Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

Ep. 148 Radial vs Femoral for Prostate Artery Embolization with Dr. Blake Parsons

We talk with Dr. Blake Parsons about his approach to Radial vs. Femoral access for Prostate Artery Embolization for BPH, including patient selection, device considerations, and practice pearls. --- SHOW NOTES In this episode, Dr. Blake Parsons and our host Dr. Chris Beck discuss access sites for prostate artery embolization, along with advice for visualizing pelvic anatomy, procedural tips, and post-operative care. We start by comparing radial and femoral access. Dr. Parsons prefers femoral access because it is faster, although both approaches share the same amount of bleeding risk. Radial access may offer more pushability and may be more appropriate for patients with tortuous iliac arteries. Additionally, we discuss the closure methods for each approach-- TR Band for radial access, and Angio-Seal for femoral access. Since pelvic anatomy varies from patient to patient, it can be challenging and time-consuming to identify the prostate artery. Dr. Parsons recommends using the obturator and pudendal arteries as landmarks. He also emphasizes that resources like lectures, meetings, papers, and courses can help IRs gain exposure and confidence in the pelvic anatomy. Finally, we talk about managing patient expectations about post-operative pain and dysuria relief. Dr. Parsons prescribes antibiotics, Medrol Dosepak, and Pyridium. The timeline for improvement in benign prostatic hyperplasia is different in each patient, but improvement can be tracked with the IPSS score at follow up appointments. --- RESOURCES STREAM Meeting: https://www.thestreammeeting.com/

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Ep. 670 Understanding IR Attrition: Causes & Solutions with Dr. David R. Mittelstein

Ep. 670 Understanding IR Attrition: Causes & Solutions with Dr. David R. Mittelstein

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How do you decide between a dedicated aortic scaffold and kissing stents in complex aortoiliac bifurcations? On this episode of the BackTable Podcast, Dr. Sabeen Dhand and Dr. Eric Secemsky discuss th...

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Ep. 666 Dear IR Residency - Residency Reflection with Dr. Gregg Khodorov and Dr. Aesha Patel

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What do new interventional radiologists wish they had known before starting residency? On this reflective episode of BackTable, Dr. Neil Jain is joined by chief residents Dr. Aesha Patel and Dr. Gregg...

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Ep. 664 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko

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Genicular artery embolization (GAE) continues to gain traction worldwide, but is the evidence catching up to the hype? In this episode of BackTable Bone and Sports Podcast, host Dr. Kavi Krishnasamy w...

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