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BackTable / VI / Podcast / Episode #416
PAE in the OBL
with Dr. Charles Nutting
In this episode of the BackTable Podcast, host Dr. Michael Barraza interviews guest Dr. Charles Nutting about prostatic artery embolization (PAE) in the outpatient-based lab (OBL) setting. Dr. Nutting is an interventional radiologist at Endovascular Consultants in Lone Tree, Colorado. The doctors discuss procedure techniques, patient selection, follow-up care, and benefits of the OBL environment over the hospital.
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BackTable, LLC (Producer). (2024, February 13). Ep. 416 – PAE in the OBL [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Charles Nutting
Dr. Charles Nutting is a practicing interventional radiologist with RIA Endovascular in Denver, Colorado.
Dr. Michael Barraza
Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.
Synopsis
Dr. Nutting emphasizes that it is important to learn PAE in a hospital setting before transitioning to the OBL. He recommends using consistent equipment to help with the learning process. Dr. Nutting also shares his experience with radiopaque beads in PAE and describes the advantages of seeing the deposition of the beads into the gland. The doctors discuss the potential impact of the 2023 American Urological Association (AUA) Guidelines, which for the first time recognizes PAE for the treatment of symptomatic benign prostatic hyperplasia (BPH), and what this might mean for patient volume and interventional radiology training.
Timestamps
00:00 - Introduction
03:03 - Impact of New AUA Guidelines on PAE
04:48 - Benefits of PAE for Patients
06:37 - Role of Primary Care Physicians in PAE
08:18 - Practice of PAE in the OBL
19:08 - Role of Urodynamic Studies
22:23 - Challenges of Treating Small Glands
26:11 - Procedure Steps and Techniques
34:19 - Post-Procedure Care and Follow-up
38:33 - The Future of Prostate Embolization
Resources
Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (BPH): AUA Guideline Amendment 2023:
https://www.auanet.org/guidelines-and-quality/guidelines/benign-prostatic-hyperplasia-(bph)-guideline
Efficacy and safety of prostate artery embolization for benign prostatic hyperplasia: an observational study and propensity-matched comparison with transurethral resection of the prostate (the UK-ROPE study):
https://pubmed.ncbi.nlm.nih.gov/29645352/
NICE - Prostate artery embolisation for lower urinary tract symptoms caused by benign prostatic hyperplasia:
https://www.nice.org.uk/guidance/ipg611
Yttrium-90 Radioembolization in the Office-Based Lab:
https://pubmed.ncbi.nlm.nih.gov/32800662/
Role of Urodynamic Studies in Management of Benign Prostatic Obstruction: A Guide for Interventional Radiologists:
https://www.jvir.org/article/S1051-0443(16)30520-6/fulltext
International Prostate Symptom Score (IPSS):
https://www.urologygroup.com/wp-content/uploads/2019/07/IPSS-Form-Before-Tx-_-BPH.pdf
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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