The Kinked Wire

"When you put energy into something, and passion and determination, and when people can see that you've also put in the scholarship, people will give you opportunities. And you know, honestly, I thought I was setting this up for somebody else!"—Suresh Vedantham, MD, FSIR, C-TRACT Principal InvestigatorHost Roger Tomihama, MD, speaks with C-TRACT (Chronic Venous Thrombosis: Relief with Adjunctive Catheter-directed Therapy) Principal Investigator Suresh Vedantham, MD, FSIR, about the trial's status, other early research the interventional radiology community should know about and more. Related resources:SIR Foundation C-TRACT pageSociety of Interventional Radiology Position Statement on the Management of Chronic Iliofemoral Venous Obstruction with Endovascular Placement of Metallic Stents (Journal of Vascular and Interventional Radiology, Articles in Press)Doing the right thing for patients with DVT: An update on the C-TRACT Trial (IR Quarterly, Spring 2020)Episode 5: The potential of C-TRACT to help PTS patients (The Kinked Wire, Jan. 29, 2020)Note: This episode was recorded on July 22, 2023. Senior Editorial Manager, Hope Racine, explains the work she does at SIR.Support the show

The IR-in-training has a number of options to consider for their internship year. Although most program directors recommend surgery, a significant number of residents pursue a medicine or transitional year internship. We spoke with four residents-in-training about their internship experiences.In the audio version of "The internship year: An overview of options"  (Summer 2019 IR Quarterly ), contributors share their thoughts on their internships, outlining the pros and cons of each approach.Related resource:Read the text article. Support the show

This recording features audio versions of August 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Percutaneous Cryoablation of Plasmacytomas: Oncologic Effectiveness and Adverse Events ReadThe Effect of Endovascular Treatment of Renal Artery Stenoses on Coexistent Aneurysms Associated with Fibromuscular Dysplasia ReadChange in Platelet Count after Transjugular Intrahepatic Portosystemic Shunt Creation: An Advancing Liver Therapeutic Approaches (ALTA) Group Study ReadTransjugular Intrahepatic Portosystemic Shunt and Thrombectomy (TIPS-Thrombectomy) for Symptomatic Acute Noncirrhotic Portal Vein Thrombosis ReadComparison between Suprapapillary and Transpapillary Uncovered Self-Expandable Metallic Stent Placement for Perihilar Cholangiocarcinoma ReadSafety and Effectiveness of Expandable Intravertebral Implant Use for Thoracolumbar Burst Fractures ReadJVIR and SIR thank all those who helped record this episode:Host:Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutAudio editor:Siddhi Hegde, MBBS, Massachusetts General Hospital Abstract readers:Colin Standifird, Kirk Kerkorian School of Medicine at University of Nevada, Las Vegas Khaleel Quasem, Michigan State University College of Human Medicine Ronnie Festok, Emory University School of Medicine, Georgia Jeremy Brown, DO, MS, Kaweah Health Medical Center, California Nicole Jisoo Kim, The Warren Alpert Medical School of Brown University, Rhode Island Jonathan Dzielski, Kansas City University, Missouri  ©  Society of Interventional RadiologySupport the show

"I remember the first case ever referred to us: It was a young patient who was riding on a motorcycle. He crashed and ruptured his pelvis. He was bleeding out, and we didn't have any material to embolize with. So I took his blood, and kept stirring it until it coagulated on itself, and then I injected clots into the artery that was bleeding. It stopped, and we become heroes at MGH. Then the whole field just exploded." —Stanley Baum, MD, FSIR, reflecting on the early days of interventional radiologyIn this episode, which was first published in 2022 on the Sound of IR podcast, host Eric Cyphers spoke with Stanley Baum, MD, FSIR (1929–2022), about his journey and experiences in interventional radiology. We thank the Sound of IR producers for sharing this content with the Kinked Wire. You can listen to more Sound of IR episodes at thesoundofir.castos.com. Note: This episode was first published Oct. 25, 2022.  Senior Editorial Manager, Hope Racine, explains the work she does at SIR.Support the show

This recording features audio versions of July 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Short-Term Effects of Genicular Artery Embolization on Symptoms and Bone Marrow Abnormalities in Patients with Refractory Knee Osteoarthritis ReadReal-World Safety Analysis of Paclitaxel Devices Used for the Treatment of Peripheral Artery Disease ReadMedian Arcuate Ligament Compression Associated with Flow-Related Visceral Aneurysms ReadPregnancy Rate and Outcomes following Uterine Artery Embolization for Uterine Arteriovenous Malformations: A Systematic Review and Meta-Analysis ReadResolution of Pain after Percutaneous Image-Guided Cryoablation of Extraperitoneal Endometriosis ReadYttrium-90 Radiation Segmentectomy of Hepatocellular Carcinoma: A Comparative Study of the Effectiveness, Safety, and Dosimetry of Glass-Based versus Resin-Based Microspheres ReadJVIR and SIR thank all those who helped record this episode:Host and audio editor:Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutAbstract readers:Jamie Lee, A.T. Still University School of Osteopathic Medicine, ArizonaManbir Sandhu, University of California Riverside School of MedicineAnna Hu, George Washington University School of Medicine and Health Sciences, D.C.Emily Barr, MBA, Burrell College of Osteopathic Medicine at New Mexico State UniversityIsabelle Barbosa, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutPriya Gupta, MD, Henry Ford Hospital, Michigan ©  Society of Interventional RadiologySupport the show

