Podcasts about arteries

Do the benefits really outweigh the risks when it comes to the use of thrombolytic drugs for central retinal artery occlusion (CRAO)? Drs. Amanda Henderson and Michael Carper weigh in on the recently published Tenecteplase in Central Retinal Artery Occlusion Study (TenCRAOS) and how ophthalmologists should proceed in their management of CRAO with tenecteplase (TNK) or another tissue plasminogen activator (tPA). For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Heart disease often develops silently for decades before symptoms ever appear, which is why early detection can be one of the most powerful tools for protecting long-term health and longevity.     On today's show, I break down the Coronary Artery Calcium (CAC) Score, also known as the Agatston Score, and why it may be one of the most important cardiovascular screening tools for adults over 40.     We'll explore what this scan measures, how the scoring system works, and what different score ranges may reveal about your future heart disease risk.     I'll also explain the limitations of the test, why plaque buildup can begin long before symptoms arise, and how lifestyle, inflammation, blood sugar balance, and other health markers all play a role in cardiovascular health.     Most importantly, you'll learn why prevention and early awareness matter so much, and how foundational health habits may help support long-term heart health and healthy aging.     So join me on today's Cabral Concept 3772 as we take a closer look at the CAC Score and what it may reveal about your cardiovascular health and longevity.   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3772 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

What does it take to go from helping millions of people breathe easier to helping patients keep their legs?   Join The Heart of Innovation as Kym McNicholas talks with Sarvajna Dwivedi, Ph.D., entrepreneur, inventor, and CEO of AngioSafe, whose career has spanned some of the most challenging problems in medicine.   Sarvajna co-founded Pearl Therapeutics, a company focused on breakthrough respiratory therapies that was ultimately acquired by AstraZeneca for $1.15 billion. Along the way, he helped develop inhaled therapies and drug-device combinations designed to improve the lives of patients with asthma and COPD. (AngioSafe United States)   Today, his focus has shifted from the lungs to the arteries.   As CEO and co-founder of AngioSafe, Sarvajna is leading the development of the Santreva-ATK Endovascular Revascularization Catheter, a novel device designed to restore blood flow through some of the most challenging chronic total occlusions (CTOs) physicians encounter in patients with peripheral artery disease (PAD). The technology is designed to cross completely blocked arteries, compress plaque, create a new channel, and restore blood flow without relying on a guidewire or external power source. (Medical Economics)   In this episode, we discuss:   • How a pharmaceutical scientist became a medical device innovator   • The story behind Pearl Therapeutics and its $1.15 billion acquisition   • Why chronic total occlusions remain one of the biggest challenges in PAD treatment   • How AngioSafe's Santreva-ATK technology works   • What it means to restore blood flow through arteries that are 100% blocked   • The future of cardiovascular and vascular innovation   If you or someone you love has peripheral artery disease, diabetes, leg pain while walking, non-healing wounds, or has been told an artery is completely blocked, this is a conversation you won't want to miss.  

In this episode, Dr. Jockers dives into the #1 thing silently destroying your arteries and increasing your risk of heart attacks. You'll learn how high blood sugar and insulin resistance trigger inflammation, plaque buildup, and oxidative stress, setting the stage for long-term cardiovascular problems.   We explore the ripple effect of poor blood sugar control, from kidney damage and neuropathy to optic neuritis and fatty liver. I share actionable insights on how your daily meals, insulin levels, and lifestyle choices play a huge role in protecting your heart.   You'll also discover practical strategies to stabilize blood sugar naturally—covering nutrition, intermittent fasting, movement, strength training, and even breathing techniques. These simple yet powerful habits can help your arteries recover and reduce the risk of heart disease.   In This Episode:  00:00 Diabetes Artery Damage 00:28 Podcast Intro And Support 03:42 Glycation And AGEs Explained 06:05 Insulin Resistance Cascade 06:57 Diet To Lower Sugar 10:45 Intermittent Fasting Strategy 11:54 Exercise And Muscle Benefits 12:49 Sleep And Nasal Breathing 14:06 Sun Cold Sauna Hacks 15:46 Wrap Up And Next Steps   If you want to burn belly fat…boost your energy levels…balance blood sugar…or relieve swelling in your legs or feet… Then you need to check out PureHealth Research immediately.   This company makes some amazing health-boosting supplements that are manufactured right here in America. They only use natural, non-GMO ingredients that are backed by the latest science and proven to work.   And right now, you can save 35% on all of their products with this special subscriber-only offer. Just use your exclusive coupon code JOCKERS at checkout.   Most cleaning products are loaded with harsh chemicals that can irritate skin, disrupt hormones, and more. Branch Basics makes safe cleaning simple with plant- and mineral-based, fragrance-free products that are human safe and Made Safe certified. Now available at Target and target.com, their surface cleaners, stain remover, laundry detergent, and dishwasher tablets are effective, affordable (under $5), and convenient. Grab the Premium Starter Kit at branchbasics.com and get 15% off with code DRJOCKERS   "High blood sugar doesn't just raise a number on a lab test—it slowly destroys the arteries that keep you alive."  ~ Dr. Jockers     Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean TuneIn Radio     Resources: Visit https://www.purehealthresearch.com/ - Use code DRJOCKERS for 35% Grab the Premium Starter Kit at branchbasics.com and get 15% off with code DRJOCKERS   Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https://www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/ If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/ 

