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Peripheral Artery Disease

Peripheral Artery Disease Condition Overview

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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 438 Creative Solutions to OBL Misadventures with Dr. Omar Saleh and Dr. Mike Watts
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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 #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.

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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.

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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.

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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.

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Episode #410

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In this episode of BackTable Podcast, host Dr. Ally Behati 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.

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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.

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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.

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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.

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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.

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Episode #395

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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.

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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.

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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.

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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.

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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 #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.

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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.

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Episode #353

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

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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).

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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 #342

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In this episode, host Dr. Sabeen Dhand interviews vascular surgeon Dr. Rami Tadros about advantages and indications for radial access in PAD treatment and the current selection of radial access devices.

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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 #320

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In this episode, host Dr. Sabeen Dhand interviews interventional cardiologist Dr. Eric Secemsky about the role of intravascular ultrasound in lower extremity interventions, and how he published a consensus document to standardize its use across specialties and provide a framework for new users.

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Peripheral Artery Disease Articles

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

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 PTAB.

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

Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava on the BackTable VI Podcast)
Creative Solutions to OBL Misadventures with Dr. Omar Saleh and Dr. Mike Watts on the BackTable VI Podcast)
SCS for Neuropathy: Clinical Insights & Patient Impact with Dr. Blake Parsons on the BackTable VI Podcast)
Acute Limb Ischemia: Timing, Technology & Triage with Dr. Charles Bailey on the BackTable VI Podcast)
True Lumen Re-Entry with Pioneer Plus with Dr. Thomas Davis 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

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

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

Fixing Femoral Flow with Percutaneous Transmural Arterial Bypass (PTAB)

Fixing Femoral Flow with Percutaneous Transmural Arterial Bypass (PTAB)

Arterial Dissection Treatment with Tacks

Arterial Dissection Treatment with Tacks

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

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