CathMasters by CardioNerds

Welcome to CardioNerds CathMasters, the podcast dedicated to advancing interventional cardiology through high-quality, evidence-based, and experience-driven education. Featuring leading experts from across the field, CathMasters democratizes access to practical interventional cardiology knowledge for fellows, early-career operators, and experienced proceduralists alike.

12 episodes

9d ago latest

weekly cadence

English language

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Episodes 12

11. AngioClub: TAVR in the Bicuspid Aortic Valve
9d ago · 40:31
In this AngioClub-style episode from the CardioNerds CathMasters, Drs. Amit Goyal, Nazli Okumus, Niko Spilias, and Grant Reed discuss transcatheter aortic valve replacement (TAVR) in bicuspid aortic valve (BAV) stenosis. Through a case of a 71-year-old man with severe aortic stenosis (AS), reduced left ventricular ejection fraction (LVEF), a recent heart failure hospitalization, and a heavily calcified Sievers type 1 BAV, the panel works through TAVR versus surgical aortic valve replacement (SAVR) selection, lifetime management, anatomic and procedural risk (paravalvular leak [PVL], permanent
10. Crisis Control: Bailout Management for Failed Percutaneous Axillary Artery Closure with Dr. Rajiv Tayal
28d ago · 13:56
CathMasters hosts Dr. Amit Goyal, Dr. Li Pang, and Dr. Nazli Okumus discuss bailout management for failed percutaneous axillary artery closure with expert Dr. Raj Tayal. Building on the Data-to-Delivery and Proctor Playbook episodes, this Crisis Control episode walks through a scenario of wide-open extravasation after Perclose failure during right axillary access TAVR. The team covers a stepwise escalation algorithm — from repeat Perclose deployment and serial balloon tamponade with protamine reversal, to hybrid closure with AngioSeal, to covered stent placement with the Viabahn endoprosthesis
9. Proctor Playbook: Percutaneous Transaxillary Access and Closure: State-of-the-Art Technique with Dr. Rajiv Tayal
1mo ago · 31:10
CathMasters Drs. Amit Goyal, Li Pang, and Dr. Nazli Okumus, discuss state-of-the-art percutaneous axillary arterial access and closure with expert proctor Dr. Raj Tayal. Using a simulated case of Impella-supported high-risk PCI in a patient with severe bilateral iliofemoral PAD, the team walks through a step-by-step proctor playbook: pre-procedural CTA planning, laterality selection, room and arm setup, axillary artery anatomy, ultrasound-guided access technique, safety wire strategy, pre-closure with suture-mediated vascular closure devices, dry closure with balloon tamponade, and a bailout a
8. Data to Delivery: Percutaneous Transaxillary Arterial Access and Closure with Dr. Rajiv Tayal
1mo ago · 31:54
CathMasters hosts Dr. Amit Goyal, Dr. Li Pang, and Dr. Nazli Okumus discuss the evidence base for percutaneous transaxillary large-bore arterial access and closure with expert faculty Dr. Rajiv Tayal. Approximately 5% of US TAVR cases require alternative access despite lower-profile devices, and with expanding indications for TAVR and mechanical circulatory support (MCS), the absolute number of patients needing non-femoral large-bore access is rising. This “Data to Delivery” episode reviews the comparative outcomes of transaxillary access for TAVR and MCS, the stroke signal and laterality deba
7. ACS Guidelines Question #2 with Dr. Michelle O’Donoghue
1mo ago · 5:13
This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes. The following question refers to Section 5.2.1 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by Henry Ford Interventional cardiology fellow and member of the CardioNerds Interventional Cardiology Council Dr. Li Pang, and then by expert faculty Dr. Michelle O’Donoghue. Dr. O’Donoghue is a cardiologist, senior i
6. AngioClub: A Multimodality Approach to Recalcitrant In-Stent Restenosis
2mo ago · 41:11
CathMasters (Drs. Amit Goyal, Daniel Ambinder, Nazli Okumus, and Salman Allana) discuss a challenging case of recalcitrant focal in-stent restenosis (ISR) within two layers of stent in a right coronary artery. The panel walks through a systematic approach to ISR: guide selection and access strategy; the role of intracoronary imaging in classifying ISR using the Waksman mechanistic classification; and a stepwise lesion-modification algorithm using cutting balloons, excimer laser coronary atherectomy (ELCA), and intravascular lithotripsy (IVL). The discussion concludes with the contemporary role
5. ACS Guidelines Question #1 with Dr. Sunil Rao
2mo ago · 9:59
The following question refers to Section 7.1 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by University of Michigan fellow and CardioNerds FIT Ambassador Dr. Kayla Secrest, and then by expert faculty Dr. Sunil Rao. Dr. Rao is an interventional cardiologist, Professor of Medicine at NYU Grossman School of Medicine, Deputy Director of the Leon H. Charney Division of Cardiology, and the Director of Interventional Cardiology for the NYU Langone Health System. He is the Editor-in-Chief for Circulat
4. Data to Delivery: CHIP-BCIS3 — Microaxial Flow Pump Support for High-Risk Complex PCI with Dr. Saraschandra Vallabhajosyula
2mo ago · 36:15
CathMasters host Dr. Li Pang, member of the CardioNerds Interventional Cardiology Council, and expert faculty Dr. Saraschandra Vallabhajosyula discuss the landmark CHIP-BCIS3 trial (Controlled Trial of High-Risk Coronary Intervention with Percutaneous Left Ventricular Unloading), published in the New England Journal of Medicine in 2026. Using a representative case of an 84-year-old man with ischemic cardiomyopathy (LVEF 25%), NSTEMI, and severe multivessel calcified coronary artery disease requiring left main bifurcation PCI and calcium modification in a left-dominant coronary system, the epis
3. Crisis Control: VA-ECMO – An Ischemic Leg!
2mo ago · 9:36
CathMasters Drs. Nazli Okumus and Daniel Ambinder, along with expert faculty Drs. Ann Gage and Marwan Jumean, tackle the management of limb ischemia — one of the most feared complications of peripheral VA-ECMO (veno-arterial extracorporeal membrane oxygenation) and large-bore mechanical circulatory support (MCS). Through the case of a 50-year-old woman with ischemic cardiomyopathy on VA-ECMO and Impella CP who develops right leg ischemia, the team walks through bedside assessment of the ischemic limb, equipment and technique for placing a distal perfusion catheter (DPC) on an existing ECMO cir
2. Proctor’s Playbook: VA-ECMO
2mo ago · 9:58
CathMasters Drs. Nazli Okumus and Daniel Ambinder, along with expert faculty Drs. Ann Gage and Marwan Jumean, walk through the step-by-step procedural approach to VA-ECMO (veno-arterial extracorporeal membrane oxygenation) cannulation. Building on the Data to Delivery episode, this Proctor Playbook episode covers pre-procedural planning, cannula selection, team composition and equipment, the role of the distal perfusion cannula (DPC), decision-making on mechanical left ventricular (LV) unloading, anticoagulation dosing and timing, the cannulation procedure itself, and vascular closure strategi
1. Data to Delivery: The Evidence Base for VA-ECMO
2mo ago · 23:50
In this episode, CathMasters hosts Drs. Nazli Okumus and Daniel Ambinder, joined by expert faculty Drs. Ann Gage and Marwan Jumean, examine the foundational principles of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Utilizing a case study of a 36-year-old patient with fulminant myocarditis and biventricular failure, the panel analyzes the VA-ECMO circuit's anatomy, clinical indications and contraindications, and the supporting evidence across various shock etiologies. The discussion also covers the debate over left ventricular (LV) unloading, the vital function of multidiscipli
Introducing: CardioNerds CathMasters – The Interventional Cardiology Podcast
2mo ago · 6:08
In this inaugural episode of CardioNerds CathMasters, co-founders Dr. Amit Goyal and Dr. Daniel Ambinder introduce a new podcast dedicated to democratizing interventional cardiology (IC) education. Recognizing the need for high-quality, evidence-based, and experience-driven content tailored to the busy, technically advanced proceduralist, the hosts launch this series to foster lifelong learning. The episode outlines the core mission of CathMasters and introduces five recurring episode formats: Data to Delivery, Proctor Playbook, Crisis Control, Cath Conference, and Beyond the Lab. Drs. Goyal a

