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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 367 How TV & Radio Still Work to Market Your Practice with Dr. Aaron Kovaleski
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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 #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.

Dr. Das shares insights on the PATHFINDER registry, which is a prospective non-randomized, multicenter study to evaluate the performance and outcome of the Auryon laser atherectomy system. Their conversation explores the role of atherectomy in reducing stent usage, decreasing embolization likelihood, enhancing thrombus removal, and uncovering lesions. Dr. Das further provides recommendations for building a successful atherectomy program, utilizing laser technologies, and the importance of having ablative technology in outpatient labs. The doctors forecast future applications for artificial intelligence and remote monitoring.

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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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Episode #312

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In this multidisciplinary episode, guest host and vascular surgeon Dr. Krishna Mannava interviews interventional cardiologist Dr. John Phillips about when and how he treats dissections after balloon angioplasty in peripheral vasculature.

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Episode #310

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In this episode, host Dr. Aaron Fritts interviews Dr. Jim Melton and Amanda Stanley about intravascular lithotripsy in the ASC, including reimbursement trends, patient selection and the future of the device.

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Episode #279

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In this episode, host Ally Baheti interviews interventional cardiologist Dr. Hady Lichaa of Ascension St. Thomas Heart about wire senses, including ways to build tactile and visual skills, selection of workhorse and specialty wires, and the do’s and don’ts of crossing lesions.

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Episode #276

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In this episode, host Dr. Aparna Baheti interviews interventional radiologist Dr. Michael Cumming about his Chiba needle technique for difficult CTOs, including how to perform the technique safely and how to approach complications.

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Episode #268

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In this episode, host Dr. Sabeen Dhand interviews Drs. Srini Tummala and Omar Saleh about atherectomy in peripheral arterial disease, including indications, technique, and device selection.

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Episode #238

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In this episode, guest host Dr. Shamit Desai interviews Dr. Keerthi Prasad about his path to starting an IR practice alongside interventional pain specialists.

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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 #197

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Vascular surgeon Dr. Martin Schroeder discusses the Covered Endovascular Reconstruction of Aortic Bifurcation (CERAB) technique for treating aortoiliac disease, including patient workup, procedure steps, and pitfalls to avoid with stent placement.

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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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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 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. When they are both technically and clinically significant, they require treatment. Common methods of arterial dissection treatment include stents or Tacks, with stents being the more prevalent option.

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. 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.

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

Laser Atherectomy: An Overview of the Pathfinder Registry with Dr. Tony Das on the BackTable VI Podcast)
Emergent Cases: The Impact of Arterial Sheath Technology with Dr. Rehan Quadri on the BackTable VI Podcast)
The Recent Trend of Insurance Denials for CLI Interventions with Dr. Bret Wiechmann on the BackTable VI Podcast)
How TV & Radio Still Work to Market Your Practice with Dr. Aaron Kovaleski on the BackTable VI Podcast)
Percutaneous Transmural Arterial Bypass (PTAB) as a Treatment Option for CTOs with Dr. Sean Lyden 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 Percutaneous Transmural Arterial Bypass (PTAB)

Fixing Femoral Flow with Percutaneous Transmural Arterial Bypass (PTAB)

Arterial Dissection Treatment with Tacks

Arterial Dissection Treatment with Tacks

Tacks vs Stents For Arterial Dissection Treatment

Tacks vs Stents For Arterial Dissection Treatment

Contributors

Dr. Frank Arko on the BackTable VI Podcast

Dr. Frank Arko

Dr. Michael Cumming on the BackTable VI Podcast

Dr. Michael Cumming

Dr. Tony Das on the BackTable VI Podcast

Dr. Tony Das

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

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