Dr. Michael Barraza

Episode #266

In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. David Johnson about practice building in an IR/DR group, including factors that make a good job, and how he formed one of the largest PAE practices in the Southeast.

Episode #259

In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. Doug Hidlay about how he has built a solo IR practice in rural Virginia, including how he got equipment, employees and referrals to build a busy and diverse practice.

Episode #243

In this episode, our hosts Drs. Michael Barraza and Aaron Fritts interview Dr. John Pavlus about his methods of drain placement, monitoring, and removal, as well as his vision to design an ideal drainage system.

Episode #234

In this episode, cohosts Dr. Michael Barraza and Dr. Aaron Fritts interview Dr. Chris Thomson, veterinary surgeon and interventional radiologist about how he learned veterinary IR, his area of focus in interventional oncology, and the future of the specialty.

Episode #228

In this episode, host Dr. Michael Barraza interviews Dr. Kyle Cooper, interventional radiologist and Dr. Tahmeed Contractor, electrophysiologist about how IR and EP work together at their institution, including how they perform complex pacer lead removals, and how the have embraced collaboration over competition.

Episode #214

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).

Episode #199

We talk with interventional radiologist Dr. David Prologo about minimally invasive pain interventions, multidisciplinary pain management, and how he built a successful pain practice.

Episode #196

We talk with Interventional Radiologist Dr. Carin Gonsalves about how her practice built a multidisciplinary Pulmonary Embolism (PE) Response team, including where to start, developing efficient workflows, and obtaining the equipment you need for success.

Episode #195

Our hosts Dr. Aparna Baheti and Dr. Michael Barraza talk with Dr. Mina Makary about what constitutes a conflict of interest, and how we can reduce bias in research without stifling innovation.

Episode #183

Interventional Radiologist Dr. Chris Ingraham discusses his approach to treating solid organ and pelvic trauma, including embolization technique and IR's role in workflow efficiency for better trauma care.

Episode #178

Interventional Neuroradiologist Dr. Hannes Nordmeyer and Biomedical Engineer Dr. Matt Gounis discuss compositions of tough clots, approaches to stroke thrombectomy, and bailout stenting.

Episode #165

Interventional radiologist Michael Barraza talks with orthopedic spine surgeon Thomas Andreshak about his approach to vertebral augmentation for compression fractures, including unipedicular vs. bipedicular approach, technique pearls, and post-procedure care.

Episode #162

Interventional Cardiologist Behnam Tehrani and Interventional Radiologist Reha Butros from Inova Health System tell us about their team approach to endovascular treatment of chronic thromboembolic pulmonary hypertension (CTEPH) with Balloon Pulmonary Angioplasty (BPA).

Episode #161

Neurosurgeon Dr. Nam Tran from Moffitt Cancer Center talks with us about RF ablation for painful spinal metastases, including patient selection and the importance of a multidisciplinary approach.

Episode #159

Dr. Nainesh Parikh from Moffitt Cancer Center discusses his approach to ablation of small renal masses, including workup, technique, and device selection. He also tells us why he has the best job ever!

Episode #154

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 #150

We talk with Dr. Robert Ryu about Imposter Syndrome. What is it, why is it so common in medicine, and how do we effectively deal with it?

Episode #146

Interventional Radiologists Dr. Jeffrey Chick and Dr. Ravi Srinivasa tell us all about the latest and greatest in Spyglass Interventions, including how and where they're being used for lithotripsy, as well as upcoming training opportunities for those interested.

Episode #145

We talk with STREAM meeting founders Dr. Ari Isaacson and Dr. Sandeep Bagla about its origin story, as well as what they have planned at STREAM 2021 for docs who want to learn Prostate Artery Embolization, Musculoskeletal Embolizations, and new techniques for Pain Therapy.

Episode #137

Dr. Rakesh Ahuja walks us through the Pathway to Becoming a Y-90 Authorized user as a Resident, as well as the standard post-training pathway.

Episode #121

Interventional Radiologist Dr. Mike Watts talks with us about which procedures are being safely performed in the OBL space, and the importance of patient selection.

Episode #118

Interventional Radiologist Dr. Donald Garbett talks with Dr. Michael Barraza about how he approaches acute limb ischemia, including different endovascular techniques for removing acute arterial clot.

Episode #110

Interventional Radiologists Dr. Michael Barraza and Dr. Aaron Fritts talk about their early careers coming out of specialty training and hard lessons learned from their first jobs.

Episode #106

Dr. Steven Yevich from MD Anderson Cancer Center talks with us about his approach to Treatment and Management of Painful Extra-spinal Bony Metastases.

When facing a complicated case of intracranial stenosis, should recanalization be attempted even if the procedure seems unlikely to be successful? Due to the safety of mechanical thrombectomy, even for complicated intracranial stenosis cases, many operators now recommend intervention and aggressive post-procedural management.

