The Murmur Pod

MurmurMD
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The Murmur Pod is hosted by Dr. Aidan Raney III and Dr. Joe Walsh. Specializing in interventional cardiology, they explore happenings in the cardiology and medical communities, discuss interesting cases, review new technology, and more. This podcast is presented first in the MurmurMD App! Work in the cath lab? Reach out to join the private community there!

  1. Real-World Reintervention Rates Among TAVR Low-Risk Medicare Patients with Dr. Robert Yeh and Dr. Matthew Summers

    1D AGO

    Real-World Reintervention Rates Among TAVR Low-Risk Medicare Patients with Dr. Robert Yeh and Dr. Matthew Summers

    As TAVR expands into younger and lower-risk patients, one question continues to drive decision-making: how durable are transcatheter valves over time? In this MurmurMD discussion, Dr. Robert W. Yeh reviews his late-breaker at CRT26, the Evolut valve durability data, focusing on long-term outcomes and what they mean for real-world clinical practice with Dr. Matthew Summers. Key insights from the transcript include: • Long-term performance of self-expanding Evolut valves • How durability is assessed and measured over time • Structural valve degeneration and clinical relevance • Comparing durability expectations in TAVR vs surgical valves • Patient selection and lifetime management considerations • What durability data means for younger TAVR patients • How evolving evidence may shape future practice This discussion provides a focused look at how durability data is influencing TAVR decision-making today and into the future. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Why valve durability matters in TAVR 01:00 – Overview of Evolut durability data 02:30 – Structural valve degeneration and outcomes 04:30 – Comparing TAVR vs surgical durability 06:00 – Clinical implications for patient selection 07:30 – Key takeaways and future direction #TAVR #Evolut #ValveDurability #StructuralHeart #AorticStenosis #InterventionalCardiology #MurmurMD

    29 min
  2. When PCI Gets Dangerous: How LV Support Changes High-Risk Cases

    MAY 2

    When PCI Gets Dangerous: How LV Support Changes High-Risk Cases

    High-risk PCI isn’t just about technique — it’s about protecting the patient while you fix the artery. In this MurmurMD discussion, Dr. Chris Brown and Dr. Yousif Ahmad walk through the role of left ventricular (LV) support in complex PCI, focusing on when to escalate, how to think about hemodynamics, and why support can change the entire strategy. Key insights from the discussion include: • Identifying patients who qualify as high-risk PCI • Recognizing when hemodynamics may deteriorate during intervention • Deciding when to use LV support devices • How support changes procedural planning and execution • Balancing complete revascularization with patient stability • Real-time decision-making during complex cases • Lessons learned from managing high-risk coronary interventions This discussion highlights a critical shift in mindset: in high-risk PCI, success depends as much on support strategy as it does on technical skill. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – What defines high-risk PCI 01:00 – Hemodynamic risk and patient selection 02:30 – When to escalate to LV support 04:00 – How support changes PCI strategy 06:00 – Procedural decision-making under support 07:30 – Outcomes and key takeaways #HighRiskPCI #LVSupport #ComplexPCI #MechanicalCirculatorySupport #InterventionalCardiology #CathLab #MurmurMD

    21 min
  3. Champion AF Explained: Can LAA Closure Beat DOACs? Ft. Dr. Saibal Kar and Dr. Tom Waggoner

    APR 29

    Champion AF Explained: Can LAA Closure Beat DOACs? Ft. Dr. Saibal Kar and Dr. Tom Waggoner

    The Champion AF trial is one of the most important studies in structural heart — directly comparing left atrial appendage closure (LAAC) to DOAC therapy in patients with atrial fibrillation. In this MurmurMD discussion, Dr. Saibal Kar and Dr. Thomas Waggoner break down the Champion AF data, focusing on what the results actually mean for clinical practice and how they may shift long-term management strategies. Key themes from the transcript include: • The rationale behind comparing LAAC to DOAC therapy • Trial design and patient population • Key outcomes and how to interpret them • Safety and efficacy considerations • Where LAAC fits in the treatment algorithm today • How these results may impact future guidelines and patient selection This discussion offers a practical, real-world interpretation of a pivotal trial — and what it means for stroke prevention in atrial fibrillation moving forward. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Overview of Champion AF and why it matters 01:00 – Trial design and patient selection 03:00 – Key outcomes and results interpretation 05:30 – Safety and procedural considerations 07:00 – LAAC vs DOAC: how to think about it clinically 08:30 – What this means for practice and future direction #ChampionAF #LAAClosure #AtrialFibrillation #StrokePrevention #StructuralHeart #Watchman #InterventionalCardiology #MurmurMD

