BackTable Vascular and Interventional

That’s a wrap on HCC Creator Weekend in New Orleans! We sat down with leading experts from across the country to record new episodes on hepatocellular carcinoma management, emerging therapies, and multidisciplinary care. 🎙️ New episodes and bonus content will be dropping over the next several weeks in the BackTable app. Stay tuned. #HCC #LiverCancer #Oncology #TumorBoard #MedOnc #BackTable

Success in complex venous intervention requires moving past a "one-size-fits-all" approach to chronic obstruction. Dr. Steven Abramowitz details the circumstances that demand debulking solutions and the considerations behind the decision to stent. Learn how to assess inflow, from the profunda femoris to the tibial vessels, to determine optimal management strategies and prime stents for ongoing patency. Check out the full episode: youtube.com/watch?v=gEunv3… This podcast is supported by Inari Medical. #VI609 #VascularSurgery #InterventionalRadiology #IRad #DVT #VTE #PostThromboticSyndrome #ChronicVenousDisease #MedEd

The advent of newer thrombectomy devices has turned hours-long surgical cutdowns into endovascular cases that last under an hour. @SDhandMD hosts Dr. Shang Loh of @PennVascular and @KNagarshethMD from @MarylandVasc to discuss the evolution of arterial thrombectomy devices and modern techniques for acute arterial occlusions. Listen: backtable.com/shows/vi/podca… This podcast is supported by Inari Medical. #VI625 #PAD #CLTI #Thrombectomy #AcuteArterialThrombosis #VisceralArteryThrombosis

Precision in intravascular lithotripsy (IVL) starts with a keen understanding of balloon pressures and sizing. Listen in on Dr. Constantino Peña’s technical deep dive into the nuances of maximizing vessel wall contact, the utility of IVUS, and the potential for more “personalized” treatment with upcoming IVL technologies affording operators more fine-tuned control. Check out the full episode -> youtube.com/watch?v=HSh_9X… This podcast is supported by Shockwave. #VI615 #InterventionalRadiology #IRad #IntravascularLithotripsy #IVL #Angioplasty #Atherectomy #POBA #CLTI #MedEd #PeripheralArterialDisease #BTK

In some instances for PAEs, an artery may seem like an option, but isn’t feasible. For Dr. Rajasekhara Ayyagari, this became the case. In this clip, Dr. Ayyagari reviews a previous case in which he needed to become adaptable and troubleshoot to use a different artery pathway. With provided imaging, he demonstrated how he utilized balloon microcatheters for embolization. Check out the full episode: youtube.com/watch?v=dKp5HQ… This podcast is supported by Guerbet. #VI611 #InterventionalRadiology #IRad #Urology #InterventionalUrology #ProstateArteryEmbolization #PAE #Embolization #BalloonMicrocatheters #MedEd #BackTable

Chronic limb-threatening ischemia (CLTI) represents the most advanced stage of peripheral artery disease. While many patients can be treated with endovascular or surgical revascularization, a subset of individuals remain ‘no-option’ candidates when conventional therapies fail or distal targets are absent. In this episode of BackTable, host Dr. Ally Baheti speaks with Dr. Mary Costantino, interventional radiologist at @AdvncdVascular, and Jill Sommerset, vascular technologist and Director of Clinical Education and Training at Aveera Medical, about the emerging role of spinal cord stimulation (SCS) as a potential therapy for patients with no-option CLTI. Click this link to hear more about SCS and its therapeutic effects for CLTI patients: na2.hubs.ly/H04hZkD0 #VI624 #InterventionalRadiology #IRad #SpinalCordStimulation #ChronicLimbThreateningIschemia #CLTI #PeripheralArteryDisease #PAD #MedEd #BackTable

While many chronic DVT cases are labeled as “uncrossable,” successful recanalization of iliofemoral lesions often lies in the nuances of a co-axial system with optimized pushability and deliberate anatomical assessment. In this clip, Dr. Steven Abramowitz walks through his technical algorithm for stenting across post-thrombotic scar tissue, sharing essential pearls for identifying target vessels with multiplanar views and IVUS as well as his framework for vessel pre-dilation. Check out the full episode: youtube.com/watch?v=gEunv3… This podcast is supported by Inari. #VI609 #VascularSurgery #InterventionalRadiology #IRad #DVT #VTE #PostThromboticSyndrome #IVUS #MedEd

