Biography
Dr. Picel was one of the first physicians in the region to test a minimally invasive therapy to treat severe lower urinary tract symptoms related to benign prostate hyperplasia (BPH), called prostate artery embolization (PAE). This now FDA-approved treatment does not have the sexual side effects of transurethral resection of the prostate (TURP), the standard treatment for men who have not responded to medications and lifestyle modifications. He currently works closely with urologists to evaluate and treat patients with BPH.
Dr. Picel provides treatment for individuals with circulatory system diseases, such as peripheral arterial and venous disease. He performs numerous procedures for the treatment of venous insufficiency and varicose veins. These procedures commonly include endovenous ablation and sclerotherapy. Clinically, Dr. Picel also has a special interest in interventional oncology and performs TACE and TARE to treat patients with hepatocellular carcinoma (HCC). He also performs uterine fibroid embolization and occlusion balloon placement for invasive placenta.
An assistant professor in the Department of Radiology at Stanford University, Dr. Picel trains interventional radiology fellows and residents. His research interests focus on prostate artery embolization and pelvic embolization for invasive placenta.
Outside of work, Dr. Picel enjoys sailing, spending time with family, and traveling.
Professional Summary
Education & Certifications
- Residency: UCSD Dept of Radiology (2013) CA
- Board Certification: American Board of Radiology, Interventional Radiology and Diagnostic Radiology (2017)
- Fellowship: UCSD Vascular and Interventional Radiology Fellowship (2014) CA
- Residency: UCSD Surgery Residency (2010) CA
- Residency: University of Texas Medical Branch Radiology Residency (2009) TX
- MD, UC San Diego, Radiology Residency and Interventional Radiology fellowship (2014)
- Internship: UCSD Surgery Residency (2008) CA
- MD, Wake Forest University School of Medicine, Medicine (2007)
- Medical Education: Wake Forest University School of Medicine (2007) NC
- BS, University of Georgia, Mathematics, Biology (2002)
Honors & Awards
- Academic Faculty Development Program, Association of University Radiologists (2016)
- Academic Medicine Leadership Training Program, National Center of Leadership in Academic Medicine (2018)
- Award for Excellence in Clinical Care, UC San Diego (2015)
- Award for Excellence in Clinical Care, UC San Diego (2017)
- Chief Resident, UC San Diego Radiology (2014)
- JVIR Editorial Fellow, Journal of Vascular and Interventional Radiology (2017)
- RNSA Clinical Trials Methodology Workshop, Radiologic Society of North America (2019)
Administrative Appointments
- Assistant Clinical Professor, UC San Diego (2015 - 2019)
- IR Residency and Fellowship Program Director, UC San Diego (2018 - 2019)
Publications
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Development and Use of Personalized Bacteriophage-Based Therapeutic Cocktails To Treat a Patient with a Disseminated Resistant Acinetobacter baumannii Infection (vol 61, e00954-17, 2017)
Schooley, R. T., Biswas, B., Gill, J. J., Hernandez-Morales, A., Lancaster, J., Lessor, L., … Hamilton, T. (2018). Development and Use of Personalized Bacteriophage-Based Therapeutic Cocktails To Treat a Patient with a Disseminated Resistant Acinetobacter baumannii Infection (vol 61, e00954-17, 2017). ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 62(12). -
Endovascular Management of a Large Persistent Sciatic Artery Aneurysm
Inui, T. S., Picel, A. C., Barleben, A., & Lane, J. S. (2018). Endovascular Management of a Large Persistent Sciatic Artery Aneurysm. ANNALS OF VASCULAR SURGERY, 52, 312.e13–312.e16. -
Needle localization of small pulmonary nodules: Lessons learned
Thistlethwaite, P. A., Gower, J. R., Hernandez, M., Zhang, Y., Picel, A. C., & Roberts, A. C. (2018). Needle localization of small pulmonary nodules: Lessons learned. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 155(5), 2140–47. -
Prophylactic Internal Iliac Artery Occlusion Balloon Placement to Reduce Operative Blood Loss in Patients with Invasive Placenta
