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Warren Krackov
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The Kinked Wire
Live from Nashville, it's SIR 2025: Tuesday, April 1
Send us a textDuring the Society of Interventional Radiology (SIR) 2025 Annual Scientific Meeting, visit the SIR Today website each day for session previews and recaps, leadership and author interviews, award-winner inspirations, and much more. Tune in to these audio updates each morning for the day's programming highlights, the day's new content coming from SIR Today, and audio clips from article interviews.In the Tuesday, April 1 edition:SIR Members' Business MeetingPlenary Session: "I Owe My Life to IR" with best-selling author Sebastian JungerAudio clip f...
2025-04-01
04 min
The Kinked Wire
Episode 58: The potential for cryoneurolysis and interventional radiology in pain management
Send us a text"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 cryoneurolysisIn this episode, host Warren Krackov, MD, FSIR, speaks with J. David Prologo, MD, FSIR, about the efficacy and potential of cryoneurolysis in pain management, and Dr. Prologo's patient, Bo Thordarson, MD, about how this treatment helped resolv...
2025-01-28
37 min
The Kinked Wire
Episode 57: 2024 in review + top IR Quarterly articles and Kinked Wire podcast episodes of the year
Send us a text"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, MDIn a special year-end review, interventional radiologists Nishita Kothary, MD, FSIR, Warren Krackov, MD, FSIR, Rex Pillai, MD, and Roger Tomihama, MD, join SI...
2025-01-14
45 min
The Kinked Wire
Episode 54: SIR 50th Anniversary: From piles of tubing to the Waltman loop | Guest: Dr. Arthur Waltman
Send us a text"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, MD, FSIRIn this episode, part of the ongoing celebration of the Society of Interventional Radiology (SIR) 50th an...
2024-11-12
25 min
The Kinked Wire
Episode 52: From crisis to care: How interventional radiology saved Sebastian Junger's life
Send us a text"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 aneurysmIn this episode, host Warren Krackov, MD, FSIR, speaks with Sebastian Junger, author of In My Time of Dying, The Perfect Storm and more, about his near-death experience; with Philip J. Dombrowski, MD, the attending interventional radiologist who saved his life; and...
2024-09-03
33 min
The Kinked Wire
Episode 48: Unlocking radiology's potential: The synergy between interventional and diagnostic radiology
Send us a textMany people are sort of viewing it as an either/or—either you have an OBL or you're tied to a diagnostic department. And from my perspective, it's like ... it's actually synergistic to have both. —Radiology Chief James Brink, MD, FACRHost interventional radiologist Warren Krackov, MD, FSIR, speaks with James Brink, MD, FACR, chair of radiology at Massachusetts General Hospital and the Brigham and Women's Hospital, about whether interventional radiology and diagnostic radiology are stronger together, what brought him to support IR services in his radiology practice, the Socie...
2024-02-13
29 min
The Kinked Wire
Episode 47: 2023 in review + top IR Quarterly articles and Kinked Wire podcast episodes of the year
Send us a textIn a special year-end review, interventional radiologists Warren Krackov, MD, FSIR, Jaimin Shah, MD, Roger Tomihama, MD, Marty Radvany, MD, FSIR, and Sudhen Desai, MD, FSIR, join SIR Editorial Manager Hope Racine and Director of Publications Brian Haefs to reflect on the top stories from the past year—exclusivity contracts, artificial intelligence and IR, and more.Plus, we share excerpts from the three most downloaded IR Quarterly articles of the year: Opportunities for IRs in radiotheranostics, by Islam Elhelf, MD, PhDShort-term work, long-term possibilities: The pros and...
2023-12-21
49 min
The Kinked Wire
Episode 44: Research findings on IVC filters
Send us a text"The primary safety and primary efficacy endpoints—which were preset in consideration with the FDA and all the societies—were met. You look at what we did, what we said, and using those definitions, filters are safe and effective."—Matthew S. Johnson, MD, FSIR, PRESERVE Principal InvestigatorHost Warren Krackov, MD, FSIR, speaks with PRESERVE (Predicting the Safety and Effectiveness of Inferior Vena Cava Filters) Trial Principal Investigator Matthew S. Johnson, MD, FSIR, about the lessons learned from the trial's initial data, his collaboration with vascul...
2023-10-04
29 min
The Kinked Wire
Episode 42: Pros and cons of practice settings in interventional radiology
Send us a textI 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...
2023-06-20
26 min
The Kinked Wire
Episode 40: The potential of advanced practice providers in interventional radiology
Send us a text“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 SectionHost Warren Krackov, MD, FSIR, speaks with SIR NP&PA Section Chair Carrie Hayes, PA, and Membership Chair Nick Oravetz, PA, about how advanced practice providers (APPs) can help interventional radiologists meet the needs of patients, paths to bec...
2023-03-29
27 min
The Kinked Wire
Episode 35: IRs in focus | Guest: Geogy Vatakencherry
Send us a text“I don't personally love going too far down the roots of any subspecialty, because then you lose the forest for the trees. And I think ultimately, the more holistic you can be, the better off the patient will be. So if you come in for one problem, you should be able to assess the other problems.” —Geogy Vatakencherry, MD, FSIRHost Warren Krackov, MD, FSIR, speaks with interventional radiologist Geogy Vatakencherry, MD, FSIR, about his clinical interests, the evolution of the specialty and clinical opportunities for IRs-in-training, and more.
