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Critical Limb Ischemia (CLI)

Critical Limb Ischemia (CLI) Condition Overview

Learn more on the BackTable VI Podcast

BackTable is a knowledge resource for physicians by physicians. Get practical advice on Critical Limb Ischemia (CLI) and how to build your practice by listening to the BackTable VI Podcast, reading exclusing BackTable Articles, and following the work of our Contributors.

Ep 350 Building a CLI Program with Dr. Zola N’Dandu
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Critical Limb Ischemia (CLI) Podcasts

Listen to leading physicians discuss critical limb ischemia (cli) on the BackTable VI Podcast. Get tips, tricks, and expert guidance from your peers and level up your practice.

Episode #368

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In this episode, host Dr. Aaron Fritts and Dr. Krishna Mannava engage in a discussion with Dr. Bret Wiechmann about a concerning trend in the field—insurance denials for critical limb ischemia (CLI) interventions.

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Episode #350

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In this episode, host Dr. Michael Barraza interviews Dr. Zola N’Dandu, an interventional cardiologist at Ochsner Medical Center in Louisiana, about building a successful critical limb ischemia (CLI) program.

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Episode #336

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In this episode, host Dr. Christopher Beck interviews Dr. Peter Soukas about his algorithm for below the knee (BTK) critical limb ischemia (CLI) interventions as well as his implementation of new evidence-based guidance.

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Episode #334

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In this episode, host Dr. Aaron Fritts interviews Dr. Peter Soukas taking a deep dive into novel balloon technologies, appropriate uses below the knee, and how these new balloons are highly effective in treating patients with critical limb ischemia (CLI). Dr. Soukas explains how new balloon technologies can minimize the risk of dissections (therefore decreasing the need for bailout stents), create effective lumen gain in concentric and eccentric calcified lesions with minimal recoil, and keep pressures low compared to legacy products.

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Episode #331

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In this episode, host Dr. Ally Baheti interviews Jill Sommerset and Dr. Fadi Saab about EVUS and IVUS in peripheral arterial cases, including when to use each, how to train an interventional sonographer, and what adding ultrasound in a case can do for patient safety.

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Episode #315

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In this episode, host Dr. Chris Beck interviews Dr. Alexander Ushinsky about his standard workup and treatment when performing arterial thrombectomy in acute limb ischemia (ALI).

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Episode #294

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In this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Mary Costantino (interventional radiologist) and Dr. Miguel Montero-Baker (vascular surgeon) about their perspectives on an ultrasound-first approach to diagnosing and planning treatment for critical limb-threatening ischemia (CLTI).

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Episode #260

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In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Luke Wilkins about his approach to the subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) technique for crossing challenging chronic total occlusions (CTO) in critical limb ischemia (CLI) patients.

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Episode #241

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In this episode, guest host Jill Sommerset interviews vascular surgeon Dr. Miguel Montero-Baker about his evolving use of ultrasound throughout his career in caring for critical limb-threatening ischemia (CLTI) patients.

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Episode #229

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In this episode, guest host and vascular technologist Jill Sommerset interviews interventional radiologist Dr. Mary Costantino about the use of advanced arterial ultrasound in the setting of chronic limb-threatening ischemia (CLTI), especially in pre-procedural mapping.

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Episode #212

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In this episode, host Dr. Sabeen Dhand interviews Dr. John Rundback, interventional radiologist, about distal femoropopliteal disease, including the unique pathophysiology of this area, which stents work best at the adductor canal and the trifurcation, and tips for early operators.

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Episode #200

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We talk with Dr. Luke Wilkins about his stenting algorithm for treating peripheral artery disease, including a step by step discussion of the decision tree when deciding whether or not to stent.

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Episode #edición-esp-02

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En este episodio de BackTable Español, Dra. Gina Landinez entrevista a Dr. Miguel Montero-Baker sobre la enfermidad arterial periférica y salvamento de extremidades en la comunidad latinoamericana.

In this episode of BackTable Español, Dr. Gina Landinez interviews Dr. Miguel Montero about peripheral arterial disease and limb salvage in the Latin American community.

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Episode #181

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Vascular Surgeon Dr. Mazin Foteh and our host Dr. Sabeen Dhand consider various factors that can influence the choice of treatment methods for calcified common femoral artery (CFA) disease, including discussing the pros and cons of an endovascular vs surgical approach.

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Episode #175

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CLI fighters Dr. Kumar Madassery and Dr. Sabeen Dhand discuss their approach to treating calcified arteries below the knee, including looking at newer technologies and choosing the appropriate device to effect real durable change to the calcified wall.

