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Dr. Christopher Beck on the BackTable VI Podcast

Dr. Christopher Beck

Interventional Radiologist

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Listen to Dr. Christopher Beck on the BackTable VI Podcast

The BackTable Podcast is a knowledge resource by physicians for physicians. Learn from the experiences and expertise of Dr. Christopher Beck and get practical advice on how to build your practice by listening to the BackTable VI Podcast.

Ep 265 The TheraSphere Story with Dr. Riad Salem and Peter Pattison
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About Dr. Christopher Beck

Dr. Beck is the Chief Community Officer of BackTable and a reluctant but regular host of our podcast. His current focus has been the new BackTable web app with the goal of creating and curating durable education content which will enrich the practice of endovascular specialists at any stage in their career. Dr. Beck is also practicing interventional radiologist in New Orleans, and has been quoted saying, "With a Kumpe and glidewire, I could conquer a small country."

Podcasts Featuring Dr. Christopher Beck

Episode #265

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In this crossover episode between BackTable VI and BackTable Innovation, Dr. Chris Beck interviews Dr. Riad Salem (Chief of Interventional Radiology at Northwestern University) and Peter Pattison (President of Interventional Oncology at Boston Scientific) about how TheraSpheres for Y90 radioembolization became a mainstay in the IR toolkit for HCC and where the technology is heading next.

Episode #263

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In this next installment of our Back to the Basics series, Drs. Aaron Fritts and Chris Beck discuss their techniques, considerations, and tips for ensuring safe and high quality renal biopsies.

Episode #262

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On this episode, BackTable VI host Dr. Christopher Beck shares the mic with two Maternal Fetal Medicine (MFM) specialists, Drs. Roxane Rampersad at Washington University and Tony Shanks at Indiana University, to discuss cross-specialty management of postpartum hemorrhage (PPH) between OBGYN and interventional radiology (IR).

Episode #257

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In this episode, Dr. Chris Beck interviews Interventional Radiologist Dr. Josh Kuban about his liver tumor ablation practice at MD Anderson Cancer Center, including how it's evolved over time with newer technologies. They also discuss patient workup for liver tumors, treatment with microwave ablation, and post-procedure follow up. Dr. Kuban shares why he uses microwave ablation technology, and the advantages of ablation confirmation software for these procedures.

Episode #253

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In this back to the basics episode, Dr. Christopher Beck interviews Dr. Aaron Fritts about his standard procedure for nephrostomy tube placement, preferred tools, and troubleshooting tips.

Episode #252

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In this episode, Dr. Aaron Fritts interviews Dr. Christopher Beck about gastrostomy tubes, including the evolution of his method, tips for patients who pull their tubes out, and why g-tubes are such a controversial topic in IR.

Episode #223

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In this episode, our host Dr. Chris Beck interviews interventional radiologist Dr. Riad Salem about indications, technique, and cross-specialty collaboration in portal vein recanalization in the cirrhotic patient population.

Episode #222

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In this episode, host Dr. Chris Beck interviews interventional radiologist Dr. George Behrens about how he built a robust multidisciplinary portal hypertension clinic in a community hospital, tips for common challenges during a TIPS, and post-TIPS management.

Episode #204

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We talk with interventional radiologist Dr. Stephen Wang about building an IVC filter retrieval program, the current guidelines on filter placement, and how to minimize the complications of filters.

Episode #194

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Special guest The White Coat Investor James M. Dahle talks with Christopher Beck about where physicians can start when it comes to financial literacy, including common financial mistakes docs make when start practicing, a primer on mortgage rates, and tips on insurance.

Episode #188

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Dr. Fred Bertino educates us on anticoagulation regimens for patients after deep venous interventions.

Episode #185

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Co-hosts Dr. Christopher Beck and Dr. Aaron Fritts discuss cholecystostomy tube placement for acute cholecystitis, including the pros and cons of different techniques, and pitfalls to avoid.

Episode #177

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Emergency medicine physician and podcast founder Dr. Gita Pensa and our co-hosts Dr. Chris Beck and Dr. Aaron Fritts discuss methods of navigating malpractice lawsuits, maintaining professional identity, and prioritizing mental health.

Episode #169

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Dr. Renato Abu Hana walks us through how to perform fallopian tube recanalization for infertility, including patient selection, HSG and recanalization technique, as well as pitfalls to avoid.

Episode #168

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We talk with Dr. Cullen Ruff about common misconceptions when it comes to IV contrast and issues with the "contrast allergy", including ways we can improve patient care and clinical workflows by clarifying the true source of these reactions.

Episode #158

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Dr. Christopher Beck talks with Dr. Driss Raissi about his approach to Microwave Ablation of Liver Lesions, including workup, technique, and tips and tricks for a successful ablation treatment.

