Ep. 512 The "Alzate Maneuver”: Flipping Retrograde Access with Dr. Gregg Alzate

BackTable Vascular & Interventional

Proximity to innovation often gives rise to further innovation. This trend is especially true in interventional radiology. Dr. Gregg Alzate (interventional radiologist in San Diego, California) joins host Dr. Ally Baheti to share his career pearls for early and mid-career IRs, and how he came to pioneer the Alzate Retrograde Antegrade Maneuver (A-RAM).

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This podcast is supported by:

Reflow Medical

https://www.reflowmedical.com/

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SYNPOSIS

Dr. Alzate starts by sharing his early influences, including his time with interventional radiology giant Dr. Harold Coons. The doctors also cover the importance of proper vessel access techniques, innovative approaches to limb salvage, and how to address complex chronic total occlusions (CTOs). Dr. Alzate then goes on to give us a thorough walkthrough of the A-RAM. The episode concludes with Dr. Alzate’s closing thoughts on being open to adopt new techniques, the impact of strong mentorship, and importance for consuming and sharing knowledge.

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TIMESTAMPS

00:00 - Introduction

03:05 - Dr. Alzate’s Journey

25:52 - A-RAM Technique

34:26 - CTO’s and Heavy Calcium

40:16 - Moral Injury in Medical Practice

43:35 - Honoring Dr. Harold Coons

46:23 - Closing Thoughts and Reflections

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RESOURCES

Ohki, Takao et al. “Long-term results of the Japanese multicenter Viabahn trial of heparin bonded endovascular stent grafts for long and complex lesions in the superficial femoral artery.” Journal of vascular surgery vol. 74,6 (2021): 1958-1967.e2.

https://www.jvascsurg.org/article/S0741-5214(21)01011-9/fulltext

Kedora, John et al. “Randomized comparison of percutaneous Viabahn stent grafts vs prosthetic femoral-popliteal bypass in the treatment of superficial femoral arterial occlusive disease.” Journal of vascular surgeryvol. 45,1 (2007): 10-6; discussion 16.

https://www.jvascsurg.org/article/S0741-5214(06)01612-0/fulltext