A 63-year-old with flank pain, a rapidly growing renal mass, and hematuria that would not settle. In his first case with a hydrogel liquid embolic, Dr. Milan Patel walks through why an end organ felt like the right place to start, the forward pressure injection he was taught to use, the switch to a higher concentration contrast for better visibility, and the five millimeter ceiling on target vessel size. The completion run and a PET at two months close it out. Watch the full episode with Drs. Milan Patel, Resmi Charalel (@Resmi_Charalel), Venkatesh Krishnasamy (@kavikrishVIR) on the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Instylla (@instylla). #VI682 #InterventionalRadiology #Embolization #LiquidEmbolics #RCC @montefioreRAD @UABVascular @UTMDAnderson

A ten-centimeter tumor with a complete response after multiple treatments. Does that patient still go to surgery? Dr. Ryan Hickey and Dr. Tyler Sandow (@bayouteazy) join Dr. Kavi Krishnasamy (@kavikrishVIR) on a question that comes up constantly. They discuss what the data supports today, and the case for Y90 as a destination rather than a bridge. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by an educational grant from Boston Scientific TheraSphere Y-90. #VI673 #HCC #LiverTransplant #LiverResection #Y90 #InterventionalOncology @nyuVIR @UABVascular @OchsnerHealth

What exciting topics would you like to see added to BackTable from CIRSE 2026? 💡🎤 🩺 Download the app to learn more: na2.hubs.ly/H08BXc60 @JafarGolzarian @MinaMakaryMD @kavikrishVIR @TheRealDoctorOs @ptdoodles @AaronFrittsMD @cirsesociety @ETF_IRtrainees @nickprus_

Single-session thrombectomy has been reshaping how acute arterial occlusions are treated. With fewer ICU beds for overnight lysis and less OR time for second looks, Dr. Khanjan Nagarsheth (@KNagarshethMD) describes why one-stage percutaneous treatment has become his default, while Dr. Shang Loh makes the case that lysis and open embolectomy still have a place. Dr. Sabeen Dhand (@SDhandMD) then asks both vascular surgeons which aspiration, mechanical, and combination devices are on their shelves today. Watch the full episode here: backtable.com/shows/vi/podca… This podcast is supported by Stryker Peripheral Vascular. #VI625 #ArterialThrombectomy #AcuteLimbIschemia #VascularSurgery #InterventionalRadiology @HarborUCLA @SLUVascular @PennRadiology

How do you approach pulmonary artery pseudoaneurysm (PAP) embolization in a patient presenting with massive hemoptysis? This week’s Case Highlight features Drs. Nima Kokabi, c, and Venkatesh Krishnasamy (@kavikrishVIR) discussing embolization strategies for a pulmonary artery pseudoaneurysm in a patient with a history of IV drug use. Explore this case and more clinical discussions in the BackTable App: backtable.com/shows/vi/cases… #InterventionalRadiology #Hemoptysis #Embolization #Pseudoaneurysm @UNC_Health_Care @UChicagoMed @UABVascular

A woman on anticoagulation arrives with an actively bleeding rectus sheath hematoma. On this kickoff episode of the BackTable 2026 Liquid Embolics Creator Weekend™, Dr. Gary Siskin (@gsiskin) and Dr. Kavi Krishnasamy (@kavikrishVIR) walk through the case with Dr. Tyler Sandow (@bayouteazy), from the selective run that shows extravasation to a cast running the length of the inferior epigastric. They explain why you do not need to reach the bleed itself when the embolic can bridge the distance for you. Watch the full episode here: backtable.com/shows/vi/podca… This podcast is supported by an educational grant from Sirtex and Guerbet. #VI679 #InterventionalRadiology #LiquidEmbolics #Embolization #StopTheBleed #IRad @UABVascular @OchsnerHealth

From BackTable's very first episode to today, the bone marrow biopsy has become faster, smoother, and more comfortable for patients. 🦴 Dr. Mohammad Samim and Dr. Chris Beck (@beckcj) share the planning, periosteal block, and powered access habits that make it efficient and well tolerated. This podcast is supported by Varian OmniBone. Watch the full episode on the BackTable App: backtable.com/shows/vi/podca… #VI686 #BoneMarrowBiopsy #InterventionalRadiology #MSKRadiology #BoneBiopsy @SDhandMD @NYUImaging @SIRspecialists

Is a larger catheter always the answer for removing pulmonary emboli? Dr. Jay Giri (@jaygirimd) and Dr. Julie Bulman (@juliecbulman) join Dr. Chris Beck (@beckcj) to weigh the benefits and pitfalls of large-bore versus medium-bore catheters, and share tricks for navigating tough anatomy without causing more problems. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Endovascular Engineering. #VI677 #CV53 #PE #Thrombectomy #InterventionalRadiology #Cardiology @PennMedicine @PERTConsortium @BIDMCVIR

Wound care after deep venous arterialization (DVA) runs opposite to almost everything the team has been taught. Dr. Anahita Dua (@AnahitaDua) and Dr. Ripal Gandhi join Dr. Chris Beck (@beckcj) on protecting a maturing circuit. They discuss holding debridement unless the patient is genuinely infected, the three-month window the foot needs, and how to take that decision off the wound care team's shoulders. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Stryker Peripheral Vascular. #VI674 #DVA #WoundCare #LimbSalvage #CLTI #Podiatry @BaptistHealthSF @MGHVascular

