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BackTable / MSK / Podcast / Episode #90

Thermoprotection Techniques in Musculoskeletal Ablations Part 2

with Dr. Alan Sag

How to stay cool when a thermal ablation case gets complicated? Your toolbox can make all the difference. In this episode of the BackTable MSK Podcast, Dr. Alan Sag returns with host Dr. Jacob Fleming to continue the discussion on thermal protection in musculoskeletal ablation procedures. Part 2 focuses on real-world cases to provide practical insights and illustrate decision-making in complex thermal ablation cases.

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Thermoprotection Techniques in Musculoskeletal Ablations Part 2 with Dr. Alan Sag on the BackTable MSK Podcast
Ep 90 Thermoprotection Techniques in Musculoskeletal Ablations Part 2 with Dr. Alan Sag
00:00 / 01:04

BackTable, LLC (Producer). (2025, December 30). Ep. 90 – Thermoprotection Techniques in Musculoskeletal Ablations Part 2 [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Jacob Fleming on the BackTable MSK Podcast

Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.

Dr. Alan Sag on the BackTable VI Podcast

Dr. Alan Sag is a practicing intereventional radiologist at UMiami Miller School of Medicine in Florida.

Synopsis

Dr. Sag and Dr. Fleming discuss thermoprotection strategies in real-world cases, such as radiofrequency ablation (RFA) of inoperable rectal cancer and sacral metastases near nerve roots. They also discuss the importance of interdisciplinary collaboration, emerging technologies in the field, and the role of intraoperative neuromonitoring.

Timestamps

00:00 - Introduction
00:55 - Ganglion Impar and Pelvic Pain Strategies
09:08 - The Active Thaw Phenomenon
18:20 - Nerve Protection During Ablations
23:16 - Motor and Sensory Neuromonitoring
34:06 - Temperature Management in Ablative Procedures
40:28 - Dosing Strategies for Gabapentin and Lyrica in Nerve Injuries
42:33 - Future Directions

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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Topics

Cryoablation Podcasts
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