Microplastics and Stroke Risk: What a Landmark 2024 Study Found Inside Human Arteries In 2024, a team of Italian researchers published a study in the New England Journal of Medicine that stopped the cardiovascular science community in its tracks. They found microplastics, tiny synthetic fragments embedded inside the carotid artery plaque of more than half the patients they examined. And the patients who had them faced more than four and a half times the risk of a serious cardiovascular event compared to those who didn’t. This isn’t a distant, theoretical risk. These are living people who had already been identified as having carotid artery disease, and plastics were found inside their arterial walls. For stroke survivors and those at elevated risk of stroke, this study raises important questions that the medical system has not yet caught up with. What the Research Found The study by Marfella et al., published in the New England Journal of Medicine (2024), enrolled 304 patients who were undergoing carotid endarterectomy, a surgical procedure to remove plaque from the carotid arteries. Researchers analysed the excised plaque for the presence of microplastics and nanoplastics. Their findings: 58% of patients had detectable levels of polyethylene, polyvinyl chloride (PVC), or polystyrene in their arterial plaque. This was not contamination from the surgical procedure; it was already there. Over a 34-month follow-up period, patients with microplastics in their plaque had a 4.53 times higher risk of a combined endpoint: non-fatal myocardial infarction, non-fatal stroke, or death from any cause. Inflammatory markers were significantly elevated in the microplastics-positive group. IL-18 and TNF-alpha proteins associated with systemic vascular inflammation were markedly higher in plaque samples that contained plastics. This suggests the mechanism is not simply physical obstruction, but an inflammatory cascade triggered by the presence of synthetic material in arterial tissue. What This Means for Stroke Survivors The carotid arteries are the primary conduits supplying oxygenated blood to the brain. Plaque accumulation in these vessels is one of the leading causes of ischaemic stroke, and carotid artery disease is a condition many stroke survivors are already living with. “The patients with microplastics in their plaque had a 4.53 times higher risk of stroke, heart attack, or death over the 34-month follow-up. That’s not a marginal finding. That’s a signal the research community needed to take seriously.” The NEJM study doesn’t yet tell us whether removing microplastic exposure after the fact reduces risk. It doesn’t confirm that healthy individuals with no existing carotid disease are accumulating plastics at the same rate. And it cannot tell us which plastic sources are most responsible because we’re exposed to microplastics through drinking water, food packaging, air, and a dozen other vectors simultaneously. But what it does tell us clearly and with high statistical significance is that microplastics in arterial plaque are associated with dramatically worse cardiovascular outcomes. What the Research Does Not Yet Tell Us Science at the frontier moves in one direction at a time. This study establishes association, not causation. It cannot yet answer: Whether people without existing carotid disease are accumulating microplastics at comparable rates. Whether reducing exposure actively reverses or slows plaque-associated risk. Which types of microplastics are most biologically harmful? Whether there will be a clinical screening tool for this in the near future. These are the questions the next generation of research will need to answer. In the meantime, it’s reasonable to act on what we do know. Practical Steps to Reduce Exposure No clinical screening currently exists for microplastics in arterial plaque. There is no blood test, no imaging, no biomarker that your GP can order today. What you can do is reduce your ongoing exposure, particularly through food and water contact with plastics. Evidence-informed steps worth discussing with your treating team: Use glass, stainless steel, or ceramic containers rather than plastic for food and drink storage. Avoid microwaving food in plastic containers; heat accelerates the leaching of plastic particles. Filter your drinking water; some filters (carbon block and reverse osmosis) reduce microplastic levels significantly. Reduce consumption of highly processed foods in plastic packaging. Bring this study to your vascular neurologist, cardiologist, or GP and ask whether it’s relevant to your personal risk profile. This is not a recommendation to take a supplement or start a treatment. It’s an invitation to have an informed conversation with the people responsible for your care using the best available evidence. If you found this useful, my book walks through the science of stroke recovery in the same evidence-first, no-hype way. Find it at recoveryafterstroke.com/book. Want to go deeper and support the channel? Join the community at patreon.com/recoveryafterstroke. The post Plastics in Your Arteries: The Stroke Risk Study You Must Know appeared first on Recovery After Stroke.

Heart disease often develops silently for decades before symptoms ever appear, which is why early detection can be one of the most powerful tools for protecting long-term health and longevity.     On today's show, I break down the Coronary Artery Calcium (CAC) Score, also known as the Agatston Score, and why it may be one of the most important cardiovascular screening tools for adults over 40.     We'll explore what this scan measures, how the scoring system works, and what different score ranges may reveal about your future heart disease risk.     I'll also explain the limitations of the test, why plaque buildup can begin long before symptoms arise, and how lifestyle, inflammation, blood sugar balance, and other health markers all play a role in cardiovascular health.     Most importantly, you'll learn why prevention and early awareness matter so much, and how foundational health habits may help support long-term heart health and healthy aging.     So join me on today's Cabral Concept 3772 as we take a closer look at the CAC Score and what it may reveal about your cardiovascular health and longevity.   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3772 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Ready for your personalized care plan? Call us Now: 859-721-1414 or visit http://www.prevmedcare.com/sp1 Get My 7- Step Heart Attack Prevention Protocol free ebook here: https://45413573.hs-sites.com/ebook Unlock Your Exclusive Discount Offer & Bonus eBook—Today!https://www.prevmedcare.com/glucose-manager

This episode breaks down genicular artery embolization (GAE) and why it's emerging as an effective, durable option for people living with osteoarthritic knee pain who want relief short of joint replacement. Dr. Scott Santeler, MD — CARLE interventional radiologist — explains the procedure, expected recovery, and outcomes. Learn how a minimally invasive knee procedure can reduce inflammation and improve function through targeted embolization, and who may be a good candidate. For more information and to connect with our providers, visit carle.org.  Learn more abouit Scott Santeler, MD 

Commentary by Dr. Jian'an Wang.

Dr. Casandra MacLeod discusses central retinal artery occlusions, recent trials, and those anticipated in the future.  Show citation:  Préterre C, Gaultier A, Obadia M, et al. Intravenous alteplase versus oral aspirin for acute central retinal artery occlusion within 4·5 h of severe vision loss (THEIA): a multicentre, double-dummy, patient-blinded and assessor-blinded, randomised, controlled, phase 3 trial. Lancet Neurol. 2025;24(11):909-919. doi:10.1016/S1474-4422(25)00308-4  Poli S, Grohmann C, Wenzel DA, et al. Early REperfusion therapy with intravenous alteplase for recovery of VISION in acute central retinal artery occlusion (REVISION): Study protocol of a phase III trial. Int J Stroke. 2024;19(7):823-829. doi:10.1177/17474930241248516  Ryan SJ, Jørstad ØK, Skjelland M, et al. A Randomized Trial of Tenecteplase in Acute Central Retinal Artery Occlusion. N Engl J Med. 2026;394(5):442-450. doi:10.1056/NEJMoa2508515 Show transcript:  Dr. Casandra MacLeod Hello, this is Casandra MacLeod, a neurology resident at Cleveland Clinic with today's Neurology Minute. Today we will be discussing central retinal artery occlusions, or CRAOs, and the recent trials that have come out and even those further on the horizon. The 2026 American Heart Association and American Stroke Association guidelines for the early management of patients with acute ischemic stroke were recently published and in them highlight the uncertainty around the treatment of acute CRAOs with intravenous thrombolysis, even when the patient presents within four and a half hours and is otherwise eligible. These guidelines come after two recent trials, which we will further discuss. The thrombolysis in patients with acute central retinal artery occlusion, or the THEIA trial, was published in the November issue of Lancet Neurology. This multicenter trial out of France randomized 70 patients with acute CRAOs presented within four and a half hours of time from last known well to either receive IV alteplase and oral placebo or IV placebo and oral aspirin. While safety measures showed no symptomatic hemorrhage event, although they did have one asymptomatic intracerebral hemorrhage occur, the primary outcomes, which included visual acuity improvement at one month, showed some evidence for a trend of improved acuity in the IV thrombolytic group at 66% compared to 48 in the aspirin group, it did not reach significant. And now more recently, the Tenecteplase in central retinal artery occlusion study, or TenCRAOs, was published in the January 2026 issue of The New England Journal of Medicine. TenCRAOs was a six European country multicenter trial that randomized 78 patients with CRAOs all presenting within four and a half hours of time from last known well to either receive IV Tenecteplase or aspirin, both with placebo-matching as in THEIA. The primary outcomes of TenCRAOs also included visual acuity at one month, but unfortunately this trial also did not show [inaudible 00:02:07]. They showed 20% in the IV TNK group compared to 24% in aspirin. And additionally, there was one fatal intracerebral hemorrhage in the TNK group that should be considered. Overall, the AHA and ASA guidelines state the usefulness of treatment with intravenous thrombolysis is uncertain. And this is based largely on these studies as neither trial showed improved visual recovery. Although both of these trials are underpowered, leading many to believe that the jury is still out on the use of IV thrombolytics in CRAOs. But importantly, stay on the lookout for one last trial. The early reperfusion therapy with intravenous alteplase for recovery of vision and acute central retinal artery occlusion, or the Revision trial, is actively recruiting. Revision is similar in design as THEIA, but with a goal of up to 422 total patients for a goal of a well-powered study to guide decision making. 

