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Dr. Michael Barraza on the BackTable VI Podcast

Dr. Michael Barraza

Interventional Radiologist

Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.

Listen to Dr. Michael Barraza on the BackTable VI Podcast

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

Ep 289 Treating Clot in Transit with Dr. Rehan Quadri
00:00 / 01:04
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About Dr. Michael Barraza

Dr. Barraza spearheads strategic direction of BackTable and is a regular host of our podcast. Identifying the vast potential for BackTable as a one-stop hub to support his specialty, he volunteered as a consultant before officially joining the BackTable team in mid-2017. Dr. Barraza is a practicing interventional radiologist in Baton Rouge, LA. Outside of work, Dr. Barraza likes to do more work, make/raise kids, and create fantastic podcasts.

Podcasts Featuring Dr. Michael Barraza

Episode #289

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In this episode, host Dr. Michael Barraza interviews Dr. Rehan Quadri, interventional radiologist, about the definition, indications and techniques for treating clot in transit.

Episode #286

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In this episode, our host Dr.Michael Barraza interviews Drs. Jawad Hussain and Alan Sag about how they implemented thyroid artery embolization into their respective private and academic practices.

Episode #280

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In this episode, host Dr. Michael Barraza interviews interventional radiologist Dr. Samdeep Mouli about controversies in prostate artery embolization, including technique, durability, and how we can leverage the data to unite IRs and establish PAE as standard of care.

Episode #277

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In this episode, co-hosts Drs. Ally Baheti and Mike Barraza interview diagnostic radiologist and blogger Dr. Ben White, who speaks about private equity (PE) ownership of radiology practices, the nationwide radiologist shortage, and advice for navigating job offers.

Episode #266

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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 #150

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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

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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

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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

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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.

Articles Featuring Dr. Michael Barraza

Intracranial stenosis

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.

Stroke stent retriever device Cerenovus Nimbus geometric clot extractor

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.

Balloon kyphoplasty on fluoroscopy

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.

CT scan of patient being prepped for vertebral compression fracture treatment

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

Minuteman placement to treat the spine

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.

Discoplasty and vertebral augmentation

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.

Medtronic OsteoCool Radiofrequency Ablation Procedure Set-Up for Treating Bone Metastases

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

Radiofrequency ablation of a spinal lesion with Medtronic's OsteoCool

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

Stiff Glide Wire for TIPS

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

Catheter placement for transjugular intrahepatic portosystemic shunt

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

Inari FlowTriever prodedure showing a pigtail catheter placement for the removal of pulmonary embolus

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.

Mechanical Thrombectomy Pulmonary Embolism

The treatment of pulmonary embolism (PE) continues to evolve. We discuss risk stratification and examine the role of a pulmonary embolism mechanical thrombectomy for treatment.

Physicians using IVUS to treat pelvic congestion syndrome

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.

IVUS used in the operating room to treat arterial and venous disease

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.

Office-based lab (OBL) recovery room

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.

Office-based lab (OBL) procedure room

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.

IVC filter over-the-wire placement on medical imaging

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.

Argon Option ELITE IVC Filter

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.

Surefire infusion catheter for pressure directed therapy

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.

3D image of hepatocellular carcinoma

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.

TACE used to treat hepatocellular carcinoma

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.

Procedural equipment used to treat peripheral arterial disease

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.

Medical image of peripheral artery 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.

Medical image of peripheral artery disease showing arteries in red

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.

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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

Treating Clot in Transit with Dr. Rehan Quadri on the BackTable VI Podcast)
Minimally Invasive Thyroid Interventions with Dr. Jawad Hussain and Dr. Alan Sag on the BackTable VI Podcast)
Current Controversies in Prostatic Artery Embolization with Dr. Sam Mouli on the BackTable VI Podcast)
Private Equity and the Radiology Job Environment with Dr. Ben White on the BackTable VI Podcast)
Practice Building in a Traditional IR/DR Practice with Dr. David Johnson on the BackTable VI Podcast)
Minimizing Complications for Lung Biopsies with Dr. Robert Suh on the BackTable VI Podcast)

Topics

Balloon-Occluded Retrograde Transvenous Obliteration Procedure Prep
Endoscopy Procedure Prep
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Lymphatic Interventions Procedure Prep
Microwave Ablation Procedure Prep

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