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Atherectomy

Atherectomy Procedure Prep

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BackTable is a knowledge resource for physicians by physicians. Get practical advice on Atherectomy 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 353 MicroCT for PAD: What You Need to Know with Dr. John Rundback
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Atherectomy Podcasts

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

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.

To start, Dr. Shammas explains that infrapopliteal disease is difficult to treat due to the high rate of total occlusions and the high degree of medial calcinosis. Next, he gives an introduction to laser atherectomy for certain plaque locations and morphologies, and he describes previous studies that have shown its efficacy for calcified lesions. Intravascular ultrasound (IVUS) can also help guide vessel sizing, plaque morphology, and appropriate device selection. Dr. Shammas believes that the current atherectomy devices on the market are easy to learn to use and can be incorporated into any CLI program.

The doctors discuss the ongoing multicenter study on outcomes of the Auryon laser atherectomy system in CLI patients. Dr. Shammas reviews the study design, proposed endpoints, and current data on 30 day outcomes. We end the episode with advice on building a strong CLI program, which includes multidisciplinary collaboration, advocating for resources, a variety of different tools, and appropriate management of cardiovascular risk factors.

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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.

Dr. Secemsky believes that drug coated technology is a game-changer in the endovascular space since it improves patient outcomes by reducing the risk of needing additional procedures. Dr. Secemsky highlights the importance of various trials such as IMPERIAL and EMINENT, which compare the effectiveness of different stents. He also speaks about the significance of the Cook Medical prediction model to calculate intervention success rates and the role of disease site-specific interventions. Dr. Secemsky ends the podcast by sharing his thoughts about advancements in the near future, including the use of bioabsorbable stents and sirolimus drug-coated balloons.

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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.

Dr. Sayfo points out the need for research data on the financial impact of these interventions on patients. Dr. Amit P. Amin’s work in 2017, 2018 and 2021 is highlighted for its valuable contribution in this area, specifically in the radial to coronary world. The conversation then veers into the possibilities for radial to peripheral interventions in the coming years. There’s a discussion about the potential financial impact on the healthcare system, and how radial to peripheral interventions may yield a lower length of stay and more same day discharges, which can serve as motivators for more practitioners to adopt this technology. The episode also highlights training, patient selection, complications, bailout techniques and post-procedure care related to radial to peripheral interventions.

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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.

Dr. Chopra advises young IRs against going solo, and he suggests finding people who’ve done it before, to avoid “reinventing the wheel.” Dr. Chopra emphasizes the importance of adopting a patient-centered approach, building systems, developing business sense, and understanding risk. He shares his own experiences of building systems using Salesforce and explains the concept of ‘omni-channel healthcare delivery’. He particularly discusses the importance of patient, provider, and payer relationships, and he offers solutions for dealing with inherent complications. The episode also covers identifying the right electronic health record and developing an effective inventory management system.

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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.

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 #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 #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 #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 #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 #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 #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 #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 #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 #18

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Dr. Jeffrey Chick and Dr. Ravi Srinivasa discussing complex lower extremity venous interventions at University of Michigan VIR.

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Atherectomy Articles

Read our exclusive BackTable VI Articles for quick insights on atherectomy, provided by physicians for physicians.

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.

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 BTK Study Insights: Navigating Complex Lesions with Dr. Nicolas Shammas on the BackTable VI Podcast)
The Evolving Role of Drug Eluting Stents in PAD with Dr. Eric Secemsky on the BackTable VI Podcast)
Radial to Peripheral Tools & Technique with Dr. Sameh Sayfo on the BackTable VI Podcast)
How to Maximize Efficiency & Revenue with EMRs & Practice Management Systems with Dr. Paramjit "Romi" Chopra on the BackTable VI Podcast)
Laser Atherectomy: An Overview of the Pathfinder Registry with Dr. Tony Das 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

BioMimics Stent

Veryan BioMimics Stent for Femoral Popliteal Disease

Supera Stent product image

Finding Success with the Supera Stent in Femoral Popliteal Disease

Contributors

Dr. Jeffrey Chick on the BackTable VI Podcast

Dr. Jeffrey Chick

Dr. Omar Saleh on the BackTable VI Podcast

Dr. Omar Saleh

Dr. Ravi Srinivasa on the BackTable VI Podcast

Dr. Ravi Srinivasa

Dr. Bret Wiechmann on the BackTable VI Podcast

Dr. Bret Wiechmann

Related Topics

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