The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Listen on BackTable.com or on the streaming platform of your choice.
You can also visit www.BackTable.com to browse our open access, physician-catered knowledge center for all things vascular and interventional; now featuring practice tools, procedure walkthroughs, and expert guidance on more than 40 endovascular procedures.
Had a "Butterfly Device" implanted as a participant in a double blind investigational study 2 months ago....have experienced a slow and slight reducton in LUTS (frequency, urgency), but chronic discomfort on urination which was quite miserable and has just recently abated somewhat. About 2 weeks ago, experienced acute perineal pain during a bike ride, followed shortly thereaafter by severe hematuria, which began to abate by my third voiding. Problem is, the Device has become displaced or migrated and is extending into the neck of the bladder (and may be responsible for my continued symptoms), which necessitates removal or repositioning of the Device. Urologist who's the participating clinician has suggested to that I consider a TUIP or TURP (which could be accomplished concurrent with the Device's removal) unless I want to have him replace or re-position the Butterfly Device. I'm of the mind "get it out of there" and I'll consider the alternatives going forward rather than jumping to a TUIP or TURP. I live in So. California. Curious what thoughts and advice you might have on this scenario.
Nice video... I find it safer, easier, and quicker to take the whole gel foam pad and place it into a syringe, push all air out and mix as you have shown. No need to cut into small pieces...Try it!
80 years old, had Rezum 6 months ago and in my Urologists' words, "It Failed". He gave me referral to UCSD Urology for surgery, TURP, HoLEP, or ? My appointment is in a month, but self catheterizing until then. Question: Can the PAE procedure be done after having the Rezum procedure 6 months ago? Thank you
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I had a PAE a little more than a month ago. The following night I had serious pain in my rectum that I finally eased with opioids, and ibuprofen. I then over the next few days got a burning sensation in my scrotum which continues off and on. I have had zero change in urinating. A follow up call with my doc resulted in him finally admitting that "the right side caused him some problems". He also admitted that it was likely that the microspheres didn't hit their intended target on that side. I am scheduled to have the procedure redone in about a month.,
I had a Myelography with Lumbar Puncture 5 days ago. I'm a really big guy, 325 lbs or so, and the absolute biggest problem was the fact that when fat people are forced to lie flat on their stomach, there is no possibility of taking a breath. It's not merely difficult or uncomfortable, it is impossible. I told the fluoroscopy tech, the radiologist who made the puncture, and the CT operator and it's like I didn't even speak. My issue made no difference in what they did or how they did it. It occurred to me that I was in a Radiology specialist's facility and they have no incentive to care one bit about patient comfort. As long as they get their job done, they're successful. Next patient. My report says that I tolerated the procedure well and there was no incident,. The injection of the solution hurt like hell. So much so that I couldn't walk from the radiologists table to the CT room. They had to go get a wheelchair. I then needed a wheelchair to get out to my car. Fortunately, after my hour ride home, the pain had become tolerable and I walked into the house on my own.
I had this PAE DONE twice and can't get off of the medication and I still have urgency doing the day. I take a water pill for HBP. ANY ADVICE THE FIRST TIME I HAD THE BEADS THEN MONTHS LATER I HAD THE GLUE NOTHING WORKED AND I WOULD LOVE SOME ANSWERS AND ADVICE I AM FROM CANADA
My option right now is Holep (urologist only option offered) and PAE, discovered first by my own research and this podcast. It is a no brainer which path I am about to embark on. I took notes on what I want 300-500 micron particles, coils for sources outside the main artery, no coil on the main supply to preserve the option of re-treatment. If a second treatment failed, THEN and only THEN would I take one of the more invasive options. Thank you so much to Dr Barraza and Dr. Mouli for such an illuminating discussion.
I'll bite! 72 yo male runner with patella ostioarthitis in both knees. Talking with the insurance company this morning & consult appointment with an IR doctor next week. Sounds so promising.
I walked into the hospital and had to be wheelchaired out because after the CT scan with Iodine contrast I could no longer walk right. the nurse noticed and the DR and said why can't you walk I said the Iodine contrast they both chimed that can never happen. then the Dr asks me questions I told him my brain was on fire. that was the worst blood brain barrier intrusion i've ever felt. They should've known I had brain Edema from the dye. I almost died they sent me home quickly after almost killing me. Once home and they knew I was driving home. I had my brain felt like my veins exploded. I was screaming. then I got Parkinsons could not walk or talk. Iodine contrast is pure poison and should never be given to anyone. No rash a brain aneurism and edoma for days and now i have trouble even filling out the paperwork they sent me so I could make a formal complaint. MY brain and body have been destroyed by this poison. I now have very High Iron in my blood and blood in my urine but no Dr wants to help me because yall get away with murder every day don't ya... Poison do no harm what happened to that ????/
They wheelchaired me out to my car LOL What could of happened to not just me but anyone that day on the road this was Scripps memorial hospital what a unprofessional bunch of uneducated fools...
Sin embargo hay muchos urologos en el mundo que estan CELOSOS de esta tecnica o procedimiento de EMBOLIZACION DE PROSTATA, vi un reportaje en Peru ,ESSALUD el 23 de julio del 2015 que se inicio...los urologos lo sabotearon...es un celo injustificado...es porque ellos hacen con laser ,y creen que se quedaran sin pacientes...sin embargo los hospitales no atienden a miles de pacientes con sonda foley
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I am a 64 y.o who is 8-months p.o. GAE for my right knee. I don't know if the doctor mentioned this regarding study data, but I think things have gotten better with time. So if you cut off your follow up in your study at 6 months, my experience is that things have still gotten better after that. Am I pain free? No. But I can take a meloxicam in the morning and I'll have no problem playing a softball doubleheader tonight at about 50% of what I was, pre bone on bone. The rest of the week I walk around with a 1-3 on the pain scale with no meds.
Very interesting talk. It just Boggles my mind how cardiologists and surgeons talk the technology and techniques just developed out of the air and other specialists (IR) weren't working on it for years before they got involved.