I was literally at parade rest, in front of the chairman of the department, the colonel, and they want me to do mammo. I said, "I haven't done mammo in quite some time, sir." He was like, "When was the last time you read mammo?" and I said, "June 6, 1998, in Louisville, Kentucky." He was just like, "... Let me think about that ... " —Martin G. Radvany, MD, FSIR, reflecting on his experience as a military-based interventional radiologistIn a Saturday morning practice chat, interventional radiologists Warren Krackov, MD, FSIR, and Martin G. Radvany, MD, FSIR, compare notes on the pros and cons of their past diverse practice settings, how clinical practice culture has changed over the years, and more. Note: This episode was recorded on May 6, 2023. Senior Editorial Manager, Hope Racine, explains the work she does at SIR.Support the show

Rochester Radiology Associates (RRA) is a private combined DR and IR practice located in upstate Rochester, New York. We combine the world of a traditional private practice radiology group with many features of an academic IR service. RRA is a unique practice that straddles two different worlds, which as a result offers unique challenges.In the audio version of "Practice profiles: Rochester Radiology Associates—N.Y."  (Fall 2020 IR Quarterly ), author Raj Pyne, MD, FSIR, describes his search for the right practice after fellowship, the Rochester, New York, based practice that has been his professional home ever since, the challenges and opportunities its model has provided, and more.Related resources:Read the text article. Listen to Dr. Pyne discuss leadership, advice he gives today's interventional radiology residents and more."Crossroads: The evolution and divergence of private practice IR," by Raj Pyne, MD, FSIRSupport the show

This recording features audio versions of June 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Public Awareness of Interventional Radiology: Population-Based Analysis of the Current State of and Pathways for Improvement ReadRadioembolization for Intermediate-Stage Hepatocellular Carcinoma Maintains Liver Function and Permits Systemic Therapy at Progression ReadThe Effects of Protrusion into the Outflow Vein on Outcomes of Stent Grafts Used to Treat Cephalic Arch Stenoses in Dysfunctional Brachiocephalic Fistulae ReadFive-Year Outcomes of the Bioresorbable Peripheral Remedy Stent in the Treatment of Iliac Artery Disease ReadThe Effect of Smoking Cessation on the Technical Success of Endovascular Treatment for Thromboangiitis Obliterans ReadOutcomes of Transarterial Embolization for Acute Nonvariceal Upper Gastrointestinal Bleeding: Correlation with Periprocedural Endoscopy ReadTransjugular Intrahepatic Portosystemic Shunt Creation in Children Weighing <10 kg Using an Unconventional Technique ReadJVIR and SIR thank all those who helped record this episode:Host and audio editor:Rommell Noche, Frank H. Netter MD School of Medicine at Quinnipiac University, ConnecticutAbstract readers:Jeremy Brown, MS, DO, Kaweah Health Medical Center, CaliforniaSarosh Din, William Carey University College of Osteopathic Medicine, MississippiJoan Hwang, A.T. Still University School of Osteopathic Medicine, ArizonaSiddhi Hegde, MBBS, Massachusetts General HospitalManbir Sandhu, University of California Riverside School of MedicineEmily Barr, MBA, Burrell College of Osteopathic Medicine at New Mexico State UniversityYandry Varela, Burrell College of Osteopathic Medicine at New Mexico State University ©  Society of Interventional RadiologySupport the show

Julius Chapiro is an interventional radiologist renowned for his innovative work integrating AI in liver cancer treatment. He shares insights on how AI is transforming decision-making in interventional radiology, enhancing efficiency while supporting human expertise. The discussion reveals challenges in data collection due to regulations and the need for comprehensive registries. Chapiro emphasizes the potential for interconnected medical data and the importance of collaboration in advancing AI applications for improved patient outcomes.

From a basic science perspective, a number of questions remain unanswered regarding deep veins. Venous disease is a cause of morbidity and mortality for patients of all ages, though the past several years have shown marked progress in research and approval of techniques and devices used for the treatment of venous disease. Major areas of research potential include the inflammatory pathway from acute deep venous thrombosis (DVT) to chronic fibrosis, and venous wall biomechanics and flow dynamics in the normal and disease states.In the audio version of "The venous revolution: Where we are and where we’re going"  (IR Quarterly supplement: New Horizons in Interventional Radiology), authors  David S. Shin, MD, Frederic Bertino, MD, Ramsey A. Al-Hakim, MD, Ronald Winokur, MD, FSIR, Kush Desai, MD, FSIR, and Jeffrey Forris Beecham Chick, MD, MPH, discuss new and emerging research in superficial venous disease, inferior vena cava filters, thrombectomy and venous reconstruction, and venous stent reconstruction.Related articles:Read the text article Other articles in the "New Horizons in Interventional Radiology" supplement of IR Quarterly, covering genicular artery embolization, TACE and immunotherapy for immediate-stage HCC, and bariatric embolization.  "Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE): Outcomes at 12 months" ReadContact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show