2022-09-27
19 min
The Kinked Wire
Episode 33: A victory for women's health
Send us a text“I went to my Legislative Council and said, ‘Listen, I need to make an adjustment to the original bill. I think it’s important that, if we’re going to take this step to provide women with an opportunity to look at choices that would be best for her, and for her quality of life, that this be included as well.’” —Rhode Island State Rep. Camille Vella-WilkinsonIn July 2022, Rhode Island passed into law a bill directing insurance companies to pay for uterine artery embolization (UAE) in the treatment of fibroids. I...
2022-08-23
17 min
The Kinked Wire
Episode 32: How interventional radiologists can mitigate the contrast media shortage
Send us a text"We were no longer using iodinated contrast for nonemergent cases. We started using a lot of gadolinium, air, CO2, IVUS, Gastrografin, Cystografin—pretty much everything you could think of besides iodinated contrast. Because you need to save it for those emergent cases and the stroke. You know—stroke comes in, you can't just not have contrast to treat it." —Nikki Keefe, MDIn May 2022, Nikki Keefe, MD, Kush Desai, MD, FSIR, Maureen P. Kohi, MD, FSIR, and Gloria M. Salazar, MD, FSIR, published in the Journal of Vascular and Interv...
2022-06-24
19 min
The Kinked Wire
Episode 28: 2021 in review + top IR Quarterly articles of the year
Send us a textJust as the specialty is innovative, we foster a culture where we want to be innovative. And we want to be nimble, just as our members are nimble. And so when we look at the DNA of how we operate, we kind of say, "This is how you practice ... This is the way that we want to operate, as well." —Keith Hume, SIR Executive DirectorIn a special year-end review, Warren Krackov, MD, FSIR, speaks with SIR Executive Director Keith Hume and SIR Direction of Publications Brian Haefs...
2022-02-15
28 min
The Kinked Wire
Episode 26: EPOCH Trial results suggest promising treatment for metastatic colorectal cancer patients
Send us a textI think this is actually a model that can in fact be propagated across multiple types of centers, as long as that communication is there. —Riad Salem, MD, MBA, FSIR, Co-principal investigator, EPOCH TrialWarren Krackov, MD, FSIR, speaks with interventional radiologist and EPOCH Trial co-principal investigator Riad Salem, MD, MBA, FSIR, about the results of the trial and the potential for Y-90 treatment with TheraSpheres in patients with colorectal cancer metastases. NOTE: EPOCH, an IDE pivotal trial, was a 428-patient, open-label, international, multicenter, phase 3 tr...
2022-01-03
22 min
The Kinked Wire
Episode 24: IRs in focus | Guest: Elsie Koh
Send us a textWhat I wanted to do is really focus in on physicians, because I feel like we're sometimes not the ones in the forefront in making decisions in how healthcare is going ... and it's not our fault. It's because we kind of weren't taught leadership skills. —Elsie Koh, MDWarren Krackov, MD, FSIR, speaks with interventional radiologist Elsie Koh, MD, about her physician leadership training company, her experience as chief medical officer (CMO) of a nationwide healthcare provider, and about the new SIR Women in Interventional Radiology (WIR) Se...
2021-10-01
16 min
The Kinked Wire
Episode 23: Launching and running an office-based lab | Guest: Bret Wiechmann
Send us a textWhile I do understand that there may be this idea out there, that the OBL is some magical place, the truth is that I think the ideal scenario is what I have—which is practicing on both sides of the street, so to speak. Because they each pose their own challenges and they each have their own benefits. —Bret Wiechmann, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Bret Wiechmann, MD, FSIR, about how he launched his office-based laboratory (OBL), how other IRs might do the same, and...
2021-09-03
21 min
The Kinked Wire
Episode 22: IRs in focus | Guest: Vishal Kumar
Send us a textDialysis, stroke, peripheral arterial disease, oncology, …these affect patients of all races. We know there are health care inequities—Black and Brown patients, and poor patients, uninsured tend to be afflicted more. We can recruit the best and the brightest students across the country and across the world to be part of the greatest specialty in all of medicine—and that’s image-guided medicine.—Vishal Kumar, MDWarren Krackov, MD, FSIR, speaks with interventional radiologist Vishal Kumar, MD, FSIR, about educating medical students about IR, the importance of fostering diversity...
2021-08-04
18 min
The Kinked Wire
Episode 21: IRs in focus | Guest: Dan Sze
Send us a textWhen we show each other these extreme cases, there's a lot of cheering and high-fiving. That's a really fun part of IR, but that is not what is going to advance the field in the eyes of our referring physicians, or of the public, or of the payers, or of the government.—Daniel Y. Sze, MD, PhD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Daniel Y. Sze, MD, PhD, FSIR, about his role as editor-in-chief of the Journal of Vascular and Interventional Radiology (JVIR), the increasing importance of...