Episode #157

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In Part II of our Lung Biopsy Series Dr. Fred Lee and Dr. Christopher Beck discuss Pleural and Parenchymal Blood Patching to prevent Pneumothorax, including results of the recent JVIR article from Sept 2021.

Episode #156

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We start off Part 1 of a 2 part series with Dr. Fred Lee discussing Percutaneous Lung Biopsy Technique, with tips and tricks to help your daily practice.

Episode #154

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The BackTable hosts get together to discuss the results of the recent complications survey, including some stories from the audience as well some of their own experiences.

Episode #153

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Dr. Christopher Beck and Dr. Aaron Fritts discuss the Mediport placement procedure, including differences in technique (tie-down vs snug pocket), tips and tricks, and avoiding complications.

Episode #152

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We talk with Dr. Alex Barnacle about her approach to the workup of Vascular Anomalies, including the importance of correct nomenclature and multidisciplinary teams for accurate diagnosis and long-term success.

Episode #148

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We talk with Dr. Blake Parsons about his approach to Radial vs. Femoral access for Prostate Artery Embolization for BPH, including patient selection, device considerations, and practice pearls.

Episode #141

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Dr. Eric Therasse discusses the results of a randomized clinical trial demonstrating benefit of drug eluting balloon (DEB) over balloon angioplasty alone in treatment of Dysfunctional Hemodialysis Access.

Episode #139

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We talk with Vascular Access Surgeon Ari Kramer about AV Fistula and Graft Maintenance in dialysis patients from creation to long-term care, as well as tips and tricks for treating stenoses.

Articles Featuring Dr. Christopher Beck

Iodine contrast allergy filter placement with contrast

Our medical vocabulary needs to name specific contrast agents rather than label these “iodine allergies” in order to streamline patient prep for CT scans. Dr. Ruff discusses how changing the contrast agent with steroid premedication is the most effective intervention for a known contrast allergy.

Iodine contrast allergy MRA gadolinium

Though incorrect, the term "iodine allergy" is still used to describe contrast dye allergy, Betadine soap allergy, and even shellfish allergy. Radiologist Dr. Cullen Ruff suggests that the term "iodine allergy" should no longer be used in the medical field as patients are not allergic to the iodine itself, but rather to some other component in the contrast agent.

Pleural blood patch after CT guided lung biopsy

Blood patching began to emerge in the early 2000’s as a technique to reduce the incidence of chest tube placements subsequent to pneumothoraces, and has since been adopted in lung biopsy procedures. Blood patching is a technique in which the operator introduces the patient's own blood into the pulmonary space to promote coagulation of air passages created upon biopsy.

Image-guided microwave liver ablation procedure

As an operator, two key challenges of the microwave liver ablation procedure are navigating the background liver parenchyma and determining the extent of lesion ablation possible without compromising liver function. Dr. Driss Raissi, an Interventional Radiologist at the University of Kentucky discusses how to navigate these challenges and shares his liver ablation procedure techniques in this BackTable Article.

Pleural blood patch after CT guided lung biopsy

CT guided lung biopsy can be quite challenging. There is a risk of injuring the many pulmonary and intercostal vessels, the time consuming process of sticking the nodule, and determining what patients are viable candidates. Abdominal radiologist Dr. Fred Lee discusses the techniques his practice has used to improve their CT guided lung biopsies.

Physician opening microwave liver ablation device to create ablation zones

The standard liver ablation zone for hepatocellular carcinoma is half a centimeter to one centimeter, but where does this standard come from? This article discusses the current liver ablation zone guidelines and explores an alternative approach.

Prostate artery embolization technique

Prostate artery embolization technique may vary depending on which arterial access site is chosen (radial vs femoral). Different PAE techniques may also be utilized to minimize off-target embolization.

Prostate artery anatomy

Understanding the variations in prostate artery embolization anatomy is crucial for improving technical success, reducing the chance of re-vascularization and minimizing non-target embolization. The variations in origin of the prostate artery can be sorted in a classification system.

Portal hypertension and ascites management can involve paracentesis

Dr. Parvez Mantry shares different methods of portal hypertension and ascites management and treatment. These complications arise from loss of liver architecture and liver synthetic dysfunction. For severe ascites, paracentesis or a transplant may be needed. Learn more!

Ascites assessment may require liver biopsy

An ascites assessment is done during a standard liver disease workup, which involves various physical exams, a detailed medical history, a serological workup, and imaging steps to help guide the final liver diagnosis.

Physician on her computer reviewing E&M 2021 changes

E&M coding guidelines were updated and changed on January 1st, 2021. Interventional radiologist Dr. Ryan Trojan discusses some of the billing and coding E&M 2021 changes for outpatient work, requirements for documentation, E&M coding guidelines, E&M coding tools, and resources.

Physician on his computer reviewing E&M codes

Different evaluation and management (E&M) codes are used depending on the type of work done and where it takes place, whether in the ER, ICU, or the outpatient setting. Interventional radiologist Dr. Ryan Trojan demystifies some aspects of E&M coding including global billing periods, modifier 25, and the scenarios in which these apply. He also describes some common inpatient billing codes.