Welcome back to the Audible Bleeding series: Landmark Papers in Vascular Surgery. In this episode, co-hosts John and Dr. Jesse Columbo are joined by our guest, Dr. Caitlin Hicks, to discuss one of the most studied—and most debated—topics in vascular surgery: asymptomatic carotid stenosis.   In this episode, we'll trace that evolution through three pivotal trials: ACAS and ACST-1, which established carotid endarterectomy as the standard of care; and the newly published CREST-2, which challenges us to reconsider everything we thought we knew. Along the way, we'll explore how advances in statin therapy, blood pressure control, and antiplatelet agents have fundamentally changed the natural history of this disease—and what that means for our patients today."   Links to Landmark Papers:  (ACAS) Endarterectomy for Asymptomatic Carotid Artery Stenosis   (ACST-1) 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis: a multicentre randomised trial    (CREST-2) Medical Management and Revascularization for Asymptomatic Carotid Stenosis    Guests: Dr. Caitlin Hicks, MD (@CaitlinWHicks); Associate Fellowship Program Director, Vascular Surgery & Endovascular Therapy at Johns Hopkins and Director of Research   Hosts: John Culhane, MD (@JohnCulhaneMD); General Surgery Resident, Abrazo Health Dr. Jesse Columbo, MD; Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth Follow us @audiblebleeding,   Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device. 

The Power of Rivers: Ecology, Culture, and Reimagining Nature with Robert MacFarlane This discussion was a dream come true! Have you ever wondered what rivers can teach us about life, culture, and sustainability? If so, you're not alone. In his captivating book Is a River Alive?, Robert MacFarlane explores the profound relationships between humans and rivers across the globe, revealing how these waterways are vital to ecological health, cultural identity, and future conservation efforts. This podcast delves into MacFarlane's insights, shared stories from his travels, and practical ways you can foster guardianship of our rivers. Whether you're a nature lover, a concerned citizen, or simply curious about the natural world, this journey into the heart of rivers will inspire you to see these vital waters in a new light. You'll also want to consider the ways rivers have been your guardian all along. Why Rivers Matter: The Ecological and Cultural Crisis MacFarlane's exploration begins in England, where the health of rivers has dramatically declined due to pollution, agricultural runoff, and climate change. Only 14% of English rivers are in good ecological health, a stark figure illustrating the severity of the crisis. MacFarlane compares this decline to Rachel Carson's opening scene in Silent Spring, where poison falls from the skies, harming wildlife and communities. Yet, the crisis in England isn't solely chemical; it's also cultural. Our disconnection from rivers has led to a loss of identity and stewardship.  MacFarlane's travels take him across four continents, revealing inspiring examples of rivers that are thriving and being reimagined as beings with rights. For instance, in Ecuador, the river Rio Los Cedros is protected by groundbreaking legal rights enshrined in the constitution. Similarly, in India's Tamil Nadu region, local activists combat drought and pollution, asserting their guardianship over their waterways. In North America, the Innu community in Canada's northeast has recognized river rights in regional declarations, illustrating a radical shift in environmental law.  The Rebirth of River Rights What makes these stories compelling is the idea that rivers are more than just resourceful water courses—they are living entities deserving legal protection. MacFarlane's journey shows that citizen guardianship can lead to tangible change, like the Ecuadorian court ruling that protected Los Cedros' forest and river ecosystem, forcing mining companies to leave within ten days. These acts of guardianship, rooted in love and respect, demonstrate how reimagining rivers as rights-bearing beings can foster ecological healing. Stories from the Water: Encounters with Place One of MacFarlane's gifts is his ability to connect readers with the people he meets on his journeys. From the mushroom girl Juliana, who hears fungi as a language, to the indigenous communities whose rivers are sacred, these stories highlight the importance of listening, naming, and understanding our environment. Recognizing the Sign Language of Nature MacFarlane discusses Juliana's remarkable ability to sense fungi before seeing them—an almost magical skill that speaks to a deeper, intuitive understanding of ecosystems. She perceives the fungi's "voices," not through scientific rigor alone but through felt intuition. It's a reminder that humans can develop a kind of water literacy, learning to listen to the signals of rivers and oceans. These encounters illustrate that a polyphonic world exists, filled with language and meaning beyond human speech, waiting for us to perceive if we only listen. The Gift of Naming and Connection Naming, MacFarlane suggests, is a powerful act. It's a way of establishing relationship and recognition with the environment. Ann Marie talks about her experience of discovering tiny beach seedlings in Virginia, which led to a panoramic "cathedral" of beeches. Her experience exemplifies how awareness and naming deepen our connection to place. This act of naming transforms our perception, shifting us from mere observers to guardians who recognize their role in the web of life. Environmental Loss and Hope Throughout his travels, MacFarlane reflects on the disappearance of many natural places and the cultural erosion accompanying environmental decline. Yet, he emphasizes hope rooted in grassroots guardianship and legal advances. Movements in Wales, for example, have led to formal protections for rivers like the Wye, demonstrating that small steps can have ripple effects across landscapes and communities. How You Can Be a River Guardian Inspired by these stories? MacFarlane offers practical ways to foster a guardianship mindset, emphasizing collective action, local involvement, and legal advocacy. Get Involved Locally Join your community's river guardianship group or conservation organization. Guardianship isn't just about big legal battles—it starts with everyday actions like cleaning up trash, reporting pollution, or advocating for river-friendly policies. Support local initiatives such as American Rivers or Riverkeeper groups that work to protect and restore waterways. Participate in or organize community clean-up events—these tactile acts foster a sense of ownership and responsibility. Advocate for Legal Rights MacFarlane highlights Ecuador's pioneering legal framework recognizing the rights of nature which is an inspiring model worldwide. Encourage your local or national governments to adopt similar laws that extend personhood and legal protections to rivers and ecosystems. Final Thoughts: Rivers as Life's Arteries and Guardians In Is a River Alive?, MacFarlane reminds us that rivers are more than water—they are vital to life, culture, and the planet's health. Reimagining rivers as beings with rights, listening to their signals, and taking guardianship seriously offers a path to ecological renewal and cultural resilience. As citizens, learners, and guardians, we each have a role in supporting these life-giving arteries. https://www.americanrivers.org/ https://www.rightsofrivers.org/ https://www.penguinrandomhouse.com/authors/35084/robert-macfarlane/

Eat this every single day to help prevent clogged arteries and support heart health. Focus on heart attack prevention by addressing the real cause of artery plaque buildup in the first place.