Below-the-knee (BTK) arterial disease remains one of the more challenging areas in vascular care, particularly in patients with chronic limb-threatening ischemia (CLTI), where heavy calcification complicates endovascular treatment. As new calcium-modifying technologies emerge, an important question remains: what evidence supports their use in BTK interventions? In this episode of BackTable Vascular & Interventional, host Dr. Sabeen Dhand speaks with vascular surgeon Dr. Paul Foley of @DoylestownHlth about the Disrupt BTK II clinical trial from Shockwave Medical, which evaluates the performance of peripheral intravascular lithotripsy (IVL) in heavily calcified BTK disease. Click this link to learn more about the trial and how IVL benefits CTLI patients: na2.hubs.ly/H04cP8G0 This podcast is supported by: Shockwave Medical. #VI623 #InterventionalRadiology #IRad #InterventionalCardiology #VascularSurgery #BelowtheKneeDisease #BTK #IntravascularLithotripsy #IVL #PeripheralArteryDisease #PAD #ChronicLimbThreateningIschemia #CTLI #MedEd #BackTable

While atherectomy has long been a staple in tibial arterial disease, the associated learning curve and risk of distal embolization may limit its use below the knee. Dr. Constantino Peña explores how the latest iterations of intravascular lithotripsy technology are addressing these hurdles with a highly deliverable solution for calcified lesions, as well the economic and reimbursement realities of these newer devices in modern limb salvage. Check out the full episode -> youtube.com/watch?v=HSh_9X… This podcast is supported by Shockwave. #VI615 #InterventionalRadiology #IRad #IntravascularLithotripsy #IVL #Angioplasty #Atherectomy #POBA #CLTI #MedEd #PeripheralArterialDisease #BTK

For Dr. Rajasekhara Ayyagari, a single event led to a cascade putting him at the frontline to do Prostate Artery Embolizations (PAEs). In this clip, Dr. Ayyagari reminisces on this journey - starting as a resident in urology to now, working alongside Interventional Radiologists. He further speaks on how he started doing PAEs and the evolution of this procedure, ending on what PAEs are like for him in the present day. Check out the full episode: youtube.com/watch?v=dKp5HQ… This podcast is supported by Guerbet. #VI611 #InterventionalRadiology #IRad #Urology #InterventionalUrology #ProstateArteryEmbolization #PAE #MedEd #BackTable

There are two main categories that patients could fall into when getting diagnosed with Post-Thrombotic Syndrome (PTS): Patients who knew of having Deep-Vein Thrombosis (DVT) and patients who had little to no knowledge of having DVT. The next step after diagnosis is what is the best treatment. In this clip, Dr. Steven Abramowitz dives into how to categorize these patients and the challenges that may arise as a result. He then talks about different types of intervention physicians can use to mitigate treatment of PTS. Tune in for the full episode on Youtube: youtube.com/watch?v=gEunv3… This podcast is supported by Inari. #VI609 #InterventionalRadiology #IRad #DeepVeinThrombosis #PostThromboticSyndrome #DVT #PTS #Stenting #VascularSurgery #MedEd #BackTable

Better habits start now. Poor ergonomics in the angio suite and cath lab don’t just cause discomfort - they can lead to cumulative neck and back injuries, absenteeism, presenteeism, and even early retirement. In this episode of the BackTable Podcast, Dr. Keith Horton joins host Dr. Aparna Baheti to break down practical ergonomic strategies for radiologists and interventional cardiologists - from neutral posture basics and proper lead fit to room design challenges, microbreaks, shielding options, and emerging technologies. Check out this episode to learn practical ergonomic strategies you can apply tomorrow: na2.hubs.ly/H041_n20 #Radiology #InterventionalRadiology #Cardiology #CathLab #AngioSuite #PhysicianWellness #Ergonomics #WorkplaceHealth #OccupationalHealth #MedicalEducation #VI620

