This week’s collaborative episode features a conversation between BackTable and us, exploring how no-option limb-threatening ischemia has pushed clinicians to rethink clinical decision-making and how they learn from one another in practice.
We join Dr. Sabeen Dhand to discuss the origins of BackTable, the loss of physician voice within institutional medicine, and why peer-driven platforms have become essential for advancing complex peripheral and limb salvage care.
The conversation then moves into a detailed, experience-driven discussion of deep venous arterialization, including how early failures, unintended outcomes, repetition, and long-term follow-up shaped modern DVA techniques. Throughout the episode, the focus remains on responsibility to no-option patients, international collaboration, and how practical advances in limb salvage have emerged through shared clinical experience.
04:20 Losing professional voice inside institutional medicine
09:43 How BackTable and Life of Flow were built around peer learning
13:05 Why deep venous arterialization became necessary
14:12 Hitting the limits of conventional revascularization
18:32 The unintended anastomosis that changed everything
20:11 Long-term patient outcomes that reshaped clinical direction
25:06 Community-driven innovation and shared problem solving
33:00 How repetition and follow-up refined technique and outcomes
51:36 Defining poor candidates and the limits of DVA
Who Should Listen
This episode is relevant for vascular surgeons, interventional radiologists, and clinicians managing advanced limb-threatening ischemia, as well as physicians interested in how peer-led platforms, informal collaboration, and real-world iteration influence modern procedural innovation.
About Dr. Sabeen Dhand
.Dr. Sabeen Dhand is an interventional radiologist who completed his fellowship at Northwestern and currently practices at PIH Health in Los Angeles. His clinical work focuses on limb salvage, aortic aneurysms, and neurovascular disease, including stroke.
In this episode, Dr. Dhand shares why he built BackTable, the challenges of maintaining professional autonomy within institutions, and how physician-led platforms support practical learning and collaboration across specialties.
Connect with Sabeen
📲 Instagram: @thebeenx
About BackTable
BackTable is a physician-led podcast platform created to help practicing clinicians stay current as the medical repertoire continues to expand. The platform focuses on sharing practical insight on conditions, procedures, and practice-building topics through peer-to-peer discussion rather than institutional filters.
BackTable provides a space where physicians learn directly from colleagues and experts actively working in the field, reflecting how clinical knowledge is often exchanged in real practice.
Explore BackTable
🌐 Website: backtable.com
📲 Instagram: @backtableind
🐦 X: @backtable
▶️ YouTube: @_backtable
Follow Life of Flow
📲 Instagram: @LifeofFlowPodcast
👍 Facebook: Life of Flow Podcast
💼 LinkedIn: Life of Flow Podcast
🐦 X: @VascularPodcast
If this episode helped clarify how no-option patients are reshaping limb salvage and procedural innovation, consider sharing it with a colleague. A review also helps others find conversations grounded in real-world clinical practice.
