The Kinked Wire

This recording features audio versions of April 2025 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Adverse Events After Percutaneous Transhepatic Biliary Drainage: A 10-Year Retrospective Analysis Read Endovascular Therapy versus Anticoagulation Alone for Subacute Iliofemoral Deep Vein Thrombosis Read Improvement of Hypoalbuminemia and Hepatic Reserve after Stent Placement f...

" ... I had a call from my section chief, and he says, 'Hey — I don't want to freak you out or anything, but you know that website you created? SIR is going to send you a cease and desist letter. But don't worry about it — it'll be okay. I just wanted to give you a heads up ..." —John Do, MD, member of the SIR Guidelines App development team In this episode, part of t...

" ... I can tell you I'd never do it again, but it showed that we can get interventional radiologists from around the world to come together and agree to do a trial, and actually execute the trial and get it done, and generate guidelines training data." —Michael Soulen, MD, FSIR In this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th an...

" So the American Journal of Medicine was 'the green journal' ... Radiology was 'the grey journal' ... AJR is 'the yellow journal' ... I did not want people to be able to get away with that with JVIR, because I wanted them to have to articulate the name. And nobody's going to ask for 'the mauve journal.'" —Gary Becker, MD, FSIR In this episode...

This recording features audio versions of March 2025 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Safety and Effectiveness of Early Primary Stent Placement for Hepatic Artery Stenosis in Liver Transplant Recipients Read The LAVA Study: A Prospective, Multicenter, Single-Arm Study of a Liquid Embolic System for Treatment of Peripheral Arterial Hemorrhage Read Venous Stents P...

The Piedmont Transplant Institute in Atlanta performs about 135 liver transplants each year. It’s the highest-volume liver transplant center of any nonacademic, community hospital in the United States and is among the top 10% in the nation of all transplant centers. Piedmont’s success was achieved primarily because of the collaboration between various interdisciplinary departments—especially IR an...

"The early days were necessary to get us into doing things, solving problems without the data. And then the data came afterwards to confirm that the things we were doing were worthwhile." —Ernest Ring, MD, FSIR In this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th anniversary, host Gloria Salazar, MD, FSIR, chair of the SIR 2025 Annual Sci...

In this Journal of Vascular and Interventional Radiology  ( JVIR ) audio episode, JVIR blog Editor Peter Li, MD, MS, uses artificial intelligence (AI) platforms ChatGPT and DeScript to produce a podcast discussion on a Dec. 9 blog entry by Isabel Okinedo on the paper, "Primary Limb-Based Patency for Chronic Limb-Threatening Ischemia Treated with Endovascular Therapy Based on the Global Limb A...

"Over time, that nerve regenerates. And that regenerated nerve is new, and wasn't there for the surgery, or wasn't there for the trauma. And so this is an ability to percutaneously—or through the skin with a needle—replace your damaged nerve." —J. David Prologo, MD, FSIR, on the potential of cryoneurolysis In this episode, host Warren Krackov, MD, FSIR, speaks with J. David Pro...

This recording features audio versions of February 2025 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Radiation Pneumonitis after Yttrium-90 Radioembolization: A Systematic Review Read Comparison of Covered Stent versus Bare-Metal Stent Implantation in Aortoiliac Occlusive Disease: A Systematic Review and Meta-Analysis Read Thirty-Day Healthcare Encounters after Elective Ute...

"I think that really worked well to put the specialty where it needed to be ... but now we're competing in the space with other endovascular specialists. You know, there are a lot of people who are trying to do similar things, and I think we have to differentiate ourselves in a way that goes a little bit beyond what we've already been doing." —Rex Pillai, MD In a special year-e...

This recording features audio versions of January 2025 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Effectiveness of Track Cauterization in Reduction of Adverse Events for Lung Microwave Ablation Read Selective Lymphatic Duct Embolization for Treatment of Thoracic Lymphatic Flow Disorders in Children: Technical Aspects and Comparison with Thoracic Duct Embolization Read A C...