In this episode of the Pediatric and Developmental Pathology, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Peilin Zhang, a Pathologist at Sharp Memorial Hospital in San Diego, California. Hear how building a database of placental pathology information led to the identification of unexpected correlations, and the article in Pediatric and Developmental Pathology: Intervillous Thrombus Is Independently Associated With Placental Infarct and Single Umbilical Artery as well as Fetal Inflammatory Response: Implication of Fetal Vascular Flow in Pathogenesis   Featured public domain music: Summer Pride by Loyalty Freak

Three time Olympian and six time Dutch National XCO Champion, Anne Terpstra, shares her insights on racing in challenging conditions, her transition to a new team, and her thoughts on future bike technology and courses.

For decades, a tight carotid stenosis felt like a ticking time bomb — a plaque waiting to throw an embolus and cause the next stroke. We were taught that severe narrowing meant surgery, and trials like ACAS and ACST-1 seemed to prove it. But medicine has changed. Statins, antiplatelets, tighter blood pressure control, even PCSK9 and GLP-1 therapies have quietly slashed stroke risk, and now newer data from CREST-2 suggest that for many asymptomatic patients, the knife — or the stent — may not add much at all. So if modern medical therapy works better than ever… who actually benefits from intervention anymore? Today, we unpack the evidence, the controversies, and how to counsel the patient who feels perfectly fine but has high-grade stenosis.Hosts: Carolyn Judge, Andrew Huang, Luciano Delbono, Frank Davis, Robert BeaulieuInstitution: University of Michigan, Department of Surgery, Section of Vascular SurgeryLearning objectives: Describe how modern intensive medical therapy has transformed the natural history of asymptomatic carotid stenosis and explain why contemporary patients experience substantially lower annual stroke risk than those in earlier eras. Interpret and compare the results of landmark trials—including ACAS, ACST-1, and CREST-2—to assess the relative benefits of medical therapy, endarterectomy, and stenting. Apply current evidence and guideline recommendations to patient care by selecting which asymptomatic patients are most likely to benefit from carotid revascularization versus optimized medical therapy alone. References:SVS Guidelines:Brook, R. D., et al. (2022). Society for Vascular Surgery clinical practice guidelines for management of extracranial carotid artery disease. Journal of Vascular Surgery, 75(1), e1–e67. https://doi.org/10.1016/j.jvs.2021.09.031CREST (1)Brott, T. G., Hobson, R. W., Howard, G., et al. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. New England Journal of Medicine, 363(1), 11–23. https://doi.org/10.1056/NEJMoa0912321CREST-2Brott, T. G., Howard, G., Fong, P., et al. (2024). Randomized trial of carotid artery stenting or carotid endarterectomy vs best medical therapy for asymptomatic carotid stenosis: CREST-2 results. [Manuscript in preparation]. ClinicalTrials.gov Identifier: NCT02089217. Retrieved from https://clinicaltrials.gov/ct2/show/NCT02089217ACST-1Halliday, A., Mansfield, A., Marro, J., et al. (2004). Randomised trial of carotid artery surgery for asymptomatic stenosis. Lancet, 363(9420), 1491–1502. https://doi.org/10.1016/S0140-6736(04)16153-1ACST-2Halliday, A., Bulbulia, R., Bonati, L. H., et al. (2021). Carotid artery stenting versus carotid endarterectomy in patients with asymptomatic carotid stenosis (ACST-2): A randomised trial. Lancet, 398(10291), 1065–1073. https://doi.org/10.1016/S0140-6736(21)01980-1ACASExecutive Committee for the Asymptomatic Carotid Atherosclerosis Study. (1995). Endarterectomy for asymptomatic carotid stenosis. JAMA, 273(18), 1421–1428. https://doi.org/10.1001/jama.1995.03520420033036Sponsor URL: https://www.goremedical.com/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Eighty to ninety percent of global commerce moves by sea - including 75% of the world's oil and almost all liquefied natural gas (LNG). So when the Strait of Hormuz shuts down, the shockwaves reach every corner of the Indo-Pacific and beyond.In this episode, Ray Powell and Jim Carouso welcome back maritime historian Dr. Sal Mercogliano - Campbell University professor, former merchant mariner, and host of the popular YouTube channel What's Going on with Shipping? - to unpack the two-month-old crisis that has bottled up 800 ships inside the Persian Gulf and pushed the U.S. Navy to seize tankers thousands of miles away in the Indian Ocean.Sal lays out what he calls a “tale of two blockades”: Iran rerouting traffic into its own territorial waters, shaking down shipping companies for multimillion-dollar transit payments on an international waterway and seizing Mediterranean Shipping Company vessels, while the United States mounts a blockade from the Northern Arabian Sea, firing inert shells at the Iranian container ship Touska and boarding stateless tankers in the Indian Ocean under U.S. Department of Justice warrants.We dig into the Venezuela vessel seizure precedent, the UN Convention on the Law of the Sea (UNCLOS), the return of mine warfare, and why ship owners aren't budging even with insurance on offer. Sal explains how ship-to-ship transfers off East Johor, Malaysia launder sanctioned Iranian crude, and why that anchorage could be the next target of U.S. enforcement.He also walks through the pressure building inside Iran: storage tanks filling, old supertankers towed out of retirement at Kharg Island, and the looming prospect of permanently damaging Iran's aging low-pressure oil wells. We close on the ripple effects reaching Pakistan, India, Africa, and Southeast Asia - refineries shutting down, fertilizer supplies choked, and bunker fuel prices doubling - plus the quiet winner: Russia.Join us for a masterclass on why a regional war has become a global economic crisis and what the breakdown of freedom of the seas means for the Indo-Pacific.

How do you turn your patients' calcium scores into clear, personalized prevention plans? Credit available for this activity expires: 4/28/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/episode-two-cracking-code-coronary-artery-calcium-cac-2026a1000clt?ecd=bdc_podcast_libsyn_mscpedu

Animal foods and oils damage your gut and arteries, trigger TMAO, and fuel inflammation. Plants don't. #NoOilDiet #TMAO #ArteryHealth #HealthTalks

Researchers Investigate Additional Palatal Nerve and ArterySupply to the Maxillary TeethBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/researchers-investigate-additional-palatal-nerve-and-artery-supply-to-the-maxillary-teeth/Need CE? Start earning CE credits today at ⁠⁠https://rdh.tv/ce⁠⁠ Get daily dental hygiene articles at ⁠⁠https://www.todaysrdh.com⁠⁠ Follow Today's RDH on Facebook: ⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠Follow Kara RDH on Facebook: ⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠Follow Kara RDH on Instagram: ⁠⁠https://www.instagram.com/kara_rdh/⁠

Ready for your personalized care plan? Call us Now: 859-721-1414 or visit http://www.prevmedcare.com/sp1 Get My 7- Step Heart Attack Prevention Protocol free ebook here: https://45413573.hs-sites.com/ebook Unlock Your Exclusive Discount Offer & Bonus eBook—Today!https://www.prevmedcare.com/glucose-manager

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Coronary Sinus Reduction for REDUCER-I Patients With Refractory Angina and Angiographically Nonobstructive Coronary Artery Disease.

