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Is microwave ablation only for simple liver tumors, or can it be a versatile ‘Swiss Army knife’ for a wide range of complex cases? In this episode, Dr. Driss Raissi of the University of Kentucky returns to BackTable to join host Dr. Chris Beck for a deep dive into advanced and unconventional microwave ablation techniques. They cover strategies for tackling a wide range of cases, from desmoid tumors to enterocutaneous fistulas. --- This podcast is supported by: Medtronic Emprint https://www.medtronic.com/emprint --- SYNPOSIS Dr. Raissi shares his ‘pre-burn’ technique that desiccates tissue and reduces complications like capsular burst and bleeding. He elaborates on his method for tackling large liver tumors with a single probe through overlapping ablations, needle placement techniques and his ‘lung seal technique’ to prevent pneumothorax. Dr. Raissi also shares how his previous experience in the ICU promotes close communication with anesthesiologists and how he ups his ablation game through collaboration, optimizing conditions for safe and effective ablation. The episode explores a series of unique, real-world applications beyond the usual scope of IRs. Dr. Raissi walks us through his novel approach to challenging cases, including cauterization of enterocutaneous fistulas, endometriomas and desmoid tumors. He also compares using microwave or cryoablation for renal cell carcinoma, explaining thought processes based on lesion location and the need for speed and simplicity. The discussion provides an overview of ablation physics and careful techniques that expand treatment possibilities for IR patients. --- TIMESTAMPS 00:00 - Introduction 04:08 - Advanced Techniques for Liver Tumor Ablation 06:06 - Pre-Burning Ablation and Ablating a Range of Lesions 16:38 - Lung Ablation 22:00 - Partnering with Anesthesia 28:53 - Managing Postoperative Pain and Nerve Injuries 29:42 - Treating Enterocutaneous Fistulas, Endometriomas & Desmoid Tumors 38:49 - Adrenal Gland Ablation: A Case Study 44:50 - Microwave vs. Cryoablation for Renal Cell Carcinoma 49:06 - Preventing Pneumothorax in Lung Ablation --- The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Get notified when new episodes drop! Subscribe to the BackTable Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular vascular and interventional updates. ► https://www.backtable.com/shows/vi/su... #VI577 #livercancer #hepatocellularcarcinoma #oncology