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BackTable / MSK / Podcast / Episode #89
Thermoprotection Techniques in Musculoskeletal Ablations Part I
with Dr. Alan Sag
Burns = big consequences. Let’s talk thermoprotection. In this episode of the BackTable MSK Podcast, host Jacob Fleming welcomes longtime friend and colleague Dr. Alan Sag to discuss thermoprotection in musculoskeletal ablation procedures over this two-part episode series. Part 1 focuses on established strategies and new techniques for protecting critical structures during ablation.
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BackTable, LLC (Producer). (2025, December 16). Ep. 89 – Thermoprotection Techniques in Musculoskeletal Ablations Part I [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Synopsis
Dr. Sag shares how he approaches thermoprotection in complex MSK ablation cases. The discussion covers hydro-dissection techniques, hydro convection needle strategies, pump and tubing set up, troubleshooting, and visualization of the protective layer.
Timestamps
00:00 - Introduction
02:49 - Thermoprotection 101
12:37 - Skin Injury and Mitigation Strategies
18:57 - Avoiding Bottlenecks with Hydrodissection
23:49 - Practical Recommendations for Cold Skin Protection
29:36 - Managing Complications and Wound Care
38:12 - Heating up with RFA and Microwave Ablations
Resources
Dr. Alan Alper Sag, M.D., FSIR
https://med.miami.edu/faculty/alan-alper-sag-md-fsir
Thermal Protection: Heightened Safety for Minimally Invasive Percutaneous Ablation of Musculoskeletal Tumors
https://pubs.rsna.org/doi/10.1148/rg.240238
Intraoperative Neuromonitoring for Peripheral Nerve Surgery
https://mayoclinic.elsevierpure.com/en/publications/intraoperative-neuromonitoring-for-peripheral-nerve-surgery/
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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