In this clip, Dr. Steven Abramowitz outlines the DEFIANCE trial, a randomized controlled trial comparing mechanical thrombectomy against anticoagulation alone, with the goal of establishing high-level evidence for preventing Post-Thrombotic Syndrome (PTS). He anticipates presenting data in 2026 and discusses the nuances of treating chronic venous disease. Abramowitz emphasizes that patient selection is critical, explaining why patients with poor inflow may not be suitable candidates for stenting compared to those presenting with clear signs of venous hypertension. Check out the full episode: youtu.be/8rnzBl-H-2k?si… This campaign is supported by Inari. #VI594 #DEFIANCETrial #DVT #MechanicalThrombectomy #Inari #VascularSurgery #PostThromboticSyndrome #ClinicalTrials #MedEd #VTE

When a patient is diagnosed with Deep Vein Thrombosis (DVT), there’s a chance of that patient developing Post-Thrombotic Syndrome (PTS). What should physicians do to prevent PTS from developing? In this clip, Dr. Steven Abramowitz works through some approaches physicians could take to limit the chances of PTS. He hones on preventing acute DVT to further prevent PTS through physician outreach and patient education. Tune in for the full episode on Youtube: youtube.com/watch?v=gEunv3… This podcast is supported by Inari. #VI609 #InterventionalRadiology #IRad #DeepVeinThrombosis #PostThromboticSyndrome #DVT #PTS #MedEd #BackTable

How do experienced operators approach the most technically demanding aspects of Deep Venous Arterialization (DVA)? In this episode of BackTable, host Dr. Sabeen Dhand sits down with Dr. Kumar Madassery of Rush University for a detailed discussion of procedural strategy, technical decision-making, and real-world troubleshooting in DVA. Tune into the full episode: na2.hubs.ly/H03RyqG0 #VI618 #InterventionalRadiology #IRad #VascularSurgery #DeepVenousArterialization #DVA #TibialDisease #FemoralDisease #PeripheralArteryDisease #PAD #BackTable @kmadass @RushUniversity

Prostate artery embolization may be performed by interventional radiologists, but its indications are rooted in urologic evaluation. In the second installment of our 2026 PAE University Series, Dr. Chris Beck is joined by @DrRastinehad of @NorthwellHealth, a urologist with formal interventional radiology training, to share how his dual background informs both when to offer PAE and how to execute it thoughtfully. Click the link to stream the episode: na2.hubs.ly/H03VWDY0 #VI619 #InterventionalRadiology #IRad #InterventionalUrology #Urology #BenignProstaticHypertrophy #BPH #ProstaticArteryEmbolization #PAE #LiquidEmbolics #ClinicalConsult #MedEd #BackTable

Truly a great time! Learn so much from the @_backtable episodes and glad to share what I've learned from my work and from other friends in PAD/CLTI limb preservation. Also glad I finally got an updated hoodie in the mail! 🤣

Dr. Steven Abramowitz shares that his lytic usage has dropped to 7-10%, but is still crucial for complex cases involving caval atresia, thrombosed IVC filters, or extensive collateral networks where preserving flow in "unnamed" veins is key. Abramowitz warns against the pressure to stent in the same session, explaining that acute compression can be easily overestimated due to factors like dehydration. He advocates for a staged approach—using IVUS to assess or bring patients back after a trial of anticoagulation—ensuring stents are only placed when necessary. Check out the full episode: youtu.be/8rnzBl-H-2k?si… This campaign is supported by Inari. #VI594 #DVT #VenousStenting #Inari #VascularSurgery #Lytics #InterventionalRadiology #MedEd #VTE #DeepVeinThrombosis

Do you use Cipro before prostate artery embolization? On episode #VI619, we unpack a unique BPH perspective that may challenge your approach!

Chronic Venous Disease (CVD) is a complex condition that comes with challenges when diagnosing patients. What thoughts enter a physician’s mind to decide if a patient has CVD? Dr. Steven Abramowitz discusses classification systems for CVD and factors to consider when using these systems. He also speaks on the importance of a full patient workup, from family history to previous imaging in order to fully determine a CVD diagnosis. Tune in for the full episode on Youtube: youtube.com/watch?v=gEunv3… This podcast is supported by Inari. #VI609 #InterventionalRadiology #IRad #ChronicVenousDisease #CVD #CVDClassification #CEAP #DVT #MedEd #BackTable