You've been doing what your doctor recommended. Why does your body still feel like it's working against your vision every day?The inflammation in your body, including your blood vessels, is fueling the low energy and lost productivity that keeps you from maximizing your revenue, reach, and Kingdom impact. Standard lab work does not capture the full picture, so your labs may have even come back normal while the damage quietly progresses. Once you see what is actually happening inside your blood vessels, you will never look at your food, your energy, or your capacity to fully execute on your calling the same way again.The science on reversing artery damage is older than most of the medications being prescribed to "manage" it. On this episode, we cover what animal-based foods do inside your blood vessels to drive inflammation at the root, and the enjoyable way to prevent and even reverse it.If you are sick and tired of being sick and tired, and ready to attack inflammation at the root so you can start fully living the life you were created to enjoy, press play now.Your calling is too important for your body to keep holding you back.Ready to love the meals that fully fuel your calling? Inside Accelerator, you'll master our proven 5-Step Framework to fast-track yourself to steady energy, clear focus, and maximum impact in your mission. Join the Waitlist - doors open soon. Not yet inside Peak Performance Network? Join today for the faith-filled support + simple WFPB strategies that power your body optimally.

This week's episode of the Business Brief podcast looks at Route 66 centennial celebrations in Missouri. Plus, the show checks on the state of regional startup funding.

Have you ever wondered why your energy just isn't there, even though you're doing everything the health ‘gurus' told you to do?A reliable health study followed 2,200 people for eight years and measured exactly what low-carb, animal-based diets do inside the blood vessels.Here is what those in the keto and paleo world seem to be ignoring: blood flow affects every single area of your body without exception, and when your arteries are calcifying and stiffening, the nutrients can't properly reach your cells, and the waste builds up. You can imagine how this affects every part of your body, not just your heart!You were called to change the world, not to be taken out by what is on your plate. Listen now. Ready to love the meals that fully fuel your calling? Inside Accelerator, you'll master our proven 5-Step Framework to fast-track yourself to steady energy, clear focus, and maximum impact in your mission. Join the Waitlist - doors open soon. Not yet inside Peak Performance Network? Join today for the faith-filled support + simple WFPB strategies that power your body optimally.

What role does prostate artery embolization (PAE) play in modern prostate cancer care? In this episode of BackTable Urology, Dr. Nainesh Parikh (Interventional Radiology at Moffitt Cancer Center) and Dr. Kosj Yamoah (Radiation Oncology at Moffitt Cancer Center) join Dr. Ruchika Talwar (Vanderbilt University) to discuss how PAE could become a key adjunct in optimizing radiation therapy outcomes. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction01:44 - Why Use PAE in Cancer04:08 - Neoadjuvant and Salvage Use07:26 - Radiation Planning Benefits12:51 - PAE vs. Surgery18:36 - SBRT Access20:48 - Current Evidence and Trials25:29 - Patient Selection32:18 - PAE After Radiation36:56 - When to Avoid PAE40:29 - Long-Term Implications44:28 - Conclusions --- More about this episode They review how PAE can improve lower urinary tract symptoms and reduce prostate volume, potentially optimizing patients for radiation therapy, including stereotactic body radiotherapy (SBRT) and brachytherapy. The discussion highlights early clinical data and patient selection considerations such as gland size and symptom burden. Finally, they examine post-radiation applications, technical challenges, and current limitations, emphasizing the need for larger, multicenter trials to better define PAE's role in prostate cancer treatment pathways. --- Resources Prostate Artery Embolization in the Setting of Prostate Cancer: Review and Opinionhttps://pmc.ncbi.nlm.nih.gov/articles/PMC11775958/

In this episode of the MyHeart.net podcast, Dr. Alain Bouchard is joined by Dr. Chris DeGroat, a cardiologist at Cardiology Specialists of Birmingham, to discuss all things peripheral artery disease.To learn more about new methods for combating peripheral artery disease, explore our article, The Next Frontier in Peripheral Artery Disease Treatment.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at UAB Medicine.Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

Evolocumab steps into primary prevention—quietly, convincingly. In JAMA, the VESALIUS-CV analysis shows that high-risk patients with diabetes without known atherosclerosis experienced a 31% relative reduction in first MACE (HR 0.69), with LDL-C lowered to ~52 mg/dL. The signal is clear: earlier, deeper lipid lowering matters. Yet questions remain—cost, long-term safety, and who benefits most. Are we ready to treat risk before disease declares itself?

Ready for your personalized care plan? Call us Now: 859-721-1414 or visit http://www.prevmedcare.com/sp1 Get My 7- Step Heart Attack Prevention Protocol free ebook here: https://45413573.hs-sites.com/ebook Unlock Your Exclusive Discount Offer & Bonus eBook—Today!https://www.prevmedcare.com/glucose-manager

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Use of Electrocardiograms to Identify Coronary Artery Disease: Cross-Validation of an Artificial Intelligence Model.

Dr Aaysha Cader, Social media editor for JACC Interventions discusses the paper, Intravascular Lithotripsy or Mechanical Debulking in Complex Calcified Coronary Arteries: Multicenter, Prospective ROLLING STONE Study, with its first author, Dr Enrico Cerrato.

Are leg arteries ever "too small to treat"?   Around the world, many patients with Peripheral Artery Disease (PAD), especially those with below-the-knee and small vessel disease, are told their arteries are "too small" or "too distal" for intervention.   In this episode of The Heart of Innovation, hosts Kym McNicholas and Dr. John Phillips interview Dr. Naoki Hayakawa, Chief and Director of Endovascular Therapy at Asahi General Hospital in Japan.Dr. Hayakawa is internationally recognized for tackling the most complex chronic total occlusions (CTOs), including small-caliber below-the-knee vessels that others may consider untreatable.  He has served as a live demonstration operator at major international meetings including JET, CCT Peripheral, Kokura Live, and Peripheral CTO Seminars, and has published extensively on:  • IVUS-guided wiring techniques  • Below-the-knee chronic total occlusions  • Drug-coated balloon therapy  • Transradial approaches for complex PAD  • Advanced re-entry and retrograde access techniques   His work challenges outdated assumptions about what is and isn't possible in limb salvage.In this conversation, Dr. Hayakawa sets the record straight on:  • What can truly be treated in small vessel PAD  • When vessels are actually too small  • The importance of imaging and IVUS guidance  • Why patients must seek experienced operators for complex disease  • What global standards of care should look like  If you or someone you love has been told "nothing more can be done," this episode is essential viewing.   - Concerned about leg circulation or told your vessels are too small?Call the Leg Saver Hotline: 1-833-PAD-LEGSBecause "too small to treat" should never be the final answer without expert evaluation.   Subscribe to The Heart of Innovation for global leaders in vascular innovation, limb salvage, and PAD care.  #PeripheralArteryDisease#PAD#LimbSalvage#BelowTheKnee#ChronicTotalOcclusion#EndovascularTherapy#IVUS#CriticalLimbIschemia

We discuss early studies of ophthalmic artery angioplasty in cases of advanced geographic atrophy with Dr. Philip Rosenfeld of the Bascom Palmer Eye Institute.