Physician's E&M coding sheet with stethescope

Evaluation and management (E&M) coding requires documentation to capture physician-patient encounters so that physicians are reimbursed appropriately based on the level of clinical care they deliver. Interventional radiologist Dr. Ryan Trojan provides an E&M coding overview, describing reasons why IRs should be taking advantage of it and how the medical decision making component of E&M works.

Right thigh loop graft with stented segments at the venous anastomosis and graft

Arteriovenous fistulas and grafts are dialysis access sites that can thrombose. To restore blood flow in the dialysis circuit, a declot procedure is performed to remove clots and treat any associated stenoses which may be flow-limiting. Interventional nephrologist Dr. Neghae Mawla provides tips and tricks for reducing procedure time, working with two sheaths, performing angioplasty, and using stents vs. drug coated balloons.

Fistula with arterial and venous directed sheaths for declot procedure

Arteriovenous fistulas and grafts are dialysis access sites that can thrombose. To restore blood flow in the dialysis circuit, a declot procedure is performed to remove clots and treat any associated stenoses which may be flow-limiting. In part 2 of this article, interventional nephrologist Dr. Neghae Mawla walks through the remaining steps of the declot procedure including arterial sheath placement (inflow), polish, closure, and follow-up.

Loop graft with arterial and venous directed sheaths for declot procedure

Initial steps of arteriovenous fistula and graft declot procedure including pre-op workup, obtaining access, and treating outflow lesions.

Ultrasound imaging of vessel anatomy for endovascular fistula creation

Interventional nephrologist Dr. Neghae Mawla discusses using the WavelinQ and Ellipsys devices for EndoAVF creation. The discussion covers pre-procedure preparation, WavelinQ and Ellipsys for EndoAVF creation procedure, post-procedure care, potential complications, learning curves, and the future of EndoAVF. WavelinQ and Ellipsys are devices that can help with endovascular AV fistula creation and anastomosis.

Vessel anatomy for endovascular arteriovenous fistula creation

Long-lasting vascular access for dialysis can be achieved via the creation of an arteriovenous fistula using an endovascular approach. However, not every patient is a good candidate for percutaneous endoAVF creation. Interventional nephrologist Dr. Neghae Mawla discusses types of vascular access for dialysis, collabora

Hepatocellular carcinoma on CT

Locoregional treatments for HCC, the UNOS 6-month wait period for liver transplantation, and methods and markers for HCC prognostication.

Hepatocellular carcinoma on angiography

Evaluating HCC patients, multi-specialty collaboration, and locoregional therapies for both transplant and non-transplant candidates.

DVT treatment with the Inari ClotTriever

Endovascular DVT treatment of acute and chronic DVT has become increasingly more important to help prevent chronic post-thrombotic syndrome. Learn the risks and benefits of endovascular DVT therapies, using Inari ClotTriever, optimal procedure endpoint, and post DVT procedure care.

Catheter directed thrombolysis

Patient selection and DVT evaluation with clinical scoring, IVUS, and history assessment; how to choose the appropriate DVT therapy.

UFE practice recovery room

Endovascular approaches for fibroid treatment have gained traction as increasing evidence supports its use in most patient populations. In episode 10 of the BackTable podcast, Dr. Keith Pereira and Dr. Chris Beck discuss marketing strategies and ways to increase referrals when building a UFE practice.

Medical image of radial access

Transradial access (TRA) has been shown to improve discharge and recovery times when compared to transfemoral access, though complications may arise. TRA expert Dr. Aaron Fischman discusses complications related to radial access as well as ways to circumvent these problems in episode 30 of the BackTable podcast.

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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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Podcasts

The TheraSphere Story with Dr. Riad Salem and Peter Pattison on the BackTable VI Podcast)
How I Perform Renal Biopsies with Dr. Christopher Beck and Dr. Aaron Fritts on the BackTable VI Podcast)
IR/OB Collaboration in Treating Postpartum Hemorrhage with Dr. Roxane Rampersad and Dr. Anthony Shanks on the BackTable VI Podcast)
Microwave Ablation for Liver Lesions with Dr. Josh Kuban on the BackTable VI Podcast)
How I Place Nephrostomy Tubes with Dr. Aaron Fritts on the BackTable VI Podcast)
New Tools to Treat Severe Distal Femoropopliteal Disease with Dr. John Rundback on the BackTable VI Podcast)

Topics

Balloon-Occluded Retrograde Transvenous Obliteration Procedure Prep
Cholecystitis Condition Overview
Core Biopsy Procedure Prep
Declot Procedure in Arteriovenous Fistulae & Grafts
Electromagnetic Navigation Bronchoscopy Procedure Prep
Learn about Gastroenterology on BackTable VI

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