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CathMasters by CardioNerds

Episodes 12

11. AngioClub: TAVR in the Bicuspid Aortic Valve

10. Crisis Control: Bailout Management for Failed Percutaneous Axillary Artery Closure with Dr. Rajiv Tayal

9. Proctor Playbook: Percutaneous Transaxillary Access and Closure: State-of-the-Art Technique with Dr. Rajiv Tayal

8. Data to Delivery: Percutaneous Transaxillary Arterial Access and Closure with Dr. Rajiv Tayal

7. ACS Guidelines Question #2 with Dr. Michelle O’Donoghue

6. AngioClub: A Multimodality Approach to Recalcitrant In-Stent Restenosis

5. ACS Guidelines Question #1 with Dr. Sunil Rao

4. Data to Delivery: CHIP-BCIS3 — Microaxial Flow Pump Support for High-Risk Complex PCI with Dr. Saraschandra Vallabhajosyula

3. Crisis Control: VA-ECMO – An Ischemic Leg!

2. Proctor’s Playbook: VA-ECMO

1. Data to Delivery: The Evidence Base for VA-ECMO

Introducing: CardioNerds CathMasters – The Interventional Cardiology Podcast

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Episodes 12

11. AngioClub: TAVR in the Bicuspid Aortic Valve

10. Crisis Control: Bailout Management for Failed Percutaneous Axillary Artery Closure with Dr. Rajiv Tayal

9. Proctor Playbook: Percutaneous Transaxillary Access and Closure: State-of-the-Art Technique with Dr. Rajiv Tayal

8. Data to Delivery: Percutaneous Transaxillary Arterial Access and Closure with Dr. Rajiv Tayal

7. ACS Guidelines Question #2 with Dr. Michelle O’Donoghue

6. AngioClub: A Multimodality Approach to Recalcitrant In-Stent Restenosis

5. ACS Guidelines Question #1 with Dr. Sunil Rao

4. Data to Delivery: CHIP-BCIS3 — Microaxial Flow Pump Support for High-Risk Complex PCI with Dr. Saraschandra Vallabhajosyula

3. Crisis Control: VA-ECMO – An Ischemic Leg!

2. Proctor’s Playbook: VA-ECMO

1. Data to Delivery: The Evidence Base for VA-ECMO

Introducing: CardioNerds CathMasters – The Interventional Cardiology Podcast