Download Now
Podcast

Wysdom Radio

This episode features a recorded lecture by Dr. Gary Ansel on the "last untaught procedure": communicating with patients and families after a procedural complication , introduced by Dr. Rusty Hofmann . It's the kind of firsthand teaching we're proud to bring to Wysdom. The Premise: Every proceduralist remembers their first catastrophic complication. We rehearse wire crossings and balloon inflations, but almost none of us were taught what to say when we walk into the waiting room afterward. Why It Matters: The US sees 70,000 to 90,000 malpractice claims a year, 25,000 to 40,000 of them related to procedures. Most complications don't become lawsuits because of the complication itself. Many begin because patients believe information was withheld. Complication vs. Error: A complication is a known procedural risk that can occur despite excellent care. A medical error is a preventable deviation from acceptable care, and it should be acknowledged honestly. Either way, don't blame the nurses, the industry rep, the equipment or another physician, and don't declare fault or malpractice, because negligence is a legal conclusion that requires a structured review. The Conversation: Explain what happened, the patient's current condition, what is known and unknown, the immediate plan, and when the family will hear from you again. Lead with empathy, and avoid speculation, blame, defensiveness and jargon. A Case: In a PCI perforation that led to tamponade and a trip to the OR, Dr. Ansel led the family conversation himself, then held a same-day team debrief and reviewed the case for system and training improvements. The Curriculum Gap: Communication-and-resolution programs outperform deny-and-defend, with greater family trust, fewer lawsuits and lower liability costs. Yet post-complication disclosure is rarely standardized or assessed in residency, largely absent from fellowship training, and missing from the major meetings. Dr. Ansel's CLEAR framework offers a structured approach. Tune in to learn why the procedure ends when the sheath comes out, but professionalism begins when you walk into the family waiting room.

