Miguel Montero-Baker's guest appearances

Miguel Montero-Baker

BackTable Vascular & Interventional

OwlTail

Mary Costantino

In this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Mary Costantino (interventional radiologist) and Dr. Miguel Montero-Baker (vascular surgeon) about their perspectives on an ultrasound-first approach to diagnosing and planning treatment for critical limb-threatening ischemia (CLTI).---CHECK OUT OUR SPONSORSReflow Medicalhttps://www.reflowmedical.com/Boston Scientific Drug Elutionhttps://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_portfolio_1_2023&amp;cid=n10012334---SHOW NOTESTo begin, each doctor shares how ultrasound fits into their practice philosophy. Dr. Costantino is the sole practitioner in her outpatient-based catheterization lab, and she finds that ultrasound provides an opportunity for her to connect with patients and communicate their diagnoses and options in a straightforward manner. She also recognizes the value of investing in advanced ultrasound training for her vascular technologists and for herself, so the practice can function cohesively and focus on providing patient-centered care. On the other hand, Dr. Montero-Baker speaks about the utility of ultrasound in practices across the globe, particularly in resource-limited settings. Additionally, he describes the need for the longitudinal follow up needed to fight this chronic disease process, as well as the need to manage holistic aspects of CTLI such as proper nutrition, wound care, and orthotics. He is currently building a clinical center that will provide these aspects.We take a moment to reflect on the power of social media as a unifying force for a like-minded “global tribe” of vascular specialists. All three guests can recall numerous instances in which they were inspired by another practitioner, or they were contacted and asked for advice by others. Dr. Costantino adds that social media has helped her realize that there is a strong need for collaboration between interventional radiologists and vascular surgeons, in order to generate treatment options and provide quality patient care. She speaks about the importance of learning from and trusting other specialties.To wrap up the episode, we examine how innovation in ultrasound technology has largely stagnated with the advent of other imaging modalities and opportunities to better incorporate ultrasound into CLTI care. Dr. Costantino encourages vascular specialists to seek out ultrasound training and let patient symptoms and quality of life guide treatment decisions. Dr. Montero-Baker believes that change is required on the systemic level and he advocates for a move towards value-based care.---RESOURCESEp. 90- Pedal Acceleration Time for Limb Salvage:https://www.backtable.com/shows/vi/podcasts/90/pedal-acceleration-time-for-limb-salvageEp. 229- Ultrasound Series: First Line Imaging for CLTI:https://www.backtable.com/shows/vi/podcasts/229/ultrasound-series-first-line-imaging-for-cltiEp. 241- Emerging Techniques of Advanced Ultrasound in No Option CLTI Patients:https://www.backtable.com/shows/vi/podcasts/241/emerging-techniques-of-advanced-ultrasound-in-no-options-clti-patientsEp. 155- The Butterfly Story:https://www.backtable.com/shows/vi/podcasts/155/the-butterfly-storyAdvanced Vascular Centers:https://advancedvascularcenters.com/Jill Sommerset Twitter:https://twitter.com/JillSommersetMary Costantino Twitter:https://twitter.com/drcostantino1Miguel Montero-Baker Twitter:https://twitter.com/monteromiguelSociety for Vascular Ultrasound (SVU):https://www.svu.org/American Vein and Lymphatic Society (ALVS):https://www.myavls.org/

