Ep. 464 Minimizing Complications for Challenging Lung Biopsies with Dr. Venkatesh Krishnasamy

BackTable Vascular & Interventional

Dr. Venkatesh Krishnasamy shares techniques and specific cases for challenging lung biopsies, his insights on mentorship, importance of multidisciplinary tumor boards, and the evolution of lung biopsy practices. Dr. Krishnasamy is an interventional radiologist and Director of Interventional Oncology at the University of Alabama Birmingham.

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Merit Biopsy Solutions

https://www.merit.com/solutions/biopsy-solutions/

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SYNPOSIS

The doctors cover practical advice on handling complications like pneumothorax and hemoptysis, and share strategies for optimizing workflows to improve patient outcomes. Dr. Krishnasamy encourages listeners to leverage mentor experience and partake in continued learning to advance their practice.

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TIMESTAMPS

00:00 - Introduction

05:16 - Lung Biopsy Referrals and Multidisciplinary Approach

12:03 - Complex Lung Biopsies

25:43 - Needle Position Verification

27:29 - Importance of Cytopathologist Presence

28:51 - Blood Patching vs. Plug Technique

33:54 - Post-Procedure Protocols

36:15 - Advanced Techniques and Mentorship

44:26 - Handling Hemoptysis During Biopsies

47:50 - Encouragement for Trainees

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RESOURCES

Society of Interventional Oncology:

https://www.sio-central.org/

BackTable VI Podcast Episode #278 - Minimizing Complications for Lung Biopsies with Dr. Robert Suh:

https://www.backtable.com/shows/vi/podcasts/278/minimizing-complications-for-lung-biopsies

BackTable VI Podcast Episode #156 - Percutaneous Lung Biopsies: The Basics with Dr. Fred Lee (Part 1 of 2):

https://www.backtable.com/shows/vi/podcasts/156/percutaneous-lung-biopsies-the-basics

BackTable VI Podcast Episode #157 - Percutaneous Lung Biopsies: Pleural & Parenchymal Blood Patching with Dr. Fred Lee (Part 2 of 2):

https://www.backtable.com/shows/vi/podcasts/157/percutaneous-lung-biopsies-pleural-parenchymal-blood-patching