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!
Structural heart interventions increasingly involve patients with severe ventricular dysfunction, valvular shock, or limited hemodynamic reserve. In these cases, maintaining stability throughout the procedure can be the biggest challenge.
In this MurmurMD discussion and case review, Dr. Gennaro Giustino and Dr. Andrei Pop review how LAVA ECMO (Left Atrial Veno-Arterial ECMO) can be used to support patients undergoing complex structural heart interventions.
The conversation walks through practical considerations around the use of LAVA ECMO, including:
• Why traditional support strategies can be insufficient during certain structural interventions
• How LAVA ECMO provides effective hemodynamic support in unstable patients
• The physiologic advantages of left atrial drainage
• Procedural setup and access considerations
• How ECMO support can stabilize patients during high-risk valve procedures
• Integrating mechanical circulatory support into structural heart workflows
• Lessons learned from real-world cases using LAVA ECMO
This discussion highlights how advanced support strategies are becoming an important tool for managing high-risk structural heart patients.
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Chapters:
00:00 – Introduction to LAVA ECMO support
00:40 – Why hemodynamic support is needed in structural procedures
01:30 – Physiologic rationale for left atrial drainage
02:20 – How LAVA ECMO differs from traditional ECMO support
03:10 – Procedural setup and access strategy
04:10 – Use of ECMO during structural interventions
05:10 – Managing hemodynamics throughout the procedure
06:00 – Clinical outcomes and lessons learned
06:50 – Key takeaways for structural heart teams
#ECMO #LAVAECMO #StructuralHeart
#MechanicalCirculatorySupport
#CardiogenicShock #InterventionalCardiology
#CathLab #MurmurMD

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