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TAVI MASTERS LIVE COURSE @ Hospital de Santa Cruz Cath Lab
An European driven hands-on education and training program

 

 

Faculty

  1. Rui Campante Teles, MD, PhD
  2. Manuel Almeida, MD, PhD
  3. João Brito, MD, PhD Student
  4. Sílvio Leal, MD, PhD Student
  5. Henrique Mesquita Gabriel, MD
  6. Pedro Araújo Gonçalves, MD, PhD
  7. Luis Raposo, MD, PhD
  8. Eduardo Oliveira, MD
  9. Tiago Nolasco, MD

 

Course Objectives

  • Education and Training of TAVI interventional cardiology operators

 

Official Scientific Endorsement

  • European Association of Percutaneous Cardiovascular Interventions, European Society of Cardiology (EAPCI)
  • Associação Portuguesa de Cardiologia de Intervenção (APIC)

 

Sponsor

  • CardioPlus
  • Cardi.9

 

Organization

  • MeetingPoint

 

Course Program - Revision and Hands on with Live Cases @ Hospital de Santa Cruz

 

DAY 1 - 360 min

08:45: WELCOME
09:00: LIVE CASE #1
TAVI procedural planning from A to Z (MA/PG/RCT) part A
  • 2024 Core Curriculum of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC. EuroIntervention 2024;20:e1-e10 • DOI: 10.4244/EIJ-D-23-00983
  • 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561-632. doi: 10.1093/eurheartj/ehab395. Erratum in: Eur Heart J. 2022 Feb 18
  • Management of Left-sided Severe VHD complicated by cardiogenic shock: focus on the role of transhcatheter valve interventions . A EAPCI clinical consensus statement in collaboration with the Association for Acute CardioVascular Care & the ESC Working Group on Cardiovascular Surgery. EuroIntervention 2023
1.1 Principles of THV selection
1.2 MSCT imaging skills in TAVI
1.3 TAVI primary vascular access planning according to anatomy.
1.4 Challenging arterial access: the role of alternative access routes and of percutaneous interventions
1.5 TAVI secondary vascular access planning.
2.1 Procedural set-up
2.2 Pharmacological strategies
2.3 Large bore access
2.4 Rapid pacing techniques
2.5 Balloon aortic valvuloplasty (BAV)
2.6 Technical considerations for THV deployment
 
11:30: LIVE CASE #2
TAVI complications management (HMG/RCT/EO)
  • 2024 Core Curriculum of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC. EuroIntervention 2024;20:e1-e10 • DOI: 10.4244/EIJ-D-23-00983
  • 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561-632.
  • Management of antithrombotic therapy in patients undergoing transcatheter aortic valve implantation: a consensus document of the ESC Working Group on Thrombosis and the EAPIC in collaboration with the ESC Council on Valvular Heart Disease.Eur Heart J. 2021 Jun 14;42(23):2265-2269
3.1 Preparation for complications: essential equipment, vascular and surgical access, team training
3.2 Vascular access: pre-procedure assessment of access site selection, procedure performance, and use of closure devices.
3.3 Endovascular management of vascular complications: perforation, dissection, and occlusion
3.4 Management of bleeding complications: femoral, pericardial, and remote
3.5 Conduction disorders: impact, prediction, prevention, management
3.6 Valve malposition: migration, embolization or ectopic deployment
3.7 Paravalvular regurgitation (PVL) peri-TAVI
3.8 Coronary obstruction: prediction, risk-assessment, prevention, management
3.9 Aortic injury: prediction, avoidance, and management of aortic dissection and annular rupture
3.10 Acute hypotension: algorithm to identify cause of hypotension and acute management
3.11 Stroke: risk evaluation, cerebral protection devices, acute management, clinical outcomes
3.12 Patient prosthesis mismatch (PPM): prevention, diagnosis, outcomes
15:00: LIVE IN THE BOX #1 (BAV)
16:00: CLOSURE
 

