Ep. 586 Bronchial Artery Embolization: Techniques, Outcomes & Complications to Avoid with Dr. Alex Lam

BackTable Vascular & Interventional

A patient presents to the ER with hemoptysis. When is bronchial artery embolization (BAE) the right call, and what can you do to tip the odds of procedural success in your favor? In this episode of the BackTable Podcast, interventional radiologist Dr. Alexander Lam of UCSF shares his approach to bronchial artery embolization with host Dr. Ally Baheti.
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SYNPOSIS
The conversation covers why patients are referred for this procedure, the typical causes of bronchial artery hypertrophy, and Dr. Lam's preferred techniques for embolization, including the use of glue over traditional particles. Dr. Lam emphasizes the importance of multidisciplinary collaboration, detailed pre-procedure preparations, and recognizing potential complications.
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TIMESTAMPS
00:00 - Introduction
01:45 - Patient Evaluation
04:22 - Causes of Bronchial Hypertrophy
09:03 - Procedure Setup
10:35 - Catheter Selection and Techniques
13:35 - Embolic Choices and Techniques
19:39 - Understanding Different Types of Glue
22:48 - Continuous Push Technique
24:38 - Managing Complications and Success Rates
28:14 - Postoperative Instructions and Follow-Up
29:00 - Handling Difficult Bronchial Artery Selections
34:02 - Final Thoughts