. That is a very powerful message that we can tell the medical community and to patients. We should take advantage of that.
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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