The Murmur Pod
The Murmur Pod
Podcast Description
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!
Podcast Insights
Content Themes
The podcast delves into various themes within cardiology, including interventional techniques, the implications of new medical technologies, and case studies that reflect current trends. Episodes cover topics such as Left Atrial Appendage Closure strategies, innovative techniques for managing bleeding during Impella support, and the impact of radiation risk in cath labs, offering profound insights into practical, real-world applications.

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!
Redo groins, radiation injury, prior infection, and failed bypasses make common femoral artery disease some of the most difficult decisions in vascular care.
In this case-based discussion, Dr. Nick Mouawad and Dr. Sameh Sayfo walk through two challenging common femoral artery cases where traditional open surgery carried high risk.
Topics covered include:
• Managing CFA bifurcation disease after prior radiation and surgical complications
• Why the profunda femoris artery must always be protected
• Radial-to-peripheral access to avoid hostile groins
• Intravascular imaging to guide vessel sizing and therapy
• When to use IVL, atherectomy, serration balloons, and DCB
• Avoiding stents in the common femoral whenever possible
• Multidisciplinary decision-making for durable outcomes
A practical, honest discussion focused on patient selection, technique, and long-term durability in modern peripheral intervention.
🔔 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 setup and goals of discussion
00:45 – Prior pelvic radiation and failed CFA surgery
02:05 – Risks of redo open CFA endarterectomy
03:10 – Why the profunda femoris must be protected
04:20 – Radial access strategy to avoid hostile groins
05:05 – IVUS-guided sizing and IVL preparation
06:00 – Serration balloons and DCB for CFA disease
07:15 – Avoiding stents in the common femoral artery
07:55 – Second case: prior fem-fem bypass and claudication
09:10 – Crossing strategy and imaging uncertainty
10:05 – Orbital atherectomy near bypass anastomosis
11:45 – IVUS, gradients, and confirming success
12:45 – Durability vs redo surgery discussion
14:00 – Multidisciplinary collaboration and MurmurMD
#CommonFemoralArtery #PeripheralArteryDisease #IVL #IVUS #Endovascular #VascularSurgery #RedoGroin #RadialToPeripheral #MurmurMD #MultidisciplinaryCare

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