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We deliver short, focused episodes on the main concepts and procedures you actually need to know. It’s the perfect clinical companion for your drive to work or your daily workout. Come learn IR on the go!Check us out at https://www.medicalwysdom.ai/
- Indexed episodes, last 90 days
- 11
- Latest publication
- Sep 9, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 8, 2026
Latest episodes
The Heparin Paradox: When More is Less (opens the original)
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This episode breaks down a 2026 JVIR letter to the editor describing intraprocedural heparin resistance during iliocaval thrombectomy in a 67-year-old man with stage IV diffuse large B-cell lymphoma and recurrent DVT. The Setup: A chest wall hematoma on therapeutic heparin forced cessation of anticoagulation and IVC filter placement. Two weeks later, thrombus extended from below the filter into the bilateral iliocaval and femoral segments (Villalta 15 to 18, VCSS 12). The Pharmacologic Wall: Des
Fractured IVC Filter Fragments: When to Chase the Metal (opens the original)
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This episode breaks down a 5-year Stanford registry of 82 patients presenting with fractured IVC filters and 185 embolized fragments, with commentary from the paper's lead author, Dr. Andrew Kesselman, from Stanford Interventional Radiology . The question is which fragments to chase and which to leave alone. Triage Comes First: Only 87 of 185 fragments (47%) were deemed intravascular and amenable to removal. Retroperitoneal fragments and peripheral pulmonary artery fragments were left alone by p
Procedural Path to 91% Complete Pathologic Necrosis (opens the original)
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This episode breaks down COBRAS, a 2026 Radiology multicenter study of 303 patients and 364 treatment-naive HCC tumors bridged to liver transplant with glass microsphere radiation segmentectomy. Listen to the end to hear an expert commentary by Dr. Sid Padia from UCLA Interventional Radiology. Four Parameters: Microsphere activity of at least 1,087 Bq, at least 8,000 microspheres per mL, a single-compartment dose of at least 400 Gy, and an angiosome-to-tumor ratio of 16 or greater. Stacked Resul
Treat the Patient, Not the Picture: Rethinking Pelvic Venous Disease (opens the original)
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This episode breaks down the latest Society of Interventional Radiology guidance on chronic pelvic pain of venous origin, focusing on patient selection and why technically successful procedures may not relieve pain. It concludes with expert commentary from Dr. Gloria Salazar of the UNC School of Medicine. Beyond the Old Labels: The Symptoms-Varices-Pathophysiology classification replaces older labels and distinguishes reflux from obstruction. Pain Is More Than Plumbing: Pelvic floor tension and
The Inguinal Ligament Myth: What Really Drives Stent Failure (opens the original)
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This episode pairs a 22-year Stanford retrospective of 1,094 lower extremity venous stents in 406 patients with the 3-year VIVO IDE trial of the Zilver Vena stent, and asks whether crossing the inguinal ligament actually dooms a venous stent. Where the Rule Came From: The recommendation against stenting below the lesser trochanter traces back to citations from 1987 and 1997 that evaluated surgical bypass grafts, not endovascular stents. Apples to Oranges: Mabud reports 57.3% five-year primary pa
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