In this episode, guest host and vascular technologist Jill Sommerset interviews Dr. Mary Costantino (interventional radiologist) and Dr. Miguel Montero-Baker (vascular surgeon) about their perspectives on an ultrasound-first approach to diagnosing and planning treatment for critical limb-threatening ischemia (CLTI). --- CHECK OUT OUR SPONSORS Reflow Medical<a href="https://www.reflowmedical.com/" rel="nofollow" target="_blank">https://www.reflowmedical.com/</a> Boston Scientific Drug Elution<a href="https://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_portfolio_1_2023&amp;cid=n10012334" rel="nofollow" target="_blank">https://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_portfolio_1_2023&amp;cid=n10012334</a> --- SHOW NOTES To begin, each doctor shares how ultrasound fits into their practice philosophy. Dr. Costantino is the sole practitioner in her outpatient-based catheterization lab, and she finds that ultrasound provides an opportunity for her to connect with patients and communicate their diagnoses and options in a straightforward manner. She also recognizes the value of investing in advanced ultrasound training for her vascular technologists and for herself, so the practice can function cohesively and focus on providing patient-centered care. On the other hand, Dr. Montero-Baker speaks about the utility of ultrasound in practices across the globe, particularly in resource-limited settings. Additionally, he describes the need for the longitudinal follow up needed to fight this chronic disease process, as well as the need to manage holistic aspects of CTLI such as proper nutrition, wound care, and orthotics. He is currently building a clinical center that will provide these aspects. We take a moment to reflect on the power of social media as a unifying force for a like-minded “global tribe” of vascular specialists. All three guests can recall numerous instances in which they were inspired by another practitioner, or they were contacted and asked for advice by others. Dr. Costantino adds that social media has helped her realize that there is a strong need for collaboration between interventional radiologists and vascular surgeons, in order to generate treatment options and provide quality patient care. She speaks about the importance of learning from and trusting other specialties. To wrap up the episode, we examine how innovation in ultrasound technology has largely stagnated with the advent of other imaging modalities and opportunities to better incorporate ultrasound into CLTI care. Dr. Costantino encourages vascular specialists to seek out ultrasound training and let patient symptoms and quality of life guide treatment decisions. Dr. Montero-Baker believes that change is required on the systemic level and he advocates for a move towards value-based care. --- RESOURCES Ep. 90- Pedal Acceleration Time for Limb Salvage:<a href="https://www.backtable.com/shows/vi/podcasts/90/pedal-acceleration-time-for-limb-salvage" rel="nofollow" target="_blank">https://www.backtable.com/shows/vi/podcasts/90/pedal-acceleration-time-for-limb-salvage</a> Ep. 229- Ultrasound Series: First Line Imaging for CLTI:<a href="https://www.backtable.com/shows/vi/podcasts/229/ultrasound-series-first-line-imaging-for-clti" rel="nofollow" target="_blank">https://www.backtable.com/shows/vi/podcasts/229/ultrasound-series-first-line-imaging-for-clti</a> Ep. 241- Emerging Techniques of Advanced Ultrasound in No Option CLTI Patients:<a href="https://www.backtable.com/shows/vi/podcasts/241/emerging-techniques-of-advanced-ultrasound-in-no-options-clti-patients" rel="nofollow" target="_blank">https://www.backtable.com/shows/vi/podcasts/241/emerging-techniques-of-advanced-ultrasound-in-no-options-clti-patients</a> Ep. 155- The Butterfly Story:<a href="https://www.backtable.com/shows/vi/podcasts/155/the-butterfly-story" rel="nofollow" target="_blank">https://www.backtable.com/shows/vi/podcasts/155/the-butterfly-story</a> Advanced Vascular Centers:<a href="https://advancedvascularcenters.com/" rel="nofollow" target="_blank">https://advancedvascularcenters.com/</a> Jill Sommerset Twitter:<a href="https://twitter.com/JillSommerset" rel="nofollow" target="_blank">https://twitter.com/JillSommerset</a> Mary Costantino Twitter:<a href="https://twitter.com/drcostantino1" rel="nofollow" target="_blank">https://twitter.com/drcostantino1</a> Miguel Montero-Baker Twitter:<a href="https://twitter.com/monteromiguel" rel="nofollow" target="_blank">https://twitter.com/monteromiguel</a> Society for Vascular Ultrasound (SVU):<a href="https://www.svu.org/" rel="nofollow" target="_blank">https://www.svu.org/</a> American Vein and Lymphatic Society (ALVS):<a href="https://www.myavls.org/" rel="nofollow" target="_blank">https://www.myavls.org/</a>

Ep. 294 How to Implement Advanced Vascular Ultrasound Techniques in Your Practice with Dr. Mary Costantino and Dr. Miguel Montero-Baker