Shot Targets Clogged Arteries Blocked arteries are not the main cause of heart attacks. Unstable plaque driven by oxidation, inflammation, and high insulin is. In this episode, Ben explains the 5 key drivers of arterial damage: Oxidized LDL Endothelial inflammation Low nitric oxide High triglycerides Chronically elevated insulin He shares a simple 60-second vascular support shot designed to: Support nitric oxide Lower insulin spikes Reduce inflammation Protect LDL from oxidation Key ingredients include beetroot or lemon, apple cider vinegar, ginger or turmeric, and high polyphenol fresh pressed olive oil. Small daily habits shape long-term heart health. Precision over panic.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3308: Dr. Neal Malik explains why atherosclerosis can persist even with statins, diet, and lifestyle changes, highlighting the role of genetics, particularly elevated lipoprotein(a), in stubborn plaque buildup. His guidance emphasizes practical strategies like targeted fat choices, fiber intake, and realistic exercise plans to help reduce risk and prevent further progression. Quotes to ponder: "The trouble is, once this plaque, or atherosclerosis, sets in, it's not reversible through lifestyle alone." "It's estimated that about 1 in 5 Americans have high levels of lipoprotein-a." "Fiber is so helpful because it binds to cholesterol and helps the body get rid of it." Episode references: Omega-3 Fatty Acids – NIH Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/Omega3FattyAcids-Consumer/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3308: Dr. Neal Malik explains why atherosclerosis can persist even with statins, diet, and lifestyle changes, highlighting the role of genetics, particularly elevated lipoprotein(a), in stubborn plaque buildup. His guidance emphasizes practical strategies like targeted fat choices, fiber intake, and realistic exercise plans to help reduce risk and prevent further progression. Quotes to ponder: "The trouble is, once this plaque, or atherosclerosis, sets in, it's not reversible through lifestyle alone." "It's estimated that about 1 in 5 Americans have high levels of lipoprotein-a." "Fiber is so helpful because it binds to cholesterol and helps the body get rid of it." Episode references: Omega-3 Fatty Acids – NIH Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/Omega3FattyAcids-Consumer/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Can a single bolus change the fate of a devastating stroke?

In this episode of the Heart podcast, Digital Media Editor Professor James Rudd is joined by Dr Craig Balmforth from the University of Edinburgh. They discuss the rationale for identifying high-risk plaque, how imaging can help, and emerging therapies, including PCI. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper: https://heart.bmj.com/content/112/1/13.long

Drs Kaniksha Desai and Juan Camacho discuss thyroid artery embolization. This podcast is intended for healthcare professionals only. Kaniksha Desai, MD, Associate Professor of Medicine, Department of Endocrinology, Stanford School of Medicine, Palo Alto, California Juan C. Camacho, MD, Clinical Associate Professor, Vascular & Interventional Radiologist, Department of Clinical Sciences, Florida State University, Sarasota Memorial Hospital, Sarasota, Florida To read a transcript or to comment, visit https://www.medscape.com/index/list_15483_0

This week, we dive into groundbreaking new research that answers a vital question in chiropractic care: do cervical adjustments actually pose risks to the arteries? Addressing common concerns from both patients and practitioners, Dr. Jeff Langmaid explores a recent systematic review and meta-analysis studying the effects of mobilization and manipulation on cervical blood vessels—offering a fresh look at the real evidence behind the safety of neck adjustments.Research: The effects of mobilization and manipulation on mortality and structure, function and inflammatory markers in cervical blood vessels: a systematic review and meta-analysis of studies in healthy animals and animals with pre-existing vascular pathologySpecial Offers for Listeners: Learn more about Diabetes Reversal Group and become a licenseeSave $500 and Get a Free Cart- Learn more at Shockwave Center of America Today!Leander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableNovoPulse OA Recovery Program- learn more herePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

In this episode of The Heart of Innovation, cohosts Kym McNicholas and Dr. John Phillips feature multiple patients courageously sharing their lived experiences with Peripheral Artery Disease, including rare and often misunderstood cases that challenge what patients are told is "possible." Pamela's story highlights a critical gap in PAD care. After being told by a large hospital system that amputation was inevitable, she reached out to the Global PAD Association's Leg Saver Hotline. Through patient advocacy and care coordination, the underlying contributors to her disease were identified, including the role climate played in worsening her symptoms. Her decision to relocate to a warmer environment helped stabilize her condition and avoid limb loss, proving that earlier intervention and individualized care matter. Francine's journey offers another rare perspective. Diagnosed at just 48 despite being a runner, personal trainer, and fitness instructor, she was found to have a full occlusion in her left leg and intermittent blockages in her right. After undergoing a femoral-popliteal bypass, multiple stents, and angioplasty procedures, Francine transformed her lifestyle through the Dean Ornish program and a low-fat vegan diet. She has since completed four half marathons and continues teaching group fitness, yoga, and Reiki. Theresa's story exposes how often PAD is dismissed, even when the warning signs are clear. With a family history of PAD, Theresa recognized the symptoms early. At 46, she sought help after developing walking pain, only to be told repeatedly that it was a back problem and that she was "too young" to have PAD. A Doppler study was performed but interpreted as normal. For five years, as her symptoms worsened and her walking distance shrank to less than ten metres, she continued to advocate for herself before finally insisting on a vascular referral. Within minutes of meeting a vascular consultant, Theresa was diagnosed with severe PAD. Imaging revealed a 100 percent blockage in her right leg and 80 percent in her left. Angioplasty provided temporary relief, but restenosis occurred quickly. A second procedure resulted in arterial injury, requiring placement of a 30-centimetre stent in her right thigh. Despite ongoing pain, Theresa developed remarkable collateral circulation, so robust that it complicated intervention attempts. Today, she remains closely monitored by a responsive vascular specialist and manages her condition with vigilance, pacing, and rest. She also notes a meaningful improvement in walking pain after starting Wegovy, an observation she continues to discuss with her care team. Equally important, Theresa speaks candidly about the emotional toll of PAD. A special education teacher who loves to travel, she feared the disease would take away the life she loved, as it had for her father. After a period of isolation, she made a conscious decision that PAD would be part of her story, but not the author of it. She now works full time, travels when she can, adapts when needed, and lives by a powerful truth: she controls PAD, not the other way around. Together, these stories reinforce a message too many patients never hear in time: Leg pain, cramping, and difficulty walking are not normal aging. They are warnings.

