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Peripheral Artery Disease

Peripheral Artery Disease Condition Overview

Learn more on the BackTable VI Podcast

BackTable is a knowledge resource for physicians by physicians. Get practical advice on Peripheral Artery Disease 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 461 Advanced Radial to Peripheral Interventions with Dr. Sameh Sayfo
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Peripheral Artery Disease Podcasts

Listen to leading physicians discuss peripheral artery disease on the BackTable VI Podcast. Get tips, tricks, and expert guidance from your peers and level up your practice.

Episode #484

VI

Is your critical limb ischemia (CLI) toolbox up to date? Dr. Kevin Herman and host Dr. Sabeen Dhand discuss treating CLI in the outpatient based lab (OBL) and ambulatory surgery center (ASC) settings. Dr. Herman is an interventional radiologist at American Endovascular and Holy Name Hospital in New Jersey.

Episode #461

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Dr. Sameh Sayfo discusses advanced techniques in radial to peripheral (R2P) interventions, the importance of having multiple techniques, the role of different devices, troubleshooting tips, and the evolving landscape of R2P interventions. Dr. Sayfo is an interventional cardiologist at the Baylor Heart Hospital, and serves as program director for the endovascular fellowship and pulmonary embolism response team (PERT) program.

Episode #459

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Dr. Jafar Golzarian shares his experiences with co-founding an outpatient-based lab (OBL), obtaining the right equipment, handling staffing, negotiating with insurance companies, and marketing his new practice. Dr. Golzarian is an interventional radiologist at his OBL in Minneapolis, Minnesota and he is the former Division Head and Program Director for the interventional radiology program at the University of Minnesota.

Episode #452

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In this episode, Dr. Ally Baheti interviews interventional radiologist Dr. Lorenzo Patrone about his recent multidisciplinary editorial entitled "The 'Woundosome' Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia.”

Episode #449

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In this episode, interventional cardiologist Dr. Peter Soukas joins us to discuss percutaneous transmural arterial bypass (PTAB) using the DETOUR system, a novel percutaneous treatment for extensive and complex blockages in the superficial femoral artery (SFA).

Episode #448

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In this episode, Dr. Marta Lobato explores advanced endovascular techniques in below the knee (BTK) and below the ankle (BTA) interventions for critical limb ischemia (CLI). She introduces various skills that were developed and used by her team, such as the telescopic needle, buddy needle, balloon-assisted puncture, and vasodilation to prevent artery spasm. Dr. Lobato is a vascular surgeon at Hospital de Cruces in Barakaldo, Spain.

Episode #443

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In this episode, Dr. Amit Srivastava discusses the transformation of peripheral interventional practices through radial access techniques, emphasizing reduced complication rates, the extensive range of devices now available, and the option for same-day discharge.

Episode #438

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In this episode, Dr. Omar Saleh and Dr. Mike Watts discuss the challenging aspects of vascular interventions in the OBL setting, focusing on ‘oh $#!%’ moments and how to address various complications. Both Dr. Saleh and Dr. Watts are vascular and interventional radiologist, practicing in Southern California and New Jersey, respectively.

Episode #435

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In this episode, Dr. Blake Parsons talks through the role of spinal cord stimulation in treating vascular issues and diabetic neuropathy. He also discusses the growing presence of vascular specialists in clinics, the transition from procedural work to clinical involvement, and the significance of building a strong patient-doctor relationship.

Episode #418

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In this episode, host Dr. Sabeen Dhand interviews Dr. Charles Bailey about Limb Alert, a hospital protocol devised to expedite the diagnosis and treatment of patients presenting with acute limb ischemia. Dr. Bailey is a vascular surgeon and the Director of Peripheral Artery Disease (PAD) and Limb Salvage at the University of South Florida.

Episode #410

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In this episode of BackTable Podcast, host Dr. Ally Baheti invites interventional cardiologist Dr. Thomas Davis, Director of the Cardiac Catheterization Lab at St. John Hospital and Medical Center, to discuss re-entry devices, with a focus on the Pioneer Plus Catheter.

