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So, this procedure kills off tissue inside the prostate causing it to shrink a little? Have had the UroLift thing done twice and it failed twice as the prostate just swelled up around and past the pins. How will this complicate this procedure with 10 or 12 pins dangling around after the prostate tissue dies off?

Another request treatment of Low Flow Venous Malformation

Request Podcast on Lymphatic Interventions in detail . Also PortalnVein Recanalization in Noncirrhotic patients with TIPS

I don’t think you realise the impact you guys have! Love the show! And you were not lucky, you did it the way it should be done! And what about another veterinary IR episode?

Current M3 here and what Dr. Michels said at 20 minutes in really resonates with me since I am currently having the same exact thoughts! Hoping to do DR+pain as well.

Dr. Hunt performed a cryoablation with liquid Argon on my son's recurrent adrenal tumor on March 1, 2023 and it is gone. He stayed overnight as a precaution and he walked out in the AM with a bandaid on his back. Having had two prior surgeries in Boston for bilateral pheochromocytomas to remove the tumors in 2014 and then tumors again and adrenal glands in 2016 with fully cross belly incisions, the prospect of a 3rd surgery in 2022 and cutting through scar tissue was very undesirable and far more risky and we already knew it to be a long recovery. After 1.5 years and several MRI's the tumor is still gone!

Awesome conversation! So much of insight with nuances thrown in.

Is this clinical trial still accepting participants and how to enroll?

very informative

Im getting this feeling that urologists dont think very highly about PAE. Could it be that they arent performed by them? (just kidding of course)

Good

I was blessed enough to receive two TVSS, 6 months apart. My IIH diagnosis has now become irrelevant in my life. I got my life back and couldn’t be more grateful for my neurointerventionalist and his decision to see me and fix me. The only issues I have is the 325 mgs of aspirin every day for life. This has caused ulcers a couple of times. I will take the bad with the good though. Much better than being on an overload of diamox, seizure meds, seeing the ophthalmologist weekly, or sleeping in a chair so I’m up right, IF, big IF I did get any sleep at all due to the extremely annoying pulsating tinnitus. Thank God that horrendous time in my life is over.

Doctor me gusta ese procedimiento soy de Colombia me gustaría saber en Colombia en qué qué ciudades y clínica vas estar

Is Saphenous vein in varicose patient eligible for arterial by-pass? ChatGPT response: The saphenous vein in a varicose patient can still be eligible for an arterial bypass, but its usability depends on the condition of the vein. Here are the key factors to consider: 1. Condition of the Saphenous Vein Mild Varicosities: In many cases, even if the saphenous vein is mildly affected by varicosities, segments of the vein can still be used for an arterial bypass. Surgeons can select healthy segments that are not significantly damaged or dilated. Severe Varicosities: If the vein is heavily damaged or severely dilated, it may no longer be suitable for a bypass. The structural integrity of such a vein might be compromised, making it less effective for revascularization procedures. 2. Use for Different Types of Bypass Coronary Artery Bypass (CABG): The saphenous vein is frequently used in coronary artery bypass grafting (CABG). If parts of the vein are still in good condition, they can be harvested and used successfully, even in varicose patients. Peripheral Bypass: For peripheral artery bypass (for example, in the legs), the saphenous vein is also a common choice. As long as suitable portions are healthy and intact, it remains a valuable option. 3. Preserving the Saphenous Vein Techniques like CHIVA (Conservative Hemodynamic Cure for Venous Insufficiency) focus on preserving the saphenous vein. This approach treats varicose veins without destroying the vein, keeping it viable for future arterial bypasses. Ablative Techniques: More invasive varicose vein treatments such as stripping, radiofrequency ablation (RFA), or laser treatments destroy or remove the vein, making it unusable for any future bypass grafts. 4. Informed Consent Patients should be informed that destructive treatments (like vein stripping or endovenous procedures) can lead to the loss of the saphenous vein for future use as a bypass conduit. Preserving this vein, particularly for patients at risk of coronary or peripheral artery disease, can be crucial for their long-term health. Conclusion The saphenous vein in a varicose patient can still be eligible for an arterial bypass, provided that healthy segments are available and the vein has not been destroyed by previous treatments. Préservant this vein through techniques like CHIVA offers the best chance of maintaining it for future use in bypass procedures

My sister just had her angiogram with Omar Tanweer, from him to his office, great experience.

saibadlanyf

#CCSVI Venous Hypertension >microbleedings >iron >inflammationp >free radicals >neurodegeneration #multiplesclerosis M.S. - Mystery Solved Mysterious Autoimmunity = CCSVI Neurodegeneration M.S - Mystery Solved Mysterious Autoimmunity = CCSVI Neurodegeneration Keep in mind! Also venous hypertension ➡️ impaired CSF absorption ➡️ reduced G Lymphatic drainage ➡️ interstitial peptides accumulation ➡️ NEURO INFLAMMATION #CCSVI

wow- This video has been out for over 2 years and no one has left a comment- Unbelievable!!!

Why not just do cash only?

The portion about collaterals was interesting. I had a failed aquablation last year. So that was very interesting for me.

PAE worked for me in 7 days I had full-force urination. I am amazed,

Can you get BT to change the intro music. No offense; it’s just maybe too chaotic

sadly very few insurances cover this procedure.

Would you do a PAE when the size of the Prostrate is between 30g and 50g smooth? If so can the results benefit the patient?

Does anybody understand what the heck you're talking about?

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!

Yes, I know one of these words!

Huh?!

😊

Getting stent put in soon for May Thurners syndrome...will it help with pelvic congestion syndrome?

PAE got me off Tamsulosin (Flomax 2 a day) for 2 years. Now back on 1 Tamsulosin a day. If forced to 2 a day will reconsider my options.

OMG! Are you from Minnesota ? Do you know Big Time Rush ?

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

You need to look at Single Pass. A new FDA approved and CE Mark approved cautery specifically for needle biospies.

Jawad!!! Its Musti! I searched you randomly, this is amazing!

Great episode!

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Pae works

Pae works

Extremely happy PAE'er from three years ago w/ Aaron Fischman at Mt. Sinai. Amazingly enough, LUTS may still be improving even now... #;")

What machine are you using for "flash" feature?

I’m gonna have PAE in a couple weeks. This is a straight talking, hip doctor!

i gotta ask though...without dispuiting the fact that the director is a$$, why is the identity of the head of the "secret service" not a secret

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.,

Its like a soy john cena

Way to go Doc!

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

OK