Dr. Marwan Jumean
Interventional Cardiologist
3 Podcasts on BackTable
Dr. Marwan Jumean is an interventional heart failure cardiologist and professor at UT Houston in Texas.
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Episode # 3 • 16 Jun 2026
Crisis Control: VA-ECMO - An Ischemic Leg!
CathMasters 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 circuit, strategies to mitigate limb ischemia with Impella, assessment of vascular patency during large-bore access removal, and the recognition and management of compartment syndrome.
Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes.
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