The Kinked Wire

The Kinked Wire

The Society of Interventional Radiology (SIR) brings you a new podcast on all the topics that impact your practice of IR. In each episode, host Warren Krackov, MD, FSIR, and guests discuss new clinical opportunities, practice management tips, the latest trends and developments in the specialty, and more. Learn more on,, and you have any ideas for topics or guests, or have any other feedback, let us know at For corporate support opportunities, contact SIR at The views and opinions expressed in podcast episodes are not necessarily those of the Society of Interventional Radiology. The society does not endorse any companies or products.


May 24, 2023 16 mins

This recording features audio versions of May 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 Read
  • Radioembolization for Intermediate-Stage Hepatocellular Carcinoma Maintains Liver Function and Permits Systemic Therapy at Progression Read
  • The Effects of Protrusion into the Outflow Vei...
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"I'm a firm believer in technology, and I think we can engineer our way out of pretty much everything in the world ... And so my hope is that, eventually, we will listen to the engineers." —Julius Chapiro, MD

Host Roger Tomihama, MD, speaks with interventional radiologist Julius Chapiro, MD, about the future of artificial intelligence in interventional radiology, his work with AI in liver cancer treatment, a...

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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 ...

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April 27, 2023 13 mins

This recording features audio versions of May 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Embolization of the Superior Rectal Arteries versus Closed Hemorrhoidectomy (Ferguson Technique) in the Treatment of Hemorrhoidal Disease: A Randomized Clinical Trial Read
  • Outcomes of Hemorrhoidal Artery Embolization from a Multidisciplinary Outpatient Interventional Center Read
  • Safety and Effectiveness of Percutan...
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“When we talk about errors, complications and adverse events, we have to understand that not all poor outcomes are the result of an error. There are so many contributors to something going wrong, which may be both individual or more commonly systemic.”— Mikhail Higgins, MD, MPH  

In this audio version of an SIR Today recap on the SIR 2023 Annual Scientific Meeting session, " Building a Quality and Safety Program,"...

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“They're our mentors, they're our friends, they're our colleagues, they're our peers. They recognize, 'Hey, we have this need ... you have these skills. How do we leverage this and really serve our patients to the best of our ability?'"  —Carrie Hayes, PA, Chair of the SIR Nurse Practitioner & Physician Assistant Section

Host Warren Krackov, MD, FSIR, speaks with SIR NP&PA Section...

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March 28, 2023 16 mins

This recording features audio versions of April 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Predicting the Safety and Effectiveness of Inferior Vena Cava Filters (PRESERVE): Outcomes at 12 months Read
  • Lateral Subdermic Venous Plexus Insufficiency: The Association of Varicose Veins with Restless Legs Syndrome and Nocturnal Leg Cramps Read
  • Adverse Events Associated with Intra-Arterial Administration of Ga...
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“The first rule of networking is to know what you’re looking for, and then to tell everyone. If you tell 50,000 people that you want to sit on a board, eventually someone will know someone who did that, and they’ll connect you. And things snowball from there.” Aneesa S. Majid, MD, MBA, FSIR

In this audio version of an SIR Today recap on the SIR 2023 Annual Scientific Meeting session, "Nonclinical Opportunities: Tran...

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"They were able to remove the filter, repair the damage, and get full blood flow ... for the first time in almost 2 years."—Sheila Ehlert, deep vein thrombosis patient

In 2020, while Sheila Ehlert was being treated for exceptionally heavy menstrual bleeding, she began to experience a range of additional symptoms including rapid pain and swelling in her legs, and shortness of breath. After receiving no relief after several ...

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"IamIR" is starting to really reflect  the population that we serve, and that  is very uplifting for me and a lot of people in the URM Section. —Keith  M. Horton, MD, FSIR, co-chair of SIR Underrepresented Minorities (URM) Section 

In a special year-end review, interventional radiologists Keith M. Horton, MD, FSIR, Nishita Kothari, MD, FSIR, Roger T. Tomihama, MD, and others join SIR Director of Publications Bria...