    36 min
  4. Stent Thrombosis Management: IVUS-Guided Strategy and When to Use DCB

    APR 20

    Stent Thrombosis Management: IVUS-Guided Strategy and When to Use DCB

    Stent thrombosis is one of the most high-stakes complications in PCI — and getting the mechanism right is everything. In this MurmurMD case discussion, Dr. Nyal Borges and Dr. Joe Walsh walk through a real-world case of stent thrombosis, focusing on how intravascular imaging (IVUS) guides diagnosis and how drug-coated balloons (DCB) fit into the treatment strategy. Key discussion points from the transcript include: • Identifying the underlying cause of stent thrombosis • Why angiography alone is insufficient in these cases • Using IVUS to detect under-expansion, malapposition, or mechanical issues • Stepwise management of thrombus and lesion preparation • When additional stenting may worsen outcomes • The role of DCB in avoiding further metal layers • Optimizing vessel expansion before definitive therapy • Real-time decision making during a complex thrombotic case This discussion highlights a critical principle: stent thrombosis is not just treated — it is diagnosed and corrected with imaging. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Case introduction: stent thrombosis presentation 00:40 – Initial angiographic findings 01:20 – Why imaging is critical in stent thrombosis 02:10 – IVUS assessment and identifying the mechanism 03:10 – Lesion preparation and thrombus management 04:10 – Deciding against additional stenting 05:00 – Role of DCB in treatment strategy 05:50 – Final optimization and imaging confirmation 06:30 – Key lessons for managing stent thrombosis #StentThrombosis #IVUS #DCB #ComplexPCI #InterventionalCardiology #CathLab #CoronaryIntervention #MurmurMD

    23 min
  5. Case Discussion- TAVR Valve Implantation Techniques: Positioning, Deployment and Procedural Strategy

    APR 17

    Case Discussion- TAVR Valve Implantation Techniques: Positioning, Deployment and Procedural Strategy

    Successful TAVR depends on precise positioning, controlled deployment, and a clear procedural strategy. In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Matthew Summers review key TAVR valve implantation techniques (highlighting Cusp Overlap), focusing on how to optimize positioning, manage deployment, and improve procedural outcomes. Key discussion points from the transcript include: • Planning valve positioning before deployment • Understanding anatomy and fluoroscopic views • Controlling implant depth during deployment • Techniques for stable and controlled valve release • Adjusting positioning during the procedure • Managing procedural challenges during implantation • Optimizing final valve position and function • Lessons learned from real-world TAVR experience This discussion provides practical insights into how experienced operators approach valve implantation to achieve consistent and safe outcomes. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Introduction to TAVR implantation techniques 00:40 – Pre-procedural planning and anatomy 01:30 – Fluoroscopic views and positioning 02:20 – Valve deployment strategy 03:10 – Controlling implant depth 04:00 – Managing positioning adjustments 04:50 – Handling procedural challenges 05:40 – Final valve position and optimization 06:30 – Key takeaways from implantation techniques #TAVR #StructuralHeart #ValveImplantation #AorticStenosis #HeartTeam #InterventionalCardiology #CathLab #MurmurMD

    35 min
  6. Two Layers of Stent in the Ostial RCA: Strategy, Imaging, and PCI Decision Making

    APR 4

    Two Layers of Stent in the Ostial RCA: Strategy, Imaging, and PCI Decision Making

    Ostial RCA disease can be one of the most unforgiving lesions in coronary intervention — especially when multiple layers of stent are already present. In this MurmurMD case discussion, Dr. Nyal Borges and Dr. Joe Walsh review a challenging PCI involving two layers of stent at the ostial right coronary artery, focusing on how imaging and careful technique guide treatment decisions. The discussion walks through the key procedural considerations in managing complex ostial stent anatomy, including: • Evaluating restenosis and mechanical issues in previously stented segments • Understanding the challenges of ostial RCA stent positioning • Using intravascular imaging to assess stent expansion and vessel anatomy • Managing overlapping or layered stent architecture • Planning intervention when additional metal may worsen long-term outcomes • Balancing lesion preparation with procedural risk • Recognizing technical pitfalls unique to ostial coronary disease This case provides practical insights into how experienced operators approach complex ostial PCI with prior stent layers. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Case introduction: ostial RCA with prior stents 00:40 – Angiographic review and lesion assessment 01:30 – Understanding the challenge of two stent layers 02:20 – Imaging evaluation and vessel sizing 03:20 – Strategy discussion for treating ostial restenosis 04:20 – Device and technique considerations 05:10 – Procedural outcome and imaging review 06:00 – Lessons from managing layered ostial stents #OstialRCA #ComplexPCI #IVUS #InStentRestenosis #InterventionalCardiology #CathLab #MurmurMD