Modern diets hide excessive phosphate additives in ultraprocessed foods, which are absorbed rapidly and efficiently, disrupting natural mineral balance and overwhelming organs far more severely than refined sugar Industrial phosphate additives enhance texture, flavor, and shelf life, increasing total intake by 40% or more compared to natural sources, leading to widespread hidden overconsumption Chronic phosphate overload hardens arteries, stresses kidneys, elevates blood pressure, and accelerates aging, even when blood tests appear normal or phosphate levels stay within conventional ranges Elevated phosphate triggers excess fibroblast growth factor-23 (FGF-23), harming the heart, hormones, and metabolism, while weakening bones and increasing fracture risk through calcium imbalance Avoiding ultraprocessed foods and choosing whole, natural ingredients lowers phosphate load, improves cardiovascular and kidney function, restores mineral balance, and promotes long-term health and vitality

Are balloon occlusion microcatheters your new best friend for prostate artery embolization (PAE)? In this episode of BackTable, Dr. Raj Ayyagari, interventional radiologist at Boston Medical Center, joins Dr. Ally Baheti to tackle complex clinical and technical challenges in PAE. --- This podcast is supported by an educational grant from Guerbert. --- SYNPOSIS Dr. Ayyagari shares his unique journey from urology to interventional radiology and his experience building successful PAE service lines at multiple institutions. He walks through a series of challenging cases involving intraprostatic penile arteries, perivesicular collaterals, and internal pudendal collaterals used to treat bilateral hemi-prostates. The discussion highlights the role of balloon occlusion microcatheters such as the Sniper, his transition from 100–300 micron particles to glue embolization, and scenarios where coil protection is essential to prevent nontarget embolization. He also covers post-procedural management, the importance of setting expectations around suprapubic tube removal, and why thorough patient and provider counseling is critical for optimal care. --- TIMESTAMPS 00:00 - Introduction 02:14 - Building a Practice in Prostate Artery Embolization08:19 - Case Studies and Techniques in Prostate Artery Embolization23:16 - Challenges in Embolization Techniques23:47 - Step-by-Step Guide to Embolizing a Hemi Prostate25:24 - Choosing the Right Beads for Embolization29:10 - Transitioning to Liquid Embolics35:38 - Setting Patient Expectations and Pre-Procedure Evaluation40:17 - Post-Procedure Care and Medications44:06 - Conclusion and Final Thoughts

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Tricia: Hi Dr Cabral - I'm writing in for my brother. He is a 73-year-old male who has been healthy his entire life. No major illnesses. I noticed a few years ago his head would slightly bob along with his hands. So slight that he doesn't notice. I think he could have a vitamin deficiency. Unfortunately, I can't get him to do any of your labs or detox, but I do have him on your DNS, veggie blend, renewal system, fish oil, eye, magnesium, and Vit d. Do you have any ideas what this might be? If I could get him to test, which test would you recommend? My grandmother did shake    Alicja: Hello Dr.Cabral, I hope you're having a great day. My question is about heart rate. I wear smart ring that detects high heart rate during periods of time when I seat a lot and the only activity would be: getting up occasionally from my desk to walk to kitchen or bathroom. I do 10k steps per day, every day and I exercise every other day for 30-50 min alternating between: hot yoga, pilates, jogging and resistance training. Most of my walking and exercising is done in the first half of the day. During walking or exercising my heart rate is pretty steady, not very high, usually below 120 (except for running) but often the highest heart rate of my day I get in the second half of the day when I don't do any physical activity. It doesn't make sense to me. Why would my heart rate jump to 135 when I don't exercise or do any big activity? I'm 42 and I have low blood pressure. (if that matters)   Tricia: Hi Dr. Cabral - Do you mind telling me if I'm taking all of your supplements below correctly? Honestly, I would love to work with an IHP but affording all the supplements is all I can do right now. I've been doing this since June of 2025. Upon waking - 2 proteolytic enzymes, 30 minutes later 3 of the sinus and immune support (only during cold season) and daily probiotic. Roughly 2 Hours later right before my morning DNS smoothie (am Metavolve, 2 eye vitamins, 2 cell boost, collagen & D3K2 drops in smoothie). With Lunch 2 hair vitamins and 3 inflamma soothe. Dinner (2 pm Metavolve, 2 fish oil) An hour before bed 2 Full Spectrum Magnesium. I started this protocol to help with lowering inflammation, joint stiffness and pain and it has been a game changer. I exercise daily and eat your Med diet recommendation and literally you gave me my life back so I thank you so very much. My health journey is still a work in progress, but I will get there! I just started Metavolve two months ago. I really like it. I haven't been able to give up all my berries and sweet potatoes but I'm going to try again Jan 1! P.S. I love your new book!   Scott: Hello Stephen, happy holidays!! I'm writing in about my mother. She's 69 years old with coronary artery disease. 2 years ago she had 2 separate procedures to remove considerable blockage. Then, this past September, she had it done again. All together 4 stints, 2 in her widow maker. She hasn't drank alcohol in 10 yrs and quit smoking for over 2 years, although her previous lifestyle was lacking in many areas which I'm sure built up to her CAD. There's heart issues within the extended family, but, I know its not just genetics. She has done EXCELLENT zeroing in on her diet after this last round of surgery and she has felt the inflammation in her body pretty much disappear. She still, once in awhile, gets winded, which I can understand her being weary to go too long on the upright bike. She has researched online and food seems really restricted like salt intake, sugar and even really healthy things like Xtra virgin olive oil, which says only 2 tablespoons a day....that seems odd. She's on a certain type blood thinner but her heart doctor gave the okay for omega 3's and was really happy when she read the ingredients on the DNS bottle. I have her on EquiLife supplements since the first surgery; Omega 3's, Vitamin C., Vitamin D3, DNS, B-Complex, Cal-Mag, Balanced Zinc, the new Pea Protein, and collagen from another company (but it's clean) As an IHP level 1 and starting level 2, I'm trying to help her the very best I can. I suggested lime w/ a pinch of sea salt for an electrolyte morning drink but she's too cautious of the salt intake. I'd love for her to try a 21 day detox, she doesn't think she can do all the fasting days except maybe the first 2 days. Even the 14 day detox would be good too, but, would these be too hard on her with her condition, especially when CAD patients are restricted from eating even the healthiest of foods like olive oil? The literature says CAD patients do not have a long time once they have that condition, but, I'm trying to my best to extend her years, she is our family's rock. Thanks for all you do Stephen, you are a mentor sir!!!   Sienna: Hi Dr. Cabral - it would be incredible to hear YOUR WHY behind formulating Daily Nutritional Support and the Dr. Cabral Detox, and how this came about? From listening to your podcasts these are strong foundations behind your brand and recommendations. Also, what would you list as the "12-supplements in one"? Thanks for all you do. Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3642 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

