Dr. Sabeen Dhand

Dr. Sean Lyden shares the current state of clinical trial data supporting the Endologix DETOUR system for percutaneous transmural arterial bypass (PTAB); focusing on complications, training, cost, and use of the Endologix DETOUR system in everyday practice.

Percutaneous Transmural Arterial Bypass (PTAB) with the DETOUR system is a novel approach in the management of chronic total occlusions. Dr. Sean Lyden discusses his experience in pioneering this procedure; delivering practical and technical advice for surgeons looking to implement PTAB.

Chronic total occlusions (CTOs) in patients with peripheral artery disease (PAD) are always tricky to manage. Clinicians should understand how CTO morphology can be a meaningful predictor of revascularization success and should also be familiar with different techniques for crossing CTOs.

CTO devices can play a factor in revascularization success. Specialty CTO devices have been developed for crossing, re-entry, and a combination of these techniques. Dr. Jihad Mustapha discusses the role of CTO devices in different scenarios of chronic total occlusion treatment.

Artificial Intelligence (AI) programs have been shown to have incredible utility in diagnosing and treating aortic injuries. The future of AI may help us learn more about aneurysms and refine how we treat them.

Artificial Intelligence (AI) programs have life-saving potential in acute aortic emergencies. AI healthcare platforms such as Viz.ai can aid in accurately detecting aortic injuries.

Intravascular ultrasound (IVUS) imaging has shown benefits such as improved vessel assessment, enhanced procedural efficiency, reduced need for additional imaging and radiation exposure, and potential long-term durability of interventions. However, challenges in implementation, including cost, learning curve, and time constraints, need to be addressed to facilitate wider adoption of IVUS procedure.

Interventional cardiologist Dr. Eric Secemsky explores key findings from IVUS consensus guidelines in coronary and peripheral interventions. Learn more!

Interventional Radiologist Dr. Rundback discusses the BioMimics stent design, when to use it in the femoral popliteal artery, & strategies to increase it's effectiveness in peripheral artery disease.

Interventional Radiologist Dr. Rundback shares his expertise on the Supera Stent along with tips & tricks in deploying it & treating peripheral arterial disease in the femoral popliteal artery.

Vascular surgeon Dr. Bryan Fisher shares his experiences using Shockwave intravascular lithotripsy to treat lower extremity arterial disease on the BackTable Podcast. Dr. Fisher discusses his treatment algorithm, the unique role of Shockwave lithotripsy, and visualizing technical success following the therapy.

The three main aortic dissection complications during treatments include stroke, spinal cord ischemia, and spinal cord paralysis. This is important to note as these complications can extend hospital stays and contributes to higher mortality amongst patients.

Aortic dissection types can be classified depending on the location of the intimal tear, extent of involvement of the aorta, and duration of time from initial clinical presentation. Aortic dissection classifications can dictate medical management and surgical versus endovascular treatment.

A pulmonary embolism response team (PERT) requires a multidisciplinary mindset, clear communication channels, and effective use of technology to treat life threatening pulmonary embolism cases.

Pulmonary embolism interventions include catheter-directed thrombolysis, mechanical thrombectomy, & surgical embolectomy. Patient selection, devices (i.e. EKOS catheter), tPA for pulmonary embolism, clot characteristics, & the availability of data for intervention types are covered in this article.

Pulmonary embolism diagnosis involves risk stratification, cardiac enzyme studies, and echocardiogram and/or CT.

Challenges with building a limb salvage program and advances in tibial-pedal access and extravascular ultrasound for optimal CTO crossing

Limb salvage programs focus on preventing amputations from Critical Limb Ischemia (CLI). We spoke with Dr. Mustapha to learn what limb salvage is, how to build a successful limb salvage program, & the importance of a multidisciplinary team.

Percutaneous radiofrequency ablation is palliative, and acts to minimize the spread of local tumor burden. Spinal ablation expert Dr. Peder Horner discusses spinal ablation techniques, how to manage extraosseous tumor spread, and when and why epidural steroid injections are helpful.

Vertebral augmentation and spinal ablation interventions are minimally invasive treatment options for spinal compression fractures and spinal metastases. In episode 34 of the BackTable podcast, Dr. Peder Horner and Dr. Sabeen Dhand discuss spinal therapies and ways to integrate these procedures into your practice.

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.

From podiatry to interventional radiology, peripheral arterial disease (PAD) is managed by numerous medical specialties. A multidisciplinary approach to treating PAD gives patients the best surgical options and ultimately creates opportunities for IRs to take on new cases.