2021-07-06
19 min
The Kinked Wire
Episode 20: Interventional radiology and the potential of GAE to treat osteoarthritis of the knee | Guest: Sandeep Bagla
Send us a textI think we’re really at the tip of the iceberg. I think this is very early—in my mid stage of the career, I will probably not be practicing as this evolves into something that’s the full standard of care in multiple joints. But outside of BPH, this is probably the biggest and probably most impactful change I think we’ll see in the embolization space in the next 10 years.—Sandeep Bagla, MDWarren Krackov, MD, FSIR, speaks with interventional radiologist Sandeep Bagla, MD, about the prospects for genicu...
2021-05-04
19 min
The Kinked Wire
Episode 19: Demystifying interventional radiology reimbursement | Guest: Kathy Krol
Send us a textThe CPT code may have certain required elements, and if you don’t put all of those in the report, you don’t get credit for doing the procedure. Or if the coders go ahead and code it, you could get audited later. So if someone goes to jail for fraudulent coding, you’ll be on the line as well as the coder, as the interventional radiologist—because you are ultimately responsible for what you bill.—Katharine L. Krol, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Katharine...
2021-03-22
23 min
The Kinked Wire
Episode 18: IRs in focus | Guest: Derek West
Send us a textThe idea that we start a little earlier in getting our students acclimated to interventional radiology is going to be so important. And it already has made a difference—I think now, students have a much clearer sense of what it is, at a much earlier stage, than maybe I did. I think it makes a big difference in terms of getting more involvement in our profession.—Derek L. West, MD, MSWarren Krackov, MD, FSIR, speaks with interventional radiologist Derek L. West, MD, MS, about the importance of addre...
2021-02-23
21 min
The Kinked Wire
Episode 17: The role of interventional radiology in stroke care | Guest: Eric Wang
Send us a textI guess my take-home point is that by no means is staffing for a stroke program a small undertaking, so it really is important to have the support from the hospital as well as other medical specialties when developing the interventional stroke program ... which we’re very fortunate we have. —Eric A. Wang, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Eric A. Wang, MD, FSIR, about how he got involved in ischemic stroke care, the specialized training other IRs need to do the same, and how the S...
2021-02-09
20 min
The Kinked Wire
Episode 16: 2020 year in review
Send us a textAt the very beginning of the pandemic, there was a big outpouring of support through social media outlets and other avenues online between training programs throughout the country. So it was kind of almost a national level of collaboration for continuing access to training in a way. It will be good to see how we continue to use it in the coming year. —Jason Fisher, MDIn a special year-end review, Warren Krackov, MD, FSIR, and the Kinked Wire team (Editor Jaimin Shah, MD; Production Manager Jason Fisher, MD; and S...
2021-01-06
20 min
The Kinked Wire
Episode 15: Radiation safety and the interventional radiologist | Guest: Joseph Ring
Send us a textIf you follow good practices—you minimize the patient dose, you wear your protective clothing, you use the pull-down shields and you put the pull-down shields as close to the patient as you can—your exposures are going to be very low. —Joseph Ring, DOIn recognition of Nov. 8, the International Day of Radiology, Warren Krackov, MD, FSIR, speaks with radiation safety officer Joseph Ring, DO, about radiation safety in interventional radiology, measures IRs should be taking to protect themselves, and what medical students considering a career in inte...
2020-11-10
21 min
The Kinked Wire
Episode 14: Addressing gender disparities in male-dominated medical specialties | Guest: Barbara Nickel Hamilton
Send us a textIn our specialty, the stereotypes are ... you have to be a certain height. So I hear from women trainees and aspiring interventionalists that, "You know, you're too small ... You can't reach things." It's not true!—Barbara Nickel Hamilton, MDWarren Krackov, MD, FSIR, speaks with interventional radiologist Barbara Nickel Hamilton, MD, about gender disparities in IR, the role the SIR Women in IR Section has played in addressing gender bias, and about her new book, Save Lives, Enjoy Your Own. Learn more about Dr. Nickel Ha...
2020-10-13
16 min
The Kinked Wire
Episode 13: Implicit bias and health care disparities | Guest: P.J. Rochon
Send us a textYou see that it's appalling. What can you do, and what can we do as privileged human beings, to denounce this? To say that it's wrong? To not stand for it? To say, "You know what? That's not right and this is what I'm going to do about it."—Paul J. "P.J." Rochon, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Paul J. "P.J." Rochon, MD, FSIR, about health care disparities, our own implicit bias, the minority tax and the importance of taking a stand ag...
2020-09-22
20 min
The Kinked Wire
Episode 12: IRs in focus | Guest: Jeanne Laberge
Send us a text"One of the big organizations that are groups of people/stakeholders that really change things, in terms of education for sure, are medical students, themselves .” —Jeanne M. Laberge, MD, FSIRWarren Krackov, MD, FSIR, speaks with interventional radiologist Jeanne M. Laberge, MD, FSIR, about her role in the development of the IR Residency, the power of IRs-in-training to impact their future, and the pros and cons of retirement from interventional radiology practice. Learn more about SIR's Residency Essentials curriculum program.Note: This...
2020-09-01
21 min