- Surgical anatomy of the aortic and mitral valves
- Jordan Hoffman, MD and David Fullerton, MD, FACC
UC Denver
- Jordan Hoffman, MD and David Fullerton, MD, FACC
- Standard wires and balloons used in TAVR
- Manoj Thangam, MD and Prakash Balan, MD, FACC
McGovern Medical School
- Manoj Thangam, MD and Prakash Balan, MD, FACC
- Fluoroscopy and contrast: angles, doses, and radiation safety
- Firas Zahr, MD, FACC and Joaquin E. Cigarroa, MD, FACC
Oregon Health & Sciences University
- Firas Zahr, MD, FACC and Joaquin E. Cigarroa, MD, FACC
- Basics of echocardiography for transcatheter interventions
- Adrian DaSilva-DeAbreu, MD and Catalin Loghin, MD
UT Houston
- Adrian DaSilva-DeAbreu, MD and Catalin Loghin, MD
- The role of the heart team
- Michael N. Young, MD; Vikas Singh, MD; Amy Fiedler, MD; Serguei Melnitchouk, MD; Igor Palacios, MD; Ignacio Inglessis, MD; Michael G. Fitzsimons, MD, Jonathan J. Passeri, MD
Massachusetts General Hospital
- Michael N. Young, MD; Vikas Singh, MD; Amy Fiedler, MD; Serguei Melnitchouk, MD; Igor Palacios, MD; Ignacio Inglessis, MD; Michael G. Fitzsimons, MD, Jonathan J. Passeri, MD
Transcatheter Heart Valve Handbook: A Surgeons' and Interventional Council Review
Editor's Note: The Transcatheter Heart Valve Handbook is an overview document developed by the ACC's Surgeons' and Interventional Member Sections. This source of introductory information about transcatheter valve technologies should be used as an adjunct to other educational texts, journal articles, and clinical experiences.
As the field of transcatheter heart valve interventions has exponentially expanded in the last decade, so has the variety of settings and operators involved. The expanding indications for transcatheter aortic valve replacement (TAVR) have increased the number of patients eligible for the procedure. Transcatheter heart valve interventions are now performed at an increasing number of institutions with teams of varied backgrounds. The American College of Cardiology (ACC) Surgeons' Section Leadership Council, under the guidance of Dr. Thourani and Dr. Phillips, designed the Transcatheter Heart Valve Handbook as a document for trainees, staff, and primary operators to learn the background and technical aspects of the procedures, as well as to share best practices around team organization and structure. The goal of this handbook is to provide a single source of introductory information on aortic, mitral, and pulmonary transcatheter valve technology. Because this field is evolving at a rapid pace, standard textbooks do not provide the necessary content for trainees who wish to develop an understanding of this technology as they proceed through their rotations in structural heart disease. The text provides the reader with a necessary understanding of the fundamentals, pre- and post-procedure assessment and management, and technical aspects of modern transcatheter valve interventions. The history of percutaneous valves, starting with the first human implant of a pulmonary transcatheter valve in 2000, and the major clinical trials underpinning the technology used today are reviewed. Chapters include the multimodality imaging used for pre-procedural assessment of aortic, mitral, and pulmonary valve interventions and intra-procedural echocardiographic guidance (Table 1).
The handbook is meant to be a living document that will be updated as technologies change. As a testament to the mission of the ACC as the professional home for the cardiovascular team, the handbook was written by both cardiologists and cardiac surgeons, as well as trainees from both fields. ACC's Interventional Council collaborated with the Surgeons' Council with the expertise of both authors and reviewers. The editors solicited experts in the field to write each chapter and specifically requested trainees to be first authors. The content was first reviewed by the editors and then by content experts. Contributors span institutions from around the country.
The handbook was published online concurrently with the ACC.18 Scientific Sessions. As a testament to the multidisciplinary collaboration and educational mission, it was awarded the ACC All Section Award for Best Project of the Year.
The handbook is available free of charge on ACC.org at https://www.acc.org/tvhbook.
Future editions of the handbook will include chapters on emerging transcatheter tricuspid valve therapies and more comprehensive discussion and information on the role of the operative and catheterization laboratory team(s), in collaboration with ACC's Cardiovascular Team Section.
This handbook would not have been possible without the teamwork between the ACC's Surgeons' Section and Interventional Section Leadership Councils, the dedication of our authors and reviewers, and the support of ACC staff, in particular our project manager and copy editor Abby Bledsoe Cestoni and the ACC web team. Please contact us with any questions or comments or to get involved in future editions: ada.stefanescu@mgh.harvard.edu or @DrAdaStefanescu, @DrIribarne, and @tomcnguyen.
Table 1: Handbook Table of Contents
Clinical Topics: Cardiac Surgery, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Aortic Surgery, Cardiac Surgery and VHD, Interventions and Imaging, Interventions and Structural Heart Disease, Echocardiography/Ultrasound
Keywords: Transcatheter Aortic Valve Replacement, Pulmonary Valve, Tricuspid Valve, Aortic Valve, Heart Valve Prosthesis, Surgeons, Echocardiography, Heart Diseases, Catheterization, Heart Valve Diseases
< Back to Listings