Murmur MD
@Murmur_MD
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MurmurMD is the go-to private network for cardiologist and vascular physicians to swap cutting-edge techniques, share real cases, and improve patient outcomes.
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Joined January 2022
Happy Halloween! May your day be fun and your cases easier than this spooky one! #CardioTwitter
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When nothing will cross in a calcified tibial vessel, how do you safely restore flow in a patient who can’t afford to lose their limb? @limbsalvagedr and @Samsayfo highlight how Javelin and IVL can be used sequentially to achieve luminal gain, restore inflow, and achieve wound
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Great key summaries from the trials presented at TCT! #CardioTwitter
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⚡️Javelin moment: Wire’s through, but the device just won’t deliver. Indication: non-healing wound. We’ve all been there — what’s your bailout move when you hit that wall? #CardioTwitter #Peripheral
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“Innovation starts with a problem on the table—and ends with a better device in hand.” From Idea to Market: How to build a medical device company for physicians featuring Dr. David Daniels and Dr. Joe Walsh! #CardioTwitter #Innovation Links in thread ⬇️
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Coronary artery inflammation. What we are missing? Calcium score 0. CCTA clear you’re good right? Negative We can now incorporate CCTA to look for fat attenuation index (FAI) which can assess perivessel fat and locate parallel intravascular plaque that are inflamed/necrotic.
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A spirit of innovation to kick off #TCT2025! CMO Dr. Nick West presented Shockwave Medical’s unique & clinically validated acoustic waveform, a preview of the next wave of #ShockwaveIVL devices with advancements to address unmet needs, and novel technologies that will define the
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Great talk to kick of #TCT2025 @crfheart by @AllanaSalman on “Tips and tricks of Graft Interventions” 🕷️EPDs still preferred. Learn how to do them! (I have my fellows place many in Endovascular intervention so they should be well versed) 🔗IVUS, Direct stent, longer stents,
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1️⃣ Ping-pong guide, wire any vessel 2️⃣ Long balloon (½–⅔ LM size) 3️⃣ Guideliner in LM + park gear 4️⃣ Inflate 5–7 atm → rapid advance 5️⃣ Deflate + retract balloon Clean, quick, and effective. #CathLab #InterventionalCardiology #ComplexPCI
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🔨Toolkit Friday tip by @capnintrvention!⚙️ When nothing else delivers… the Captain Trap comes through. Rapid coaxial Guideliner trapping using a ping-pong guide + low-pressure balloon in the LM. Support maxed, equipment delivered. Steps in thread below 👇
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“We’re not just treating valves anymore—we’re treating pressure itself.” An in-depth discussion with Dr. Firas Zahr, exploring the science, physiology, and patient selection behind one of the most intriguing new frontiers in interventional heart failure, and the ALT-FLOW II
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Short discussion with Dr. Chris Brown and @CMcNeelyMD on the use of physiology to assess adequate revascularization. #cardiotwitter
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Challenging redo MR case by @JKhambhati Octogenarian, NYHA III, 3 HFHs in 1 yr, prior complex MV repair. Now severe recurrent MR. Posterior leaflet restricted → mTEER limited. Partial rings = migration risk… but worth a TMVR attempt here? #CardioTwitter #mitral
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Impella 5.5 for AVR: Surgical Strategy, Weaning &, Patient Mobilization- a discussion and look at cases with Dr. Roland Hernandez and Dr. Chris Brown is now available in our network and on all streaming platforms! Links below⬇️ #CardioTwitter #MCS #Impella
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Case of the week 🧩 Patient not a surgical candidate. Received a carotid stent — sharing pre-, post-stent, and IVUS images below. 👉 How do you interpret the findings? 👉 What would your next step be in management? #CardioTwitter #Endovascular
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Case details: High-risk w/ severe calcific MS. HR 60s, gradients 12–15 mm Hg. Neo-LVOT 75 mm².
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