4FrenchMedicine through the vessels

This line is 1.33 millimetres thick.

Treatment without a large incision.

That is how thin a 4 French catheter is. With it, interventional radiologists today treat many conditions that used to require surgery. In the podcast, Prof. Dr. Peter Minko and his colleagues explain how it works.

What brings you here?

The intro · 1:23

Episodes

Every episode comes with an article featuring images, interactive explainers and quotes that jump straight to the right moment in the conversation.

Episode 04 · 25 October 2026 · 71 min New

What can interventional pain therapy achieve?

Treating pain in a targeted manner

Long paths to diagnosis, pain despite an artificial knee, and relief after a nerve block: Peter Minko and his colleague Dr. Elif Can discuss the possibilities and limitations of interventional pain therapy.

Dr. med. Elif Can, M.A.Read and listen

Episode 03 · 11 October 2026 · 55 min

Does it have to be surgery?

Fibroids & Adenomyosis

Severe period pain, heavy bleeding, and often the phrase "Just pull yourself together." Dr. Cornelia Dewald explains what fibroids and adenomyosis are, how to reliably detect them, and why the uterus can often be preserved.

Dr. med. Cornelia DewaldRead and listen

Episode 02 · 27 September 2026 · 59 min

What helps with chronic pain?

Chronic pain

Over 1.5 billion people have pain in their musculoskeletal system. Alexander Loizides from Innsbruck explains how he treats carpal tunnel syndrome through a 3-millimeter incision and how closing off tiny vessels can help with osteoarthritis and irritated tendons.

Dr. med. Alexander LoizidesRead and listen

Episode 01 · 13 September 2026 · 61 min

What can interventional radiology do?

More than just images

Almost everyone is familiar with X-rays, CT, and MRI. Very few people know that radiologists also perform treatments. Prof. Thomas Helmberger, one of the pioneers of the specialty in Germany, explains how treatments through a small nick work, from strokes to liver tumors.

Prof. Dr. med. Thomas HelmbergerRead and listen

Explained briefly

The shorts from the episodes. Each clip leads to the full passage in the conversation.

1:01

Period pain? Stop making a fuss!

Episode 03 ·

0:55

Period pain? What you should know!

Episode 03 ·

1:02

Carpal tunnel syndrome explained simply

Episode 02 ·

0:48

How many people have chronic pain?

Episode 02 ·

1:15

Surgery in radiology

Episode 02 ·

1:22

Pain therapy

Episode 02 ·

1:14

Can a tumor be treated without chemotherapy?

Episode 01 ·

1:32

Why do so many not know the field of radiology?

Episode 01 ·

0:52

Philosophy of radiology

Episode 01 ·

1:02

Prof. Helmberger gets emotional

Episode 01 ·

1:26

Which case has stayed in your mind?

Episode 03 ·

1:37

Which case has stayed in mind?

Episode 04 ·

1:05

Full episode on my channel !

Episode 04 ·

1:03

Senior Physician for Interventional Pain Therapy, Elif Can, in our latest episode

Episode 04 ·

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Ask the podcast.

Every answer starts at exactly the right moment in the conversation.

For example:
20 questions · 28 answers · 4 episodes

Most asked

Try it yourself · 9 explainers

New from episode 04 · What can interventional pain therapy achieve?

Why 4 French?

The name

4 French = 1.33 mm

That is how thin the catheter is that gave the podcast its name. One French is a third of a millimetre.

Lines shown at roughly actual size

Step 1 · Access

A small puncture instead of an incision

Often a small access point to an artery is enough, for example in the groin.

Step 2 · Navigation

Through the vessels under X-ray guidance

Contrast agent makes the vessels visible on the X-ray image. This lets radiologists steer the catheter to the exact spot that needs treatment.

Step 3 · Treatment

Treating the problem where it is

For example, fibroids. Dr. Cornelia Dewald explains how it works and who it is suitable for in episode 03.

Illustration of an angiography: the catheter route from the groin through the pelvic arteries to the uterus
Prof. Dr. Peter Minko
Prof. Dr. Peter MinkoHost

About 4French

Peter Minko is Professor of Interventional Radiology at Düsseldorf University Hospital. He treats patients through the blood vessels – medicine through a needle.

In 4French he talks with colleagues about a specialty that makes many treatments possible without a large incision, yet that hardly anyone knows about.

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Projects

  • VisulAI

    Relaxed throughout the procedure: Explanations as well as soothing visual and audio guidance for procedures performed under conscious sedation.

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