Episode #408

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In this episode, host Dr. Aaron Fritts is joined by interventional cardiologists Dr. Sameh Sayfo (Baylor Scott & White in Plano, TX) and Dr. Nicolas Shammas (Cardiovascular Medicine in Davenport, IA) for a discussion about critical limb ischemia (CLI) and the use of lasers in below-the-knee (BTK) treatment.

Episode #407

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In this episode of the BackTable Podcast, host Dr. Sabeen Dhand interviews Dr. Eric Secemsky about the efficacy of drug eluting technologies in vascular interventions, with Dr. Secemsky offering insight into his own practice. Dr. Secemsky is an interventional cardiologist practicing at Beth Israel Deaconess Medical Center in Boston.

Episode #405

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In this episode of the BackTable Podcast, host Dr. Ally Baheti interviews Dr. Michael Cumming about the issue of site of service differentials in healthcare. Dr. Cumming is an interventional radiologist and the founder of Vascular and Interventional Experts.

Episode #399

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In this episode of The Backtable Podcast, host Dr. Aaron Fritts and guests Dr. Mahmood Razavi and Dr. Mark Garcia discuss the intricacies of owning and operating an outpatient-based lab (OBL). Dr. Razavi and Dr. Garcia are practicing interventional radiologists at Vascular and Interventional Specialists of Orange County (California) and American Vascular Associates (Florida), respectively.

Episode #395

VI

In this episode of the BackTable Podcast, host Dr. Aaron Fritts and Dr. Sameh Sayfo discuss radial to peripheral interventions, also known as R2P. Dr. Sayfo is an interventional cardiologist and the program director of the endovascular fellowship at Baylor Heart Hospital in Plano, Texas.

Episode #392

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In this episode of the BackTable Podcast, host Dr. Ally Baheti and Dr. Paramjit “Romi” Chopra discuss the processes involved in successful interventional radiology practice management. Dr. Chopra is an interventional radiologist practicing in Chicago, IL. He is the founder and CEO of Midwest Institute for Minimally Invasive Therapies.

Episode #390

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In this episode of the BackTable Podcast, host Dr. Chris Beck discusses atherectomy, laser technologies, and their use in vessel treatment with Dr. Tony Das, an interventional cardiologist practicing in Dallas, TX and one of the founding members of the VIVA Vascular Education Course in Las Vegas.

Episode #388

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In this episode, host Dr. Aaron Fritts interviews Dr. Rehan Quadri about the impact of intra-procedural arterial monitoring via sheath technology. Dr. Quadri is a practicing interventional radiologist at UT Southwestern in Dallas, Texas.

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.

Episode #367

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In this episode, host Dr. Aaron Fritts interviews Dr. Aaron Kovaleski on good old-fashioned TV and radio marketing. Aaron is an interventional radiologist and founder of Endovascular Consultants of Colorado, who has found success in using tried and true methods of advertising to grow his practice.

Episode #364

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In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Sean Lyden about percutaneous transarterial bypass (PTAB) with DETOUR, a new therapy for treating occlusive / stenotic superficial femoral artery (SFA) disease.

Episode #353

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In this episode, host Dr. Sabeen Dhand interviews Dr. John Rundback about analysis of arterial calcifications using microCT.

Episode #351

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In this episode, host Dr. Ally Baheti interviews interventional radiologist Dr. Saher Sabri and vascular surgeon Dr. Frank Arko about their perspectives on a July 2023 New York Times article about the ethics of peripheral arterial disease (PAD) treatment in outpatient based labs (OBLs) and ambulatory surgery centers (ASCs).

Peripheral Artery Disease Articles

Read our exclusive BackTable VI Articles for quick insights on peripheral artery disease, provided by physicians for physicians.

Combination Therapies in Peripheral Artery Disease: Which Devices Give the Best Outcomes?

