BackTable / VI / Podcast / Episode #512

The 'Alzate Maneuver': Flipping Retrograde Access

with Dr. Gregg Alzate

Proximity to innovation often gives rise to further innovation. This trend is especially true in interventional radiology. Dr. Gregg Alzate (interventional radiologist in San Diego, California) joins host Dr. Ally Baheti to share his career pearls for early and mid-career IRs, and how he came to pioneer the Alzate Retrograde Antegrade Maneuver (A-RAM).

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The 'Alzate Maneuver': Flipping Retrograde Access with Dr. Gregg Alzate on the BackTable VI Podcast

Ep 512 The 'Alzate Maneuver': Flipping Retrograde Access with Dr. Gregg Alzate

00:00 / 01:04

BackTable, LLC (Producer). (2025, January 28). Ep. 512 – The 'Alzate Maneuver': Flipping Retrograde Access [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Gregg Alzate

Dr. Gregg Alzate is an interventional radiologist at San Diego Imaging Group in San Diego, California.

Dr. Aparna Baheti

Dr. Aparna Baheti is a practicing Interventional Radiologist in Tacoma, Washington.

Synopsis

Dr. Alzate starts by sharing his early influences, including his time with interventional radiology giant Dr. Harold Coons. The doctors also cover the importance of proper vessel access techniques, innovative approaches to limb salvage, and how to address complex chronic total occlusions (CTOs). Dr. Alzate then goes on to give us a thorough walkthrough of the A-RAM. The episode concludes with Dr. Alzate’s closing thoughts on being open to adopt new techniques, the impact of strong mentorship, and importance for consuming and sharing knowledge.

Timestamps

00:00 - Introduction
03:05 - Dr. Alzate’s Journey
25:52 - A-RAM Technique
34:26 - CTO’s and Heavy Calcium
40:16 - Moral Injury in Medical Practice
43:35 - Honoring Dr. Harold Coons
46:23 - Closing Thoughts and Reflections

Resources

Ohki, Takao et al. “Long-term results of the Japanese multicenter Viabahn trial of heparin bonded endovascular stent grafts for long and complex lesions in the superficial femoral artery.” Journal of vascular surgery vol. 74,6 (2021): 1958-1967.e2.
https://www.jvascsurg.org/article/S0741-5214(21)01011-9/fulltext

Kedora, John et al. “Randomized comparison of percutaneous Viabahn stent grafts vs prosthetic femoral-popliteal bypass in the treatment of superficial femoral arterial occlusive disease.” Journal of vascular surgeryvol. 45,1 (2007): 10-6; discussion 16.
https://www.jvascsurg.org/article/S0741-5214(06)01612-0/fulltext

The Materials available on BackTable 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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