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February 21, 2023 12 mins

This recording features audio versions of March 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Endovascular Assessment of Liver Hemodynamics in Patients with Cirrhosis Complicated by Portal Hypertension Read
  • Updates on the Model for End-Stage Liver Disease Score and Impact on the Liver Transplant Waiting List: A Narrative Review Read
  • Yttrium-90 Radiation Segmentectomy in Oligometastatic Secondary Hepatic M...
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January 26, 2023 14 mins

“There was a big shift from the government perspective about professional societies needing to write and look at evidence in a way that the public could trust.” —Alda L. Tam, MD, FSIR, on the evolution of SIR standards documents

Host Barbara Nickel Hamilton, MD, speaks with interventional radiologist Alda L. Tam, MD, FSIR, about her clinical interests, the evolution of guidelines and standards documents, her vision as inco...

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January 25, 2023 12 mins

This recording features audio versions of February 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • A Review of Professional Liability in IR: Sweeping the Mines Read
  • Portal Vein Recanalization for Noncirrhotic Portal Vein Cavernous Transformation: Transjugular Intrahepatic Portosystemic Shunt Creation versus Portal Vein Stent Placement Read
  • Endovascular Lymphatic Decompression via Thoracic Duct Stent Placeme...
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December 30, 2022 18 mins

This recording features audio versions of January 2023 Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Racial and Ethnic Disparities among Participants in Hepatocellular Carcinoma Clinical Studies Evaluating Transarterial Therapies Read
  • Comparison of Bolus Versus Dual-Syringe Administration Systems on Glass Yttrium-90 Microsphere Deposition in an In Vitro Microvascular Hepatic Tumor Model Read
  • Salvage Cryoablati...
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“I look at it kind of like the RPVI, in a sense. That, you know, all of us are interventional radiologists, we all have completed our vascular ultrasound training, and we can get this additional certification that recognizes the fact that we spend a significant amount of time in our practice involved in this subspecialty area, and we are competent at it."  —Martin Geza Radvany, MD, FSIR

Host Sudhen B. Desai, MD, FSIR,...

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November 29, 2022 19 mins

This recording features audio versions of December 2022  Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Healthcare Disparities in Interventional Radiology Read
  • Transarterial Embolization of Neovascularity for Refractory Nighttime Shoulder Pain: A Multicenter, Open-Label, Feasibility Trial Read
  • Utilization of and Outcomes Associated with Intravascular Ultrasound During Deep Venous Stent Placement Among Medicare ...
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“In a field like interventional radiology, innovative new devices and procedures are created with regularity. But with so many new approaches being developed every year, how do interventional radiologists best assess these innovations for adoption? IRs must perform a balancing act when considering which devices and treatments to adopt, guided by information, experience and the needs of the patient."

In the audio version of &quo...

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“After college, there’s medical school. And after medical school comes additional training with a residency and (for now) fellowship—but not all IRs stop there. In fact, many have discovered the benefits that additional advanced degrees can afford their careers."

In the audio version of "Degrees of Separation: The role of interventional radiology on the trauma team"  (IR Quarterly: Spring 2018), author Melanie Padget ...

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October 27, 2022 16 mins

This recording features audio versions of November 2022  Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Inferior Vena Cava Filter Litigation Review: An Analysis of Medicolegal Cases Pertaining to Inferior Vena Cava Filters Read
  • Management of Symptomatic Vascularized Retained Products of Conception by Proximal Uterine Artery Embolization with Gelatin Sponge Torpedoes Read
  • Stent Diameter, Not Cephalic Arch Anatom...
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September 29, 2022 18 mins

This recording features audio versions of October 2022  Journal of Vascular and Interventional Radiology (JVIR) abstracts:

  • Percutaneous Hemodialysis Fistula Creation Read
  • Long-Term Results from the Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access Read
  • Changes in the National Endovascular Management of Femoropopliteal Arterial Disease: An Analysis of the 2011–2019 Me...
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