Dr. Eric Secemsky shares his decision making rules when choosing which device(s) to use in specific peripheral artery disease (PAD) treatment scenarios.

Update on the Safety & Efficacy of Drug-Eluting Stents & Drug-Coated Balloons

Endovascular specialists should understand which situations lead to technical and clinical success when deploying drug-eluting stents and drug-coated balloons. Get updated on the safety and efficacy of drug-eluting vascular technologies with insights from Dr. Eric Secemsky.

Laser Atherectomy in Practice: Clinical Data & Procedure Pearls

Laser atherectomy plays an important role in peripheral artery disease treatment. Recent clinical data, including the Pathfinder study, highlight the safety profile and sustained patency rates achieved with novel solid-state laser atherectomy devices, while practical guidance emphasizes maintaining an intraluminal position and optimizing laser settings to enhance procedural outcomes.

Atherectomy Devices for Peripheral Artery Disease

Atherectomy has become a pivotal technique utilized in the management of peripheral arterial disease (PAD), offering a versatile approach to plaque removal and vessel preparation. By using a range of devices tailored to specific lesion characteristics, atherectomy can improve the outcomes of subsequent treatments like balloon angioplasty and stenting.

The Advantages of Auryon Laser Atherectomy in Calcified Arteries

New research with micro-CT has found that Auryon laser atherectomy is effective in disrupting challenging plate-like, circumferential calcium, suggesting a valuable role for this technology in treating complex cases of peripheral artery disease (PAD).

The Role of Micro-CT in Peripheral Artery Disease (PAD)

The high-resolution imaging capabilities of Micro-CT are useful in studying calcium in peripheral artery disease (PAD). Dr. John Rundback's cadaveric study uses micro-CT to analyze medial calcium patterns and demonstrates the Auryon laser atherectomy's effectiveness in disrupting challenging calcium buildup.

The Role of Serration Angioplasty in Peripheral Artery Disease

Serration angioplasty is a form of treatment for peripheral artery disease (PAD) that uses interrupted scoring during angioplasty to break down intraluminal calcification. Learn more about the role of the Serranator Balloon in contemporary PAD treatment.

The Serranator Balloon: Tips for Successful Operation

The Serranator balloon is a new serration angioplasty technology used to treat peripheral artery disease (PAD) and critical limb ischemia (CLI). Learn tips for successful Serranator balloon operation from interventional cardiologist Dr. Peter Soukas.

Fixing Femoral Flow with the Endologix DETOUR System: Clinical Trial Results in Practice

Dr. Sean Lyden shares the current state of clinical trial data supporting the Endologix DETOUR system for percutaneous transmural arterial bypass (PTAB); focusing on complications, training, cost, and use of the Endologix DETOUR system in everyday practice.

Fixing Femoral Flow with Percutaneous Transmural Arterial Bypass (PTAB)

Percutaneous Transmural Arterial Bypass (PTAB) with the DETOUR system is a novel approach in the management of chronic total occlusions. Dr. Sean Lyden discusses his experience in pioneering this procedure; delivering practical and technical advice for surgeons looking to implement the PTAB vascular procedure.

Arterial Dissection Treatment with Tacks

Arterial dissections can occur after lower extremity arterial angioplasty procedures. Common methods of arterial dissection treatment include stents or Tacks, with stents being the more prevalent option. Learn more!

Tacks vs Stents For Arterial Dissection Treatment

The Tack Endovascular System is a newer device that functions similarly to a stent, but with key differences that may make it more appropriate for treating arterial dissections in the superficial femoral artery (SFA) or the proximal popliteal artery.

Chronic Total Occlusion (CTO) Basics

Chronic total occlusions (CTOs) in patients with peripheral artery disease (PAD) are always tricky to manage. Clinicians should understand how CTO morphology can be a meaningful predictor of revascularization success and should also be familiar with different techniques for crossing CTOs.

