BackTable / VI / Podcast / Episode #113
with Dr. Kumar Madassery
Dr. Sabeen Dhand and Dr. Kumar Madassery discuss the importance of below-ankle interventions in limb salvage, including patient selection, technique, and a patient-centered longitudinal care plan.
BackTable, LLC (Producer). (2021, March 1). Ep. 113 – Below-Ankle Interventions [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. Kumar Madassery
Dr. Kumar Madassery is a practicing interventional radiologist with Rush University in Chicago.
Dr. Sabeen Dhand
Dr. Sabeen Dhand is a practicing interventional radiologist with PIH Health in Los Angeles.
In this episode, Dr. Kumar Madassery joins Dr. Sabeen Dhand to discuss below ankle interventions. We discuss how to approach tissue loss in patients with severe and multi-level disease in order to minimize below ankle interventions and how to optimize imaging to get a comprehensive view.
We explain the tips and tricks of performing a pedal loop, and we review the techniques for retrograde access. We review how to carefully manipulate wires during a pedal loop procedure. We discuss which devices can go through the pedal loop and what qualities are important in a wire for below ankle interventions.
We discuss why having lysing can lead to a successful below ankle intervention and how to know when it is appropriate to do a pedal loop. We talk about the impact social media has had on IR and give some advice for those wanting to try pedal interventions.
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