"At about 50 minutes into the infusion, I could feel the guy moving his hand under the drapes. At an hour, he had a normal-strength grip. I ... I can't tell you ... what a euphoric experience that was." —David Kumpe, MD, FSIR, on his early successes in neurointerventional radiology In this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th...

"'Hopefully this will also gain some more confidence from other IR folks that, you know, if you have an appropriate candidate, and you feel comfortable performing this procedure, that you can now say, 'Hey, this potentially can last you for years.' " —Lucas R. Cusumano, MD, MPH In this Journal of Vascular and Interventional Radiology  ( JVIR ) audio episode, lead author Lu...

This recording features audio versions of December 2024 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Safety and Effectiveness of Large-Bore Percutaneous Cholangioscopy–Assisted Gallstone Retrieval for Inoperable Calculous Cholecystitis: A Multi- Institutional Retrospective Study Read Genicular Artery Embolization for Treatment of Symptomatic Knee Osteoarthritis—2-Year Outco...

"'If we know activity, or sphere activity, at the time of delivery, and we know the dose to tumor, and we know the dose that we gave, we could figure out where the sphere concentrations are ... but we'd need to figure out what the dose to tumor is.' And he was like, 'Just do it in Simplicit90Y.' And at that point it was basically like, 'Oh, boom — just use the do...

"One of the things entrepreneurs screw up a lot that I see is that they spend so much time on their product idea, or the invention ... and they don't spend any time talking to customers or doing sales. And like, the most important thing you can do to validate your business idea is prove that someone is willing to compensate you for something." —Nicolas Cary, co-founder and former CE...

"The vascular surgeons had felt like, 'The patients are going to you before they come to us and ... why don't we just take you on?' And there was sort of an interest in trying to get me to join up with them, but I told them 'I'm not trained ..." So if I had wanted, I could have ended up in the department of surgery as a nonsurgeon surgeon." —Arthur Waltman,...

" It's not entirely unique to IR, but it's something that's encountered more because it is so fast-moving, and it's what kind of drew me into the specialty. But having done this project has given me a new perspective on the importance of good, quality research and engaging with it." —Hayley Briody, MB, BCh, MSC In this Journal of Vascular and Interventional Radiology...

This recording features audio versions of November 2024 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Outcomes Analysis of Yttrium-90 Radioembolization for Tumors Other Than Metastatic Colorectal Cancer from the Radiation-Emitting SIR-Spheres in Nonresectable (RESiN) Registry Read Open access: Using Voxel-Based Dosimetry to Evaluate Sphere Concentration and Tumor Dose in Hep...

The Association of Medical Colleges projects a shortage of 124,000 physicians by 2034. The demand for specialty physicians continues to outpace supply, especially in rural America. The causes of workforce shortages are multiple and multifaceted, but one can’t ignore the large impact that medical school debt has on the shortage—as well as the opportunity it offers for closing the gap. In the audio...

"The procedures are not just vascular access and abscess drains and biopsies anymore. You know, the gamut of procedures that are done in pediatric now is ... across the board everything, practically, that is done in adult IR is done in pediatric IR. And I think you'd find that filing that niche and filing that need would make your pediatric specialists and your patients and families extr...

This recording features audio versions of October 2024 Journal of Vascular and Interventional Radiology ( JVIR ) abstracts: Mortality, Safety, and Effectiveness of Paclitaxel-Containing Balloons and Stents in the Femoropopliteal Artery: Systematic Review and Meta-Analysis of Randomized Controlled Trials since 2018 Read Effect of Filtered Blood Return on Outcomes of Pulmonary Aspiration Thrombectom...

Facilitating change and advocating for interventional radiology in your hospital requires strong communication skills and knowing how to approach hospital administration. However, effective communication, negotiation and consensus-building are not typically taught in medical schools. How can you improve these skills to strive for patient-centered care in your hospital setting? In the audio version...

"Dr. Wilson asked my permission to put a line into my jugular ... I didn't understand why. I said, 'You mean, in case there's an emergency?' and he said "No, this ... THIS is the emergency." —Best-selling author Sebastian Junger, on the spontaneous rupture of his pancreatico-duodenal artery aneurysm In this episode, host Warren Krackov, MD, FSIR, speaks with Seba...