In this episode, guest host Jill Sommerset interviews vascular surgeon Dr. Miguel Montero-Baker about his evolving use of ultrasound throughout his career in caring for critical limb-threatening ischemia (CLTI) patients.---CHECK OUT OUR SPONSORBoston Scientific Eluvia Drug-Eluting Stenthttps://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies/eluvia/eluvia-clinical-trials.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_...---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/BK45bf---SHOW NOTESDr. Montero-Baker starts by outlining his journey from training in Costa Rica, Germany, and Arizona, to building a multidisciplinary limb salvage center at Methodist Houston. Despite his geographic relocations, he is still very involved in endovascular education in Latin America through HENDOLAT, an online community and annual conference.Next, we delve into the uses for ultrasound during the workup stages for CLTI. Dr. Montero-Baker highlights the information that ultrasound can provide: locating the region and extent of disease, pursuing an open versus endovascular treatment approach, and the tools you will need. He points out that a lot of institutions currently only rely on pulse volume recording (PVR), ankle brachial index (ABI), and toe brachial index (TBI), and do not have access to a robust vascular lab for full ultrasounds. Dr. Montero-Baker discusses some hurdles preventing the widespread implementation of ultrasound, such as additional cost and variability in operators.However, he believes that ultrasound can be a phenomenal tool if practices can invest the time to train vascular technologists and implement its use. We frame the ultrasound conversation around incentives for each party: the technologist can achieve higher job satisfaction and further subspecialize, the treating physician can have a better understanding of each patient’s disease and management, and the institution can minimize extended stays and readmissions. Additionally, ultrasound is very useful when institutions are facing the global contrast shortage or treating patients with renal disease.Finally, we look at the pathophysiology of diabetic and chronic renal failure patients who have extreme below the knee and below the ankle disease. These patients with medial artery calcification patterns have very few treatment options and high limb loss rates. Dr. Montero-Baker describes a new method of pedal venous access for deep vein arterialization.---RESOURCESBackTable en Espanol- Enfermedad Arterial Periférica y Salvamento de Extremidades en la Comunidad Latino Americana:https://www.backtable.com/shows/vi/podcasts/%20v/enfermedad-arterial-periferica-y-salvamento-de-extremidades-en-la-comunidad-latino-americanaDr. Miguel Montero-Baker’s Twitter:https://twitter.com/monteromiguelHENDOLAT:https://hendolat.com/Society for Vascular Ultrasound:

In this episode, guest host Jill Sommerset interviews vascular surgeon Dr. Miguel Montero-Baker about his evolving use of ultrasound throughout his career in caring for critical limb-threatening ischemia (CLTI) patients. --- CHECK OUT OUR SPONSOR Boston Scientific Eluvia Drug-Eluting Stent<a href="https://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies/eluvia/eluvia-clinical-trials.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_eluvia_1&amp;cid=n10008043" rel="nofollow" target="_blank">https://www.bostonscientific.com/en-US/medical-specialties/vascular-surgery/drug-eluting-therapies/eluvia/eluvia-clinical-trials.html?utm_source=oth_site&amp;utm_medium=native&amp;utm_campaign=pi-at-us-de_portfolio-hci&amp;utm_content=n-backtable-n-backtable_site_...</a> --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: <a href="https://earnc.me/BK45bf" rel="nofollow" target="_blank">https://earnc.me/BK45bf</a> --- SHOW NOTES Dr. Montero-Baker starts by outlining his journey from training in Costa Rica, Germany, and Arizona, to building a multidisciplinary limb salvage center at Methodist Houston. Despite his geographic relocations, he is still very involved in endovascular education in Latin America through HENDOLAT, an online community and annual conference. Next, we delve into the uses for ultrasound during the workup stages for CLTI. Dr. Montero-Baker highlights the information that ultrasound can provide: locating the region and extent of disease, pursuing an open versus endovascular treatment approach, and the tools you will need. He points out that a lot of institutions currently only rely on pulse volume recording (PVR), ankle brachial index (ABI), and toe brachial index (TBI), and do not have access to a robust vascular lab for full ultrasounds. Dr. Montero-Baker discusses some hurdles preventing the widespread implementation of ultrasound, such as additional cost and variability in operators. However, he believes that ultrasound can be a phenomenal tool if practices can invest the time to train vascular technologists and implement its use. We frame the ultrasound conversation around incentives for each party: the technologist can achieve higher job satisfaction and further subspecialize, the treating physician can have a better understanding of each patient’s disease and management, and the institution can minimize extended stays and readmissions. Additionally, ultrasound is very useful when institutions are facing the global contrast shortage or treating patients with renal disease. Finally, we look at the pathophysiology of diabetic and chronic renal failure patients who have extreme below the knee and below the ankle disease. These patients with medial artery calcification patterns have very few treatment options and high limb loss rates. Dr. Montero-Baker describes a new method of pedal venous access for deep vein arterialization. --- RESOURCES BackTable en Espanol- Enfermedad Arterial Periférica y Salvamento de Extremidades en la Comunidad Latino Americana:<a href="https://www.backtable.com/shows/vi/podcasts/%20v/enfermedad-arterial-periferica-y-salvamento-de-extremidades-en-la-comunidad-latino-americana" rel="nofollow" target="_blank">https://www.backtable.com/shows/vi/podcasts/%20v/enfermedad-arterial-periferica-y-salvamento-de-extremidades-en-la-comunidad-latino-americana</a> Dr. Miguel Montero-Baker’s Twitter:<a href="https://twitter.com/monteromiguel" rel="nofollow" target="_blank">https://twitter.com/monteromiguel</a> HENDOLAT:<a href="https://hendolat.com/" rel="nofollow" target="_blank">https://hendolat.com/</a> Society for Vascular Ultrasound:

