Episode # 638 • 28 Apr 2026
Navigating Prostate Artery Embolization in the OBL Setting
PAE University continues! This week’s instructor has performed over 1,200 prostate artery embolizations in the OBL. Learn from the expertise of Denver-based interventional radiologist Dr. Charles Nutting, hosted by Dr. Ally Baheti. Together, they outline how to build a thoughtful outpatient PAE practice, from patient selection and pre-procedure workup to technical execution, recovery, and long-term outcomes.
This podcast is supported by an educational grant from Varian, a Siemens Healthineers Company.
Timestamps
00:00 - Introduction
03:27 - Clinic Workup Workflow
07:45 - Who Is Not a Candidate
09:57 - Pre-Procedure Imaging Labs
11:48 - Procedure Steps and Techniques
17:45 - Tough Bifurcations Approach and Cone Beam Timing
22:57 - Embolic Choice
26:16 - Managing Collaterals and Ipsilateral Side Shortcuts
31:11 - Training and Anatomy Mastery
32:22 - Recovery, Post-Procedure Management, and Follow-up
36:31 - Final Advice and Wrap Up
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More about this episode
The episode begins with the evolving PAE referral landscape, including the shift from urology-driven referrals toward more primary care and patient self-referrals. Dr. Nutting and Dr. Baheti then walk through the essentials of clinical workup, including IPSS, ultrasound, medication failure, creatinine, and MRI for elevated PSA, before focusing on how to identify appropriate candidates for PAE. The conversation then moves into procedural strategy, with practical guidance on femoral access, catheter selection, cone-beam navigation, embolic choice, and techniques for challenging anatomy. Dr. Nutting also discusses post-PAE symptom flare, expected recovery, follow-up, efficacy rates, recurrence data, and why PAE does not preclude future TURP-type treatments.
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