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Episode #172

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CLI fighters Dr. Bryan Fisher and Dr. Sabeen Dhand discuss their approach to treating calcified arteries above the knee, including looking at newer technologies and choosing the appropriate device to effect real durable change to the calcified wall.

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Episode #119

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Interventional Radiologist Sabeen Dhand talks with Vascular Surgeon Bryan Fisher about the benefits of using Intravascular Ultrasound (IVUS) for endovascular treatment of peripheral arterial disease (PAD), as well as the potential for other emerging imaging modalities such as Optical Coherence Tomography (OCT).

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Episode #118

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Interventional Radiologist Dr. Donald Garbett talks with Dr. Michael Barraza about how he approaches acute limb ischemia, including different endovascular techniques for removing acute arterial clot.

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Episode #93

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Interventional Cardiologist Fadi Saab and Interventional Radiologist Sabeen Dhand discuss Percutaneous Deep Venous Arterialization (DVA) for critical limb ischemia (CLI), including workup, technique, and follow-up.

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Episode #90

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Dr. Mary Costantino and Technical Director Jill Sommerset talk technique and utility of using Pedal Acceleration Time for pre- and post-procedure evaluation of CLI patients. They also discuss intra-procedure extravascular ultrasound guidance to aid in safe and effective endovascular interventions.

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Episode #86

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Interventional Radiologist Srini Tummala talks us through how he successfully built a thriving PAD practice alongside Vascular Surgery and Interventional Cardiology at University of Miami Health System.

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Episode #60

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CLI fighters Sabeen Dhand and Jihad A. Mustapha discuss the essentials of building a successful Limb Salvage program, including the importance of a multidisciplinary approach, broadening skill sets such as pedal access, and meticulous patient follow up.

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Episode #37

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Special guests Dr. Mike Watts and Dr. Omar Saleh discussing the ins and outs of treating PAD in the Outpatient Based Lab (OBL) setting. Includes great info on practice building, patient safety, and essential equipment. #irad #miips

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Episode #9

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On Episode 9 of the BackTable podcast: Listen to the Dr. Kumar Madassery and Dr. Sabeen Dhand discuss their PAD practices and the story behind the #stopthechop hashtag.

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Critical Limb Ischemia (CLI) Articles

Read our exclusive BackTable VI Articles for quick insights on critical limb ischemia (cli), provided by physicians for physicians.

BioMImics Stent

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

Supera Stent product image

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

Calcified popliteal occlusion treated with 5mm Shockwave lithotripsy

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.

Intravascular ultrasound image of intima, media, and adventitia.

Intravascular ultrasound (IVUS) is a useful method for evaluating vessel stenosis and calcifications. Dr. Bryan Fisher explains how he uses IVUS and intravascular lithotripsy to treat calcified vessels.

Disclaimer: The Materials available on https://www.BackTable.com/ 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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Podcasts

The Recent Trend of Insurance Denials for CLI Interventions with Dr. Bret Wiechmann on the BackTable VI Podcast)
Building a CLI Program with Dr. Zola N’Dandu on the BackTable VI Podcast)
My Algorithm for Below the Knee CLI with Dr. Peter Soukas on the BackTable VI Podcast)
New Balloon Technologies for CLI with Dr. Peter Soukas on the BackTable VI Podcast)
EVUS to IVUS: a Continuous Spectrum with Jill Sommerset and Dr. Fadi Saab on the BackTable VI Podcast)
Minimizing Complications for Lung Biopsies with Dr. Robert Suh on the BackTable VI Podcast)

Articles

BioMImics Stent

Deploying the BioMimics Stent in Femoral Popliteal Disease: Who, When, How?

Supera Stent product image

Finding Success with the Supera Stent in Femoral Popliteal Disease

Calcified popliteal occlusion treated with 5mm Shockwave lithotripsy

Shockwave Intravascular Lithotripsy Treatment Algorithm & Technical Success

Contributors

Dr. Bryan Fisher on the BackTable VI Podcast

Dr. Bryan Fisher

Dr. Mazin Foteh on the BackTable VI Podcast

Dr. Mazin Foteh

Dr. Donald Garbett on the BackTable VI Podcast

Dr. Donald Garbett

Dr. Kumar Madassery on the BackTable VI Podcast

Dr. Kumar Madassery

Dr. Miguel Montero-Baker on the BackTable VI Podcast

Dr. Miguel Montero-Baker

Dr. Jihad Mustapha on the BackTable VI Podcast

Dr. Jihad Mustapha

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