Ep. 241 Emerging Techniques of Advanced Ultrasound in No Options CLTI Patients with Dr. Miguel Montero-Baker

En este episodio de BackTable Español, Dra. Gina Landinez entrevista a Dr. Miguel Montero-Baker sobre la enfermidad arterial periférica y salvamento de extremidades en la comunidad latinoamericana.In this episode of BackTable Español, Dr. Gina Landinez interviews Dr. Miguel Montero about peripheral arterial disease and limb salvage in the Latin American community.---EARN CMEReflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/nKsjxN---SHOW NOTESLos dos doctores discuten el camino de Dr. Montero-Baker a convirtirse en un Cirujano vascular enfocado en el salvamento de extremidades, su experiencia de construir un centro de preservación, y diferencias culturales entre los pacientes latinoamericanos y estadounidenses. Además Dr. Montero-Baker comparte sus consejos sobre sus técnicas, su equipo preferido, y como superó los retos institucionales para empezar un programa del salvamento extremidad. Finalmente, él enfatiza la importancia de la prevención y la educación del paciente sobre la enfermedad arterial periférica.The two doctors discuss Dr. Montero's path to becoming an interventional radiologist focused on limb salvage, his experience building a preservation center, and cultural differences between Latin American and US patients. Additionally, Dr. Montero shares his advice on his techniques, his preferred equipment, and how he overcame institutional challenges to start a limb salvage program. Finally, he emphasizes the importance of prevention and patient education about peripheral arterial disease.

En este episodio de BackTable Español, Dra. Gina Landinez entrevista a Dr. Miguel Montero-Baker sobre la enfermidad arterial periférica y salvamento de extremidades en la comunidad latinoamericana. In this episode of BackTable Español, Dr. Gina Landinez interviews Dr. Miguel Montero about peripheral arterial disease and limb salvage in the Latin American community. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: <a href="https://earnc.me/nKsjxN" rel="nofollow" target="_blank">https://earnc.me/nKsjxN</a> --- SHOW NOTES Los dos doctores discuten el camino de Dr. Montero-Baker a convirtirse en un Cirujano vascular enfocado en el salvamento de extremidades, su experiencia de construir un centro de preservación, y diferencias culturales entre los pacientes latinoamericanos y estadounidenses. Además Dr. Montero-Baker comparte sus consejos sobre sus técnicas, su equipo preferido, y como superó los retos institucionales para empezar un programa del salvamento extremidad. Finalmente, él enfatiza la importancia de la prevención y la educación del paciente sobre la enfermedad arterial periférica. The two doctors discuss Dr. Montero's path to becoming an interventional radiologist focused on limb salvage, his experience building a preservation center, and cultural differences between Latin American and US patients. Additionally, Dr. Montero shares his advice on his techniques, his preferred equipment, and how he overcame institutional challenges to start a limb salvage program. Finally, he emphasizes the importance of prevention and patient education about peripheral arterial disease.