How can interventionalists master liquid embolics techniques and engage with institutions to successfully bring them into clinical practice? Dr. Oleksandra Kutsenko and Dr. Alex Misono (@MisonoVIR) join Dr. Kavi Krishnasamy (@kavikrishVIR) to break down the parts of novel embolic adoption that nobody trains for: how to select cases and gather guidance for building early experience, strategies to strengthen your case for institutional adoption, and practice workflows that keep these agents prepared for any case that demands their use. 📱 Watch the full episode on the BackTable app: na2.hubs.ly/H08wLGs0 This podcast is supported by an educational grant from Sirtex and Guerbet. #VI685 #InterventionalRadiology #MedEd #StopTheBleed #Vascular #Embolization #LiquidEmbolics @hoaghealth @UABRadiology @SirtexMedical @GuerbetGroup

The anastomoses are real, so the assumption was that embolizing one vessel covered its neighbor. Dr. Amin Astani and Dr. Anish Ghodadra (@AGhodadraMD) join Dr. Kavi Krishnasamy (@kavikrishVIR) on what happened when they went back and looked. They discuss the residual blush that showed up on selective runs, why the branches appear to feed different parts of the synovium, and the risk of washing out your own work from the other side. They also discuss their follow-up strategy and what prompts a repeat GAE. Access the full episode in the BackTable app. backtable.com/shows/vi/podca… This podcast is supported by Varian, A Siemens Healthineers Company. #VI675 #GAE #Embolization #Osteoarthritis #InterventionalRadiology @PittRadiology @UABVascular @NorthStarIR

Who would you most like to see being active in the Q+A section of the BackTable App? Listen to some of the suggestions from the CIRSE 2026 attendees! 👥❓ 💬 Get access to the Q+A in the BackTable App: na2.hubs.ly/H08v7sP0 @JafarGolzarian @MinaMakaryMD @kavikrishVIR @TheRealDoctorOs @ptdoodles @AaronFrittsMD @cirsesociety @ETF_IRtrainees @nickprus_ @riadsalemIR @NorthwesternIR @YujiOkuno_OC @arslanmd @VIR_RUSH @roblookstein @MountSinaiIR

There is a statistically significant survival difference at the 400 Gy tumor dose threshold, and again at 200 Gy. Dr. Tyler Sandow (@bayouteazy) and Dr. Ryan Hickey join Dr. Kavi Krishnasamy (@kavikrishVIR) on where the ceiling might sit. They discuss the shift away from body surface area dosing, and how much of the gain comes simply from being more deliberate. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by an educational grant from Boston Scientific TheraSphere Y-90. #VI673 #Dosimetry #Y90 #DoseEscalation #HCC #InterventionalOncology @nyuVIR @UABVascular @OchsnerHealth

How do you prevent turning a stuck biopsy needle into a real complication? Dr. Junjian Huang (@junjian_huang) and Dr. Majid Khan (@MajidKhan_spine) join Dr. Neil Jain (@DigitalAngio) for their most useful technical tips in bone biopsy. They discuss curved stylets that bend and lodge, who to call, and the single rule that keeps an access cannula intact. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Varian OmniBone. #VI672 #MSK112 #BoneBiopsy #SpineBiopsy #InterventionalRadiology #MedEd #IRad @NJIRSociety @JohnsHopkinsIR @EmoryIRad

How do you approach managing gastric varices in patients with cirrhosis? This week’s Case Highlight features Drs. Sabeen Dhand (@SDhandMD) and Aparna Baheti (@bahetimd) discussing treatment strategies for gastric varices in patients with cirrhosis, including the role of embolization. Explore this case and more clinical discussions in the BackTable App: backtable.com/shows/vi/cases… #InterventionalRadiology #GastricVarices #Cirrhosis #Embolization @HarborUCLA @beckcj

Intermediate-high risk used to be a murky call. Dr. Jay Giri (@jaygirimd) and Dr. Julie Bulman (@juliecbulman) join Dr. Chris Beck (@beckcj) to explain the new guideline subgroups specifically how to spot a C3 versus a D2 patient, who needs escalation, and how real PERT teams are using these categories to guide next steps. Access the full episode in the BackTable app: backtable.com/shows/vi/podca… This podcast is supported by Endovascular Engineering. #VI677 #CV53 #PE #PERT #Anticoagulation #Cardiology @PennMedicine @PERTConsortium @BIDMCVIR

Bleeding, not prolapse, makes the case for hemorrhoid artery embolization (HAE). On this episode of the BackTable Podcast, Dr. Ally Baheti (@bahetimd) talks with Dr. Scott Thompson and Dr. Kristen Rumer (@RumerMDPhD) about their approach to HAE, including selection, technique, and the pearls that matter most. Listen to the latest on the BackTable App: backtable.com/shows/vi/podca… This podcast is supported by Terumo Interventional Systems. #VI684 #HemorrhoidEmbolization #IRad #ColorectalSurgery #HAE @SDhandMD @beckcj @MayoRadiology