
Ep. 545 Outpatient PAE- Tips and Tricks from a High Volume Operator with Dr. Stephen "Andy" Vartanian
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May 20, 2025 Dr. Stephen 'Andy' Vartanian, an expert interventional radiologist and medical director at PrecisionIR, shares his in-depth knowledge of outpatient prostate artery embolization (PAE). He discusses essential techniques, patient management, and the importance of collaboration with urologists. Vartanian also dives into the challenges of running an independent practice, including financial strategies and patient acquisition. Highlights include insights on uterine fibroid embolization and maintaining care quality in an evolving healthcare landscape.
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Embolic Particle Choice
- Use 100-300 micron embolic particles for PAE for optimal clinical results.
- Avoid larger particles like 300-500 micron as smaller ones may offer better symptomatic improvement.
Closure and Observation After PAE
- Use closure devices such as the Angio-Seal after femoral access for PAE.
- Monitor patients for about an hour post-procedure before discharge to ensure safety.
Medications After PAE
- Prescribe steroids, NSAIDs, and antibiotics post-PAE to ease recovery.
- Add Pyridium for urinary symptom relief following the procedure.
