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Backtable Cardiology

Ep. 15 Evolving Approaches in PE Management with Dr. Sabah Butty

02 Dec 2025

Description

When there's something strange in your vasculature, who are you going to call? Clot busters! In this episode of the BackTable Podcast, interventional cardiologist Dr. Sameh Sayfo hosts interventional radiologist Dr. Sabah Butty from Indiana University to discuss contemporary interventional approaches to pulmonary embolism (PE). --- This podcast is supported by: Angiodynamicshttps://www.angiodynamics.com/ --- SYNPOSIS Dr. Butty shares his extensive experience in managing venous thromboembolism (VTE) and pulmonary embolism, highlighting the evolution of treatment strategies over the past 15 years. The discussion covers the shift from catheter-directed thrombolysis (CDT) to large bore mechanical thrombectomy, the importance of understanding the disease process, the efficiency and effectiveness of various devices–including the Alpha Vac–and the importance of achieving both short-term and long-term efficacy. Dr. Butty also shares insights on post-procedure management and follow-up protocols for PE patients. --- TIMESTAMPS 00:00 - Introduction02:53 - Development of AMI, Stroke and VTE Management07:52 - Device Selection04:25 - The Shift in Mechanical and Medicinal Therapies 13:23 - The Alpha Vac Device16:50 - Benefits of Using Alpha Vac Device20:26 - Considerations for Blood Loss During Procedure 24:30 - End of Case Criteria for Thrombectomy28:24 - Post Procedure Follow-Up --- RESOURCES Dr. Sameh Sayfo Provider Profilehttps://www.bswhealth.com/physician/sameh-sayfo Dr. Sabah Butty Provider Profile https://iuhealth.org/find-providers/provider/sabah-d-butty-md-5216 Prospective Multicenter IDE Study of the Next-Generation Precision Aspiration Thrombectomy System for Intermediate-Risk Pulmonary Embolism: The SYMPHONY-PE Trialhttps://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.125.015815

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