Wysdom Radio artwork

Episodes

  1. Communicating After Complications: The Untaught ProcedureNovember 4, 2026 · 9 min 30 sec
  2. Early TIPS in Acute Variceal BleedingOctober 28, 2026 · 13 min 55 sec
  3. Ablate (RFA) and Stabilize (Cement): OsteoCool RFA for Painful Bone Metastases, with Dr. Jason Levy (OPuS One)October 21, 2026 · 16 min 20 sec
  4. EMMY at 10 Years: Two-Thirds Avoid HysterectomyOctober 14, 2026 · 19 min 27 sec
  5. Beyond the Drug: What Makes TACE Work?October 7, 2026 · 19 min 48 sec
  6. Infra-popliteal Bioresorbable Stents: The NEJM LIFE-BTK TrialSeptember 30, 2026 · 11 min 53 sec
  7. Fractured IVC Filter Fragments: The Penn PerspectiveSeptember 23, 2026 · 5 min 32 sec
  8. The Golden Era of PE Trials: PRAGUE-26September 16, 2026 · 35 min 58 sec
  9. The Heparin Paradox: When More is LessSeptember 9, 2026 · 15 min 27 sec
  10. Fractured IVC Filter Fragments: When to Chase the MetalSeptember 2, 2026 · 23 min 27 sec
  11. Procedural Path to 91% Complete Pathologic NecrosisAugust 26, 2026 · 21 min 14 sec
  12. Treat the Patient, Not the Picture: Rethinking Pelvic Venous DiseaseAugust 20, 2026 · 18 min 6 sec
  13. The Inguinal Ligament Myth: What Really Drives Stent FailureAugust 12, 2026 · 19 min 34 sec
  14. The TIPS Trade-Off: Bleeding vs. BrainAugust 9, 2026 · 19 min 17 sec
  15. From CTA to the Angio Suite: A GI Bleeding PlaybookAugust 5, 2026 · 22 min 7 sec
  16. 48 Hours to Failure: Anticoagulants and Portal Vein StentsJuly 29, 2026 · 20 min 16 sec
  17. Wrist vs. Risk: Rethinking Transradial Access After MOSAICJuly 22, 2026 · 6 min 24 sec
  18. Venous Stents: How Much Inflow is Enough?July 15, 2026 · 20 min 20 sec
  19. 14 Experts, One Consensus: How to Make Prostate Embolization SaferJuly 8, 2026 · 5 min 54 sec
  20. New PE Guidelines: When to InterveneJune 24, 2026 · 21 min 36 sec
  21. Embolization for Plantar Fasciitis: Technique and Early ResultsJune 17, 2026 · 16 min 43 sec
  22. Why PAE Made the American Urologic Association GuidelinesJune 10, 2026 · 16 min 37 sec
  23. Can Thyroid Embolization Replace Surgery for Nodular Goiter?June 2, 2026 · 5 min 34 sec
  24. Anti-platelets and venous stents: Lessons from ARIVA and C-TRACTMay 26, 2026 · 16 min 21 sec
  25. C-TRACT Trial: Venous Stenting for Post-Thrombotic SyndromeMay 20, 2026 · 18 min 51 sec
  26. Portosystemic Shunt EmbolizationMay 3, 2026 · 21 min 23 sec
  27. The HI-PEITHO Trial: Intermediate Risk PE UnpackedApril 30, 2026 · 17 min 45 sec
  28. SIR 2026 Abstract of the Year: Post-TIPS Liver FailureApril 13, 2026 · 2 min 26 sec
  29. SIR 2026 Abstract of the Year: Endovascular Denervation for Type 2 DMApril 12, 2026 · 2 min 25 sec
  30. The COLLISION Trial ExplainedMarch 31, 2026 · 17 min 53 sec
  31. AHA/ACC 2026 Guidelines for the Evaluation and Management of Acute Pulmonary EmbolismMarch 26, 2026 · 22 min 39 sec
  32. Stanford IR's Dr. Lynne Martin on PAVM TreatmentMarch 9, 2026 · 23 min 24 sec
  33. TIPS for TIPS: The "Best Chance" Protocol by Dr. John Louie (Stanford)March 2, 2026 · 16 min 29 sec
  34. Thyroid Interventions: MWA vs RFA vs EmbolizationFebruary 23, 2026 · 11 min 14 sec
  35. Provocative Mesenteric Angiography from the Author, Dr. Charles Kim from DukeFebruary 17, 2026 · 15 min 9 sec
  36. Night Call Tips from Dr. Rusty HofmannFebruary 9, 2026 · 4 min 44 sec
  37. Y-90 High Lung Shunt: The Mitigation PlaybookFebruary 2, 2026 · 16 min 27 sec
  38. Portal Vein Embolization, Liver Venous Deprivation, and DRAGON Trial DataJanuary 26, 2026 · 13 min 12 sec
  39. Genicular Artery Embolization (GAE) with First-in-Human Resorbable MicrospheresJanuary 20, 2026 · 12 min 45 sec
  40. 5 Keys to Thriving in IR Residency with Dr. Kim Scherer (Cornell IR/DR Associate Program Director)January 6, 2026 · 4 min 5 sec
  41. Y-90 Liver Toxicity: Understanding and Preventing REILDDecember 15, 2025 · 10 min 51 sec
  42. Acute Portal Venous Thrombosis in Non-Cirrhotic Patients: When Anticoagulation Isn't EnoughDecember 12, 2025 · 15 min 4 sec
  43. Provocative Mesenteric Angiography: Safety and Efficacy in Occult GI BleedingDecember 10, 2025 · 13 min 7 sec
  44. Evidence for Intravascular Ultrasound (IVUS) in PADDecember 8, 2025 · 13 min 11 sec
  45. The Must Knows of IR: Part 3 (For first timers in IR)December 7, 2025 · 3 min 59 sec
  46. The Must Knows of IR: Part 1 (For first timers in IR)December 7, 2025 · 5 min 3 sec
  47. The Must Knows of IR: Part 2 (For first timers in IR)December 7, 2025 · 4 min 46 sec
  48. Intro to EmbolicsDecember 5, 2025 · 12 min 27 sec
  49. MSK Embo - Possible ApplicationsDecember 5, 2025 · 14 min 15 sec
  50. IVC FiltersDecember 5, 2025 · 6 min 28 sec
  51. Portal Hypertension, TIPS, and RTO—Latest AASLD GuidanceDecember 3, 2025 · 16 min 44 sec
  52. Bronchial Artery Embolization (BAE)December 3, 2025 · 15 min 19 sec
  53. The Evolution of Cryoneurolysis: Regulatory Shifts and New TargetsDecember 3, 2025 · 15 min 20 sec
  54. STORM-PE Trial Explained (Computer-Assisted Vacuum Thrombectomy by Penumbra)December 3, 2025 · 16 min 29 sec
  55. Bleeding Stomal VaricesNovember 30, 2025 · 14 min
  56. CREST-2 Trial Explained (Carotid Stenosis Treatment)November 22, 2025 · 16 min 30 sec