This module provides training for transcatheter aortic valve implantation (TAVI) procedure for the treatment of calcified aortic valve and aortic valve insufficiency. It allows for practicing the intervention using a femoral or subclavian approach, including the following steps: positioning of a pigtail catheter for angiographic visualization of the aortic root, identifying the optimal angiographic projection for visualizing the annular plane, measuring pre and post-procedure pressure gradients, introducing a stiff guidewire into the left ventricle, performing aortic balloon valvuloplasty while using rapid pacing and positioning and deploying an aortic valve bioprosthesis safely and accurately. The module includes a selection of cases with anatomical variations, each provides a different scenario. Possible complications include: access site bleeding, pericardial effusion, bioprosthesis pop-out/slippage, low implantation of the bioprosthesis causing regurgitation and aortic insufficiency.
- To manage and plan an intervention in a variety of patient anatomies.
- To learn and practice stepwise TAVI
- To practice management of complications during TAVI, including left ventricle perforation, bioprosthesis pop out and low bioprosthesis implantation
- To practice bioprosthesis implantation within a surgical valve
Interventional Cardiology, Cardiothoracic Surgery
TAVI Simulation Guided by Prof. Haim Danennberg
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