Episode # 3 • 17 Jan 2025
Liquid Embolics: Managing Complex Cases
How do you move from your first liquid embolic case to making it a routine part of complex IR procedures? On this episode of the BackTable 2026 Liquid Embolics Creator Weekend™, Dr. Kavi Krishnasamy is joined by Dr. Alexander Misono and Dr. Oleksandra Kutsenko to break down case selection, technique, and the real-world process of bringing a liquid embolic into clinical practice. They discuss a challenging hepatic artery pseudoaneurysm with no easy access, how each panelist learned liquid embolics after training, which vessels are safest for early cases, and the teamwork and preparation that build confidence.
This podcast is supported by an educational grant from Sirtex and Guerbet.
Timestamps
00:00 - Introduction
01:15 - Case: Proper Hepatic Artery Pseudoaneurysm
08:09 - First Experiences With Liquid Embolics
12:46 - Advice for Early Adopters
17:28 - Value Analysis Committees
22:45 - Building the Data on Value
26:22 - Justifying a New Device
30:05 - Committee Decisions and Product Replacement
33:50 - Device Trials Before Approval
37:44 - Lab Workflow and Agent Preparation
41:11 - Glue, EVOH Agents and On-Label Use
45:27 - Closing Remarks
Resources
- Society of Interventional Radiology. Introducing a New Initiative to Define the Value of IR. August 2026
- VIRTEX Clinical Data Registry & Analytics Platform
- Dr. Alexander Misono, Hoag
- Dr. Oleksandra Kutsenko, Red Rock Radiology
- Dr. Oleksandra Kutsenko, BackTable contributor page
- Dr. Kavi Krishnasamy, BackTable contributor page
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More about this episode
The conversation moves from the angiography suite to the value analysis committee, comparing how device adoption works in academic, community, and hospital group settings. The panel shares practical tips for workflow, agent preparation, device selection, and troubleshooting, including when to choose glue versus EVOH agents, and how to defend your choice with outcomes data. The episode closes with lessons on lab readiness, knowing your device inside and out, and the importance of a physician champion for successful adoption of new technology.
The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.