The stent retriever and aspiration catheter are common tools for stroke thrombectomy, yet the indications for which is better is often ambiguous. Dr. Hannes Nordmeyer and Dr. Matthew Gounis advise on how to choose your procedure kit and discuss new technologies for tough fibrin rich clots, including the Cerenovus Nimbus.

In this article, we address when to select balloon kyphoplasty over vertebroplasty, different balloon access techniques, and how to deploy the ideal amount of kyphoplasty cement filling.

This article aims to help you guide your patient through their pain while discussing the hows, whens, and whats of vertebral compression fracture treatment.

Interventional musculoskeletal radiologist Dr. Douglas Beall is a pioneer in MSK and spine intervention. Through continued innovation, he has expanded the boundaries of minimally invasive MSK/spine therapies, offering an expansive variety of procedures that are too numerous for us to list.

Interventional radiologist Dr. Douglas Beall discusses how he implements new methods into spine intervention practice as well as the benefits of innovation both for patients and IR professionals.

The importance of cementoplasty after RF ablation and how RF ablation with cementoplasty compares with radiation and combination therapy.

RF ablation for the palliative treatment of painful spinal lesions, highlighting patient selection, goals of therapy, and follow-up care.

Imaging work-up prior to elective TIPS procedure, preferred tools for executing TIPS, and TIPS technique.

Transjugular intrahepatic portosystemic shunt (TIPS) practices, patient selection, TIPS alternatives, and adjunctive therapy.

The Inari FlowTriever is the first mechanical thrombectomy system indicated for the treatment of pulmonary embolism. Dr. Tu and Dr. Tummala discuss the Inari FlowTriever Device, how to use it, and their technique for a successful mechanical thrombectomy procedure.

Risk stratification and mechanical thrombectomy as treatment in the paradigm shift toward non-lytic based therapies for pulmonary embolism.

As awareness for pelvic congestion syndrome (PCS) increases, the optimal utility of imaging and catheter directed therapies for these conditions remains in question. Vascular experts, Dr. Michael Cumming and Dr. Mark Lessne, discuss the roles of IVUS and CT venography when diagnosing and treating PCS.

Intravascular ultrasound (IVUS) is a versatile device used for both arterial and venous applications. In episode 52 of the BackTable podcast, Dr. Michael Cumming and Dr. Mark Lessne discuss indications for IVUS, false positives to watch out for, and why IVUS is a valuable tool for diagnosing central venous pathology.

Between office-based labs (OBL), ambulatory surgical centers, and hospitals, patients are treated in various settings by endovascular specialists across the country. In this episode of the BackTable podcast, Dr. Mary Costantino talks about the benefits and drawbacks of working in an OBL compared to a hospital.

An office-based lab (OBL) is a practice model that is becoming more frequent amongst interventional radiologists across the country. From financing to contract negotiations, Dr. Mary Costantino talks about her experience building an office-based lab & requirements for them.

The OTW technique for IVC filter placement was designed to improve the deployment and positioning of IVC filters while minimizing procedure complications. Dr. Mobley discusses filter stabilization techniques, periprocedural insight, and preferred vascular access sites for OTW IVC filter deployment.

IVC filters are used prophylactically in patients with contraindications to anticoagulants in order to prevent pulmonary embolism. Dr. David Mobley discusses over-the-wire (OTW) IVC filter placement techniques using the Argon Option ELITE filter, and why this technique helps to minimize tilting complications.

Effective drug delivery systems attempt to maximize homogeneous distribution of the respective agent to the entire tumor to induce cytotoxicity and tumor necrosis. Dr. Justin Lee and Dr. Terence Gade discuss how pressure-directed therapy improves drug delivery to areas of tumor burden in cases of HCC.

For the treatment of HCC, it is important to know the differences between DEB-TACE vs conventional TACE. Lipiodol-based conventional transarterial chemoembolization (cTACE) and drug-eluting bead transarterial chemoembolization (DEB-TACE) are two treatment options for intermediate-stage HCC.

Transarterial chemoembolization (TACE) and radioembolization (Y90) have individualized roles in the treatment of hepatocellular carcinoma. Dr. Justin Lee and Dr. Terence Gade discuss which patients are best suited for TACE versus Y90, as well as the advantages and disadvantages for each intervention.

Choosing the appropriate procedural equipment can be daunting due to the breadth of options available. Dr. Dhand and Dr. Madassery discuss guidewire choices, balloon sizing for angioplasty, and more when treating peripheral arterial disease.

Anesthesia choice and intraprocedural anticoagulation are critical for optimal patient outcomes. Dr. Sabeen Dhand and Dr. Kumar Madassery discuss their preferences for managing sedation and anticoagulation in lower extremity peripheral arterial disease (PAD) patients.

Vascular access decisions should be tailored to the location of disease burden in patients with peripheral arterial disease. PAD experts Dr. Sabeen Dhand and Dr. Kumar Madassery review their tips and techniques for surgical access and end points when treating peripheral arterial disease.