    27 min
  7. Cusp Overlap Technique for SEV: Deep Dive on Controlling Implant Depth and Conduction Risk with Dr. Frogge and Dr. Summers

    MAR 31

    Cusp Overlap Technique for SEV: Deep Dive on Controlling Implant Depth and Conduction Risk with Dr. Frogge and Dr. Summers

    The cusp overlap technique has become an important strategy during TAVR with self-expanding valves to improve implant depth control and reduce conduction disturbances. In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Matthew Summers walk through how and why they use the cusp overlap technique, focusing on fluoroscopic positioning, implant depth control, and procedural workflow adjustments. Key discussion points from the transcript include: • Why implant depth is critical in self-expanding TAVR valves • The relationship between implant depth and conduction system injury • How the cusp overlap view improves visualization of the non-coronary cusp • Fluoroscopic projection setup and imaging angles • Deployment technique and depth control strategies • Procedural workflow when using cusp overlap routinely • Lessons learned from operators using cusp overlap in practice This discussion provides practical insight into how cusp overlap helps operators control valve implantation and reduce conduction complications during TAVR. 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA Chapters: 00:00 – Introduction to cusp overlap technique in TAVR 00:40 – Why implant depth matters for self-expanding valves 01:30 – Conduction disturbances and valve depth 02:20 – Setting up the cusp overlap fluoroscopic view 03:10 – Deployment technique and depth control 04:00 – Workflow adjustments using cusp overlap 05:00 – Imaging and positioning tips 06:00 – Lessons learned and key takeaways #TAVR #StructuralHeart #CuspOverlap #SelfExpandingValve #ConductionSystem #InterventionalCardiology #CathLab #MurmurMD

    34 min
  8. TAVR Valve Durability: Long-Term Outcomes, Unknowns, and Clinical Decision Making with Dr. Curtiss Stinis and Dr. Andrei Pop

    MAR 20

    TAVR Valve Durability: Long-Term Outcomes, Unknowns, and Clinical Decision Making with Dr. Curtiss Stinis and Dr. Andrei Pop

    As TAVR expands into younger and lower-risk populations, valve durability has become a central question in structural heart care. In this MurmurMD discussion, Dr. Curtiss Stinis and Dr. Andrei Pop review current understanding of TAVR valve durability, focusing on how clinicians interpret available data and apply it to real-world patient decisions. The conversation highlights key themes from the transcript, including: • How durability data for TAVR has evolved over time • The challenges of comparing surgical and transcatheter valve longevity • Structural valve degeneration and how it is defined and measured • The role of patient age and lifetime management strategy • Imaging and follow-up approaches to monitor valve performance • Valve-in-valve considerations as transcatheter valves age • The importance of long-term data as TAVR indications expand This discussion provides a practical perspective on how clinicians are thinking about durability today while planning for the future of valve therapy. Chapters: 00:00 – Introduction to TAVR durability discussion 00:40 – Why durability matters more in lower-risk patients 01:30 – Current data on TAVR valve performance 02:30 – Defining structural valve degeneration 03:20 – Surgical vs transcatheter durability considerations 04:10 – Imaging and long-term follow-up 05:10 – Valve-in-valve strategy and future planning 06:00 – Patient selection and lifetime valve management 07:00 – Key takeaways from the discussion 🔔 Subscribe for more insights from interventional experts and real-world program builders. 📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687 📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvA #TAVR #StructuralHeart #ValveDurability #AorticStenosis #HeartTeam #InterventionalCardiology #MurmurMD

    27 min
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About

The Murmur Pod is hosted by Dr. Aidan Raney III and Dr. Joe Walsh. Specializing in interventional cardiology, they explore happenings in the cardiology and medical communities, discuss interesting cases, review new technology, and more. This podcast is presented first in the MurmurMD App! Work in the cath lab? Reach out to join the private community there!

Information

  • Creator
    MurmurMD
  • Years Active
    2025 - 2026
  • Episodes
    46
  • Rating
    Clean
  • Copyright
    © MurmurMD
  • Show Website
    The Murmur Pod

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