DAY 2 - 360 min

09:00: LIVE CASE #3
TAVI procedural planning from A to Z (RCT/LR/EO)
  • 2024 Core Curriculum of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC. EuroIntervention 2024;20:e1-e10 • DOI: 10.4244/EIJ-D-23-00983
  • 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561-632. doi: 10.1093/eurheartj/ehab395. Erratum in: Eur Heart J. 2022 Feb 18
  • Management of Left-sided Severe VHD complicated by cardiogenic shock: focus on the role of transhcatheter valve interventions . A EAPCI clinical consensus statement in collaboration with the Association for Acute CardioVascular Care & the ESC Working Group on Cardiovascular Surgery. EuroIntervention 2023
2.1 Procedural set-up
2.2 Pharmacological strategies
2.3 Large bore access
2.4 Rapid pacing techniques
2.5 Balloon aortic valvuloplasty (BAV)
2.6 Technical considerations for THV deployment
 
11:30: LIVE CASE #4
Clinical case and Complications (HMG/RCT/TN)
  • Management of antithrombotic therapy in patients undergoing transcatheter aortic valve implantation: a consensus document of the ESC Working Group on Thrombosis and the EAPIC in collaboration with the ESC Council on Valvular Heart Disease.Eur Heart J. 2021 Jun 14;42(23):2265-2269
3.1 Preparation for complications: essential equipment, vascular and surgical access, team training
3.2 Vascular access: pre-procedure assessment of access site selection, procedure performance, and use of closure devices.
3.3 Endovascular management of vascular complications: perforation, dissection, and occlusion
3.4 Management of bleeding complications: femoral, pericardial, and remote
3.5 Conduction disorders: impact, prediction, prevention, management
3.6 Valve malposition: migration, embolization or ectopic deployment
3.7 Paravalvular regurgitation (PVL) peri-TAVI
3.8 Coronary obstruction: prediction, risk-assessment, prevention, management
3.9 Aortic injury: prediction, avoidance, and management of aortic dissection and annular rupture
3.10 Acute hypotension: algorithm to identify cause of hypotension and acute management
3.11 Stroke: risk evaluation, cerebral protection devices, acute management, clinical outcomes
3.12 Patient prosthesis mismatch (PPM): prevention, diagnosis, outcomes
15:00: LIVE IN THE BOX #2 (HOCM)
16:00: CLOSURE
 

DAY 3 - 240 min

09:00: LIVE CASE #5
TAVI procedural planning from A to Z (RCT/SL/)
  • 2024 Core Curriculum of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC. EuroIntervention 2024;20:e1-e10 • DOI: 10.4244/EIJ-D-23-00983
  • 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561-632. doi: 10.1093/eurheartj/ehab395. Erratum in: Eur Heart J. 2022 Feb 18
  • Management of Left-sided Severe VHD complicated by cardiogenic shock: focus on the role of transhcatheter valve interventions . A EAPCI clinical consensus statement in collaboration with the Association for Acute CardioVascular Care & the ESC Working Group on Cardiovascular Surgery. EuroIntervention 2023
4.1 Discharge from hospital: timing, planning, execution, and liaison with family
4.2 Anti-thrombotic therapy after TAVI
4.3 Clinical and imaging follow-up after TAVI: clinical review, imaging, endocarditis prevention, rehabilitation
4.4 Bioprosthetic valve dysfunction (BVD): definitions, operative classification and outcomes.
5.1 Low gradient AoS: low flow, normal flow, low EF, preserved EF
5.2 TAVI and coronary artery disease (CAD)
5.3 TAVI in bicuspid aortic valves
5.4 TAVI for aortic regurgitation (AR)
5.5 TAVI for valve in valve (VIV): TAVI in SAVR and TAVI in TAVI
12:00: COURSE ASSESSMENT
13:00: CLOSURE

 

Language

  • English/ French

 

Duration

  • 3 days

 

Target audience

  • Practical hands-on: up to 12 Interventional Cardiologists or IC Fellows