Picel, A. C., Wolford, B., Cochran, R. L., Ramos, G. A., & Roberts, A. C. (2018). Prophylactic Internal Iliac Artery Occlusion Balloon Placement to Reduce Operative Blood Loss in Patients with Invasive Placenta. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 29(2), 219–24. -
Development and Use of Personalized Bacteriophage-Based Therapeutic Cocktails To Treat a Patient with a Disseminated Resistant Acinetobacter baumannii Infection
Schooley, R. T., Biswas, B., Gill, J. J., Hernandez-Morales, A., Lancaster, J., Lessor, L., … Hamilton, T. (2017). Development and Use of Personalized Bacteriophage-Based Therapeutic Cocktails To Treat a Patient with a Disseminated Resistant Acinetobacter baumannii Infection. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 61(10). -
Intravascular Ultrasound in the Creation of Transhepatic Portosystemic Shunts Reduces Needle Passes, Radiation Dose, and Procedure Time: A Retrospective Study of a Single-Institution Experience
Kao, S. D., Morshedi, M. M., Narsinh, K. H., Kinney, T. B., Minocha, J., Picel, A. C., … Aryafar, H. (2016). Intravascular Ultrasound in the Creation of Transhepatic Portosystemic Shunts Reduces Needle Passes, Radiation Dose, and Procedure Time: A Retrospective Study of a Single-Institution Experience. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 27(8), 1148–53. -
Transcatheter Arterial Embolization with n-Butyl Cyanoacrylate for the Treatment of Acquired Uterine Vascular Malformations
Picel, A. C., Koo, S. J., & Roberts, A. C. (2016). Transcatheter Arterial Embolization with n-Butyl Cyanoacrylate for the Treatment of Acquired Uterine Vascular Malformations. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 39(8), 1170–76. -
May-Thurner Syndrome and Horseshoe Kidney
Nwoke, F., & Picel, A. C. (2016). May-Thurner Syndrome and Horseshoe Kidney. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 27(3), 369. -
Foreign Body Ingestion Resulting in Hydronephrosis
Ramaswamy, R. S., & Picel, A. C. (2015). Foreign Body Ingestion Resulting in Hydronephrosis. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 26(5), 679. -
Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Arteriovenous Fistula and Duplication of the Inferior Vena Cava
Picel, A. C., & Lane, J. S. (2014). Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Arteriovenous Fistula and Duplication of the Inferior Vena Cava. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 25(12), 1901–2. -
Essentials of Endovascular Abdominal Aortic Aneurysm Repair Imaging: Preprocedural Assessment
Picel, A. C., & Kansal, N. (2014). Essentials of Endovascular Abdominal Aortic Aneurysm Repair Imaging: Preprocedural Assessment. AMERICAN JOURNAL OF ROENTGENOLOGY, 203(4), W347–W357. -
Essentials of Endovascular Abdominal Aortic Aneurysm Repair Imaging: Postprocedure Surveillance and Complications
Picel, A. C., & Kansal, N. (2014). Essentials of Endovascular Abdominal Aortic Aneurysm Repair Imaging: Postprocedure Surveillance and Complications. AMERICAN JOURNAL OF ROENTGENOLOGY, 203(4), W358–W372. -
An aberrant internal carotid artery discovered during evaluation of obstructive sleep apnea: A report of 2 cases with consideration of a possible association
Picel, A. C., & Davidson, T. M. (2011). An aberrant internal carotid artery discovered during evaluation of obstructive sleep apnea: A report of 2 cases with consideration of a possible association. ENT-EAR NOSE & THROAT JOURNAL, 90(1), 29–31. -
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Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis.
Duncan, D. P., Briese, A. K., Niemiec, S., White, R., Picel, A. C., & Hahn, M. E. (2020). Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis. Radiology Case Reports, 15(4), 316–20. -
Arterial Anatomy for Prostatic Artery Embolization
Hoque, M. M., Cabatingan, K. A., Mittal, S., Picel, A., & Isaacson, A. J. (2020). Arterial Anatomy for Prostatic Artery Embolization. PROSTATIC ARTERY EMBOLIZATION, 83–92. -
Outcomes of balloon occlusion in the University of California Morbidly Adherent Placenta Registry.