Intravascular Ultrasound (IVUS) Imaging: Benefits & Drawbacks

Intravascular ultrasound (IVUS) imaging has shown benefits such as improved vessel assessment, enhanced procedural efficiency, reduced need for additional imaging and radiation exposure, and potential long-term durability of interventions. However, challenges in implementation, including cost, learning curve, and time constraints, need to be addressed to facilitate wider adoption of IVUS procedure.

Intravascular Ultrasound (IVUS) Consensus Guidelines

Interventional cardiologist Dr. Eric Secemsky explores key findings from IVUS consensus guidelines in coronary and peripheral interventions. Learn more!

BioMimics Stent

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

Supera Stent product image

Interventional Radiologist Dr. Rundback shares his expertise on the Supera Stent along with tips & tricks in deploying it & 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.

Procedural equipment used to treat peripheral arterial disease

Choosing the appropriate procedural equipment can be daunting due to the breadth of options available. Dr. Dhand and Dr. Madassery discuss guidewire choices, balloon sizing for angioplasty, and more when treating peripheral arterial disease.

Medical image of peripheral artery disease

Anesthesia choice and intraprocedural anticoagulation are critical for optimal patient outcomes. Dr. Sabeen Dhand and Dr. Kumar Madassery discuss their preferences for managing sedation and anticoagulation in lower extremity peripheral arterial disease (PAD) patients.

Medical image of peripheral artery disease showing arteries in red

Vascular access decisions should be tailored to the location of disease burden in patients with peripheral arterial disease. PAD experts Dr. Sabeen Dhand and Dr. Kumar Madassery review their tips and techniques for surgical access and end points when treating peripheral arterial disease.

Multidisciplinary team of physicians discussing peripheral artery disease treatment approach

From podiatry to interventional radiology, peripheral arterial disease (PAD) is managed by numerous medical specialties. A multidisciplinary approach to treating PAD gives patients the best surgical options and ultimately creates opportunities for IRs to take on new cases.

Balloon technology treating peripheral artery disease

There are numerous modalities available to characterize and treat peripheral arterial disease (PAD). Dr. Kumar Madassery and Dr. Sabeen Dhand highlight their preferred techniques, covering imaging, atherectomy, drug coated balloons, and stenting.

Peripheral Artery Disease Demos

Watch video walkthroughs of peripheral artery disease on the BackTable VI expanded content network.

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

Toolbox Essentials for CLI in the OBL with Dr. Kevin Herman on the BackTable VI Podcast)
Advanced Radial to Peripheral Interventions with Dr. Sameh Sayfo on the BackTable VI Podcast)
Transitioning from Academia to Private OBL Practice with Dr. Jafar Golzarian on the BackTable VI Podcast)
The 'Woundosome' Concept with Dr. Lorenzo Patrone on the BackTable VI Podcast)
Percutaneous Transmural Arterial Bypass: Updates on Technique & Data with Dr. Peter Soukas on the BackTable VI Podcast)
Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz on the BackTable VI Podcast)

Articles

Combination Therapies in Peripheral Artery Disease: Which Devices Give the Best Outcomes?

Combination Therapies in Peripheral Artery Disease: Which Devices Give the Best Outcomes?

Update on the Safety & Efficacy of Drug-Eluting Stents & Drug-Coated Balloons

Update on the Safety & Efficacy of Drug-Eluting Stents & Drug-Coated Balloons

Laser Atherectomy in Practice: Clinical Data & Procedure Pearls

Laser Atherectomy in Practice: Clinical Data & Procedure Pearls

Contributors

Dr. Frank Arko on the BackTable VI Podcast

Dr. Frank Arko

Dr. Charles Bailey on the BackTable VI Podcast

Dr. Charles Bailey

Dr. Paramjit Chopra on the BackTable VI Podcast

Dr. Paramjit Chopra

Dr. Michael Cumming on the BackTable VI Podcast

Dr. Michael Cumming

Dr. Tony Das on the BackTable VI Podcast

Dr. Tony Das

Dr. Thomas Davis on the BackTable VI Podcast

Dr. Thomas Davis

Related Topics

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