THE BATTLE FOR RAFAH AND THE FUTURE OF HAMAS Colleague Seth Frantzman. The discussion focuses on the strategic importance of Rafah and the Philadelphi Corridor along the Egyptian border, identified as the primary artery for Hamas's weapons smuggling. Frantzman argues that Israel must control this border to prevent Hamas from rearming, noting Egypt's failure to secure the area effectively. Regarding Hamas leadership, Frantzman speculates that Yahya Sinwar remains in Khan Yunis, refusing to leave his hometown. While Hamas's organized battalions have been significantly degraded, Frantzman warns that without a comprehensive political strategy, the group could transition back to an insurgency, similar to the Viet Cong. OCTOBER 7 WAR BY SETH FRANTZMAN NUMBER 41891 NAZARETH

Most men think ED is just a performance issue. It's not. It's one of the earliest warning signs of cardiovascular decline and it often appears years before chest pain, shortness of breath, or heart attack symptoms.Thank you to our sponsors! -EMR-Tek | https://www.emr-tek.com/DAVE and use code DAVE for 40% off.-GOT MOLD? | Go to http://gotmold.com/shop and use DAVE10 to save 10% and see what's in your air.Chapters00:00 - The “Legal Blue Pill” Myth & Hidden Danger00:57 - What ED Actually Is (Not the Commercial Version)01:45 - Circulation, Arteries & the Real Root Cause03:27 - The Problem with Relying on ED Pills05:03 - Treat ED as a Cardiovascular Symptom05:55 - Patterns That Reveal Vascular Decline07:10 - The ED–Heart Attack Countdown Window08:14 - How To Fix This Problem10:10 - Microdosing Cialis for Vascular Support10:45 - Aspirin as Another Option11:15 - Lifestyle Drivers of Vascular Damage & Solutions13:15 - Movement, Walking & Circulation Basics13:40 - The Mitochondria–Erection Connection15:00 - Recharging Mitochondria16:02 - Chronic Inflammation: The Silent Culprit17:17 - Smoking, Vaping, Obesity & Diabetes18:30 - How To Reduce InflammationResources: • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Connect with Dave Asprey!Website: https://daveasprey.comTikTok: https://www.tiktok.com/@daveaspreyofficialInstagram: https://www.instagram.com/dave.asprey/Facebook: https://www.facebook.com/Daveaspreyofficial/X: https://x.com/daveaspreyYouTube: https://www.youtube.com/c/daveaspreybprThe Human Upgrade Podcast: Instagram: https://www.instagram.com/TheHumanUpgradePodcast/ Facebook: https://m.facebook.com/Thehumanupgrade/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Vascular surgeon Xzabia Caliste discusses her article, "The silent disease causing 400 amputations daily." She shares the heartbreaking personal story of witnessing both her aunt and uncle lose their limbs to peripheral artery disease (PAD), a preventable condition that causes over 400 amputations every day in the U.S. Xzabia explains how PAD restricts blood flow and why symptoms like leg pain or non-healing wounds are often dangerously dismissed as simple aging. The discussion addresses the critical "confidence gap" in primary care, where eighty percent of providers feel unprepared to diagnose vascular disease, and highlights the urgent need for early screening for those with risk factors like diabetes and smoking. Learn how to recognize the subtle warning signs of vascular disease and advocate for the specialized care that can save your mobility and independence. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Join us as we review recent articles and news featured in The DIGEST #70, including PSA screening, acetaminophen and autism, COVID19 vaccines and cancer, and aspirin and anticoagulation in coronary artery disease. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), Rahul Ganatra (@rbganatra), Laura Glick (@lauraglick) and Matt Watto (@doctorwatto). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD MPH, Laura Glick MD, Paul Williams, MD, FACP, Adam Cifu MD, Matthew Watto MD, FACP Cover Art: Rahul Ganatra, MD MPH Reviewers: Rahul Ganatra MD MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP; Sai S Achi MD, MBA, FACP Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimer Prostate Cancer Screening Acetaminophen and Autism COVID19 vaccines and cancer risk Aspirin and anticoagulation in coronary artery disease Outro Sponsor: Aura Frames For a limited time, save on the perfect gift by visiting AuraFrames.com to get $35 off Aura's best-selling Carver Mat frames by using promo code CURB at checkout. Sponsor: DoxGPT by Doximity Visit doxgpt.com  and see how it can simplify your clinical workflow, from patient care to paperwork.  Sponsor: Continuing Education Company Use promo code Curb30 to get 30% off all online courses and webcasts—just for Curbsiders Listeners. Visit CMEmeeting.org/curbsiders to learn more. Sponsor: Freed Use code: CURB50 to get $50 off your first month when you subscribe!

0:00 Introduction: The best foods for heart health 0:20 What is heart-healthy food?1:49 10 best foods for the heart 4:43 Egg yolk for heart health10:22 Salt and a heart-healthy diet Mainstream media may have red-lined some of these foods, but they're actually the best foods you can eat for heart health!A heart-healthy diet is often characterized as being low in saturated fat, cholesterol, and sodium, and high in fiber. This isn't the best diet for heart health! For a healthy heart, prioritize nutrient-dense foods that contain the active form of vitamin A, heme iron, vitamin B12, omega-3 fatty acids, zinc, and high-quality complete protein.Here are the top 10 superfoods for your heart!1. Red meatI'm sure you're surprised to see this on the list! Grass-fed red meat contains high-quality amino acids that support the mitochondria in the heart. It's also a potent source of CoQ10, stearic acid, carnitine, carnosine, zinc, and vitamin B12. 2. Butter Grass-fed butter is very healthy for your heart! It's loaded with vitamin K2, which helps remove calcium from the arteries. It also contains butyrate, CLA, the active form of vitamin A, and stearic acid.3. Egg yolkEgg yolks are rich in choline, which helps prevent a fatty liver. Liver fat can spill over into the heart in the form of epicardial fat. Egg yolks also contain vitamin K2 and carotenoids. 4. CheeseRaw, aged cheese is rich in vitamin K2 and contains natural ACE inhibitors, which help support healthy blood pressure.5. Shellfish Oysters, mussels, and clams are excellent sources of omega-3 fatty acids and various trace minerals, including zinc, copper, iron, and magnesium.6. Organ meatsGrass-fed, grass-finished liver and other organ meats contain omega-3s, CoQ10, vitamin A, B12, and trace minerals like copper. You can also consume cod liver for the same benefits! 7. Fermented foodsFoods such as sauerkraut, kimchi, kefir, and natto are rich in vitamin K2. Natto contains nattokinase, which helps support healthy blood pressure.8. Sea salt Sea salt contains 80 to 90 different minerals. Low sodium levels can lead to high blood pressure and increased cortisol levels.9. Fatty fish Wild-caught salmon, sardines, anchovies, and mackerel are potent sources of omega-3 fatty acids.10. Collagen Bone broth and the skin of chicken and fish are excellent sources of collagen. Ten percent of the collagen you consume is in the form of peptide chains, which can help the body repair collagenous structures in the body.Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients, so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose, and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.