Lee, A. Y., Ballah, D., Moreno, I., Dong, P. R., Cochran, R., Picel, A., … Kohi, M. P. (2020). Outcomes of balloon occlusion in the University of California Morbidly Adherent Placenta Registry. American Journal of Obstetrics & Gynecology MFM, 2(1), 100065. -
CT-guided Reflector Localization of a Previously Positive Axillary Lymph Node after Neoadjuvant Chemotherapy in a Breast Cancer Patient
Kozlov, A. N., & Picel, A. (2020). CT-guided Reflector Localization of a Previously Positive Axillary Lymph Node after Neoadjuvant Chemotherapy in a Breast Cancer Patient. JOURNAL OF BREAST IMAGING, 2(6), 633–34. -
Placenta accreta spectrum treatment with intraoperative multivessel embolization to improve surgical outcomes: the PASTIME protocol
Melber, D., Berman, Z., Jacobs, M., Picel, A., Conturie, C. L., Zhang-Rutledge, K., … Kelly, T. (2021). Placenta accreta spectrum treatment with intraoperative multivessel embolization to improve surgical outcomes: the PASTIME protocol. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 224(2), S214–S215. -
Placenta Accreta Spectrum Treatment with Intraoperative Multivessel Embolization: The PASTIME Protocol.
Melber, D. J., Berman, Z. T., Jacobs, M. B., Picel, A. C., Conturie, C. L., Zhang-Rutledge, K., … Kelly, T. F. (2021). Placenta Accreta Spectrum Treatment with Intraoperative Multivessel Embolization: The PASTIME Protocol. American Journal of Obstetrics and Gynecology. -
Commentary on "Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization".
Zhan, C., & Picel, A. C. (2022). Commentary on "Single-Center Retrospective Comparative Study Evaluating the Benefit of Computed Tomography Angiography Prior to Prostatic Artery Embolization". Cardiovascular and Interventional Radiology. -
Commentary on "Prostatic Artery Embolization (PAE) Using Polyethylene Glycol Microspheres: Safety and Efficacy in 81 Patients".
Zhan, C., & Picel, A. C. (2022). Commentary on "Prostatic Artery Embolization (PAE) Using Polyethylene Glycol Microspheres: Safety and Efficacy in 81 Patients". Cardiovascular and Interventional Radiology. -
Commentary on "Long-Term Efficacy and Recurrence Prediction of Prostatic Artery Embolization for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia" Xu X, et al. CVIR 2022.
McNamara, K., & Picel, A. C. (2022). Commentary on "Long-Term Efficacy and Recurrence Prediction of Prostatic Artery Embolization for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia" Xu X, et al. CVIR 2022. Cardiovascular and Interventional Radiology. -
Intra-Operative Multivessel Embolization Reduces Blood Loss and Transfusion Requirements Compared to Internal Iliac Artery Balloon Placement During Cesarean Hysterectomy for Placenta Accreta Spectrum.
Berman, Z. T., Boone, C. E., Melber, D. J., Ballas, J., Parikh, R., Ramos, G., … Roberts, A. C. (2023). Intra-Operative Multivessel Embolization Reduces Blood Loss and Transfusion Requirements Compared to Internal Iliac Artery Balloon Placement During Cesarean Hysterectomy for Placenta Accreta Spectrum. Journal of Vascular and Interventional Radiology : JVIR. -
Commentary on "Safety of prostate artery embolization via transradial access versus transfemoral access".
McNamara, K. L., & Picel, A. C. (2023). Commentary on "Safety of prostate artery embolization via transradial access versus transfemoral access". Journal of Vascular and Interventional Radiology : JVIR.
Clinical Trials
Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you may have access to the latest, advanced clinical trials.
Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.
Practice Locations
Interventional Radiology in Palo Alto Palo Alto, CA
Palo Alto, CAInterventional Radiology in Palo Alto
875 Blake Wilbur Drive
Palo Alto , CA 94304
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