Ep. 490 Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin

BackTable Vascular & Interventional

Get a second opinion on your uterine fibroid embolization (UFE) technique. Dr. Gary Siskin joins host Dr. Chris Beck for an in-depth discussion on his approach to uterine fibroid embolization, detailing techniques, tools, and embolic agents. Dr. Siskin is an experienced UFE practitioner, professor, and Chair of the Department of Radiology and Chief of the Division of Vascular & Interventional Radiology at Albany Med Health System in New York.

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This podcast is supported by:

Merit Embolotherapy

https://www.merit.com/solutions/embolotherapy/

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SYNPOSIS

Dr. Siskin shares his journey and evolution of his specialization in GYN-related interventional radiology procedures. The doctors cover various aspects of fibroid embolization, including its effectiveness compared to surgical options like myomectomy and hysterectomy, the referral and evaluation process, and considerations for fertility preservation. Pain management strategies and postoperative care are also explored, emphasizing the importance of patient education and interdisciplinary collaboration to promote less invasive treatments.

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TIMESTAMPS

00:00 - Introduction

04:45 - Building a Fibroid Practice

08:35 - Workup and Consultation

17:01 - Recurrence and Re-Embolization

20:27 - Pre-Procedural Workup and Technique

30:18 - Embolization Endpoint

36:07 - Accessing the Correct Uterine Artery

48:49 - Post-Procedure Patient Care

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RESOURCES

List of Publications by Dr. James B. Spies (PubMed):

https://pubmed.ncbi.nlm.nih.gov/?sort=jour&term=Spies+JB&cauthor_id=24436560