Transcatheter therapies for the treatment of structural heart diseases (SHD) have expanded dramatically over the last years, thanks to the developments and improvements of devices and imaging... Show moreTranscatheter therapies for the treatment of structural heart diseases (SHD) have expanded dramatically over the last years, thanks to the developments and improvements of devices and imaging techniques, along with the increasing expertise of operators. Imaging, in particular echocardiography, is pivotal during patient selection, procedural monitoring, and follow-up. The imaging assessment of patients undergoing transcatheter interventions places demands on imagers that differ from those of the routine evaluation of patients with SHD, and there is a need for specific expertise for those working in the cath lab. In the context of the current rapid developments and growing use of SHD therapies, this document intends to update the previous consensus document and address new advancements in interventional imaging for access routes and treatment of patients with aortic stenosis and regurgitation, and mitral stenosis and regurgitation. Show less
Tricuspid regurgitation (TR) is the most commonly functional resulting from right ventricular (RV) (ventricular) remodelling by pressure/volume overload or right atrial (RA) remodelling (atrial)... Show moreTricuspid regurgitation (TR) is the most commonly functional resulting from right ventricular (RV) (ventricular) remodelling by pressure/volume overload or right atrial (RA) remodelling (atrial) where annular dilatation is the main driver with underlying atrial fibrillation. Cardiac implantable electronic device-related (leaflet impingement, perforation, avulsion etc.) TR represents the second important group. Organic TR of different aetiologies is less frequent. Show less
Agricola, E.; Ancona, F.; Brochet, E.; Donal, E.; Dweck, M.; Faletra, F.; ... ; Edvardsen, T. 2021
Percutaneous therapeutic options for an increasing variety of structural heart diseases (SHD) have grown dramatically. Within this context of continuous expansion of devices and procedures, there... Show morePercutaneous therapeutic options for an increasing variety of structural heart diseases (SHD) have grown dramatically. Within this context of continuous expansion of devices and procedures, there has been increased demand for physicians with specific knowledge, skills, and advanced training in multimodality cardiac imaging. As a consequence, a new subspecialty of 'Interventional Imaging' for SHD interventions and a new dedicated professional figure, the 'Interventional Imager' with specific competencies has emerged. The interventional imager is an integral part of the heart team and plays a central role in decision-making throughout the patient pathway, including the appropriateness and feasibility of a procedure, pre-procedural planning, intra-procedural guidance, and post-procedural follow-up. However, inherent challenges exist to develop a training programme for SHD imaging that differs from traditional cardiovascular imaging pathways. The purpose of this document is to provide the standard requirements for the training in SHD imaging, as well as a starting point for an official certification process for SHD interventional imager. Show less
