THV PATIENT SCREENING FILE
Patient # ..
Center: _________________________
INSTRUCTIONS FOR USE 1/2
1. Please make a copy of this file for every patient
2. Provide as much data as possible (see slides)
3. Please incorporate the movies into the presentation as shown. (bring DICOM CDs with it)
4. Bring the data on a CD or USB stick to the training
5. To enter patient data (slide 5, 6, 7 and 8) go into edit mode PowerPoint.
6. To click the boxes (see slide 7) go into presentation mode
1. Please make a copy of this file for every patient
2. Provide as much data as possible (see slides)
3. Please incorporate the movies into the presentation as shown. (bring DICOM CDs with it)
4. Bring the data on a CD or USB stick to the training
5. To enter patient data (slide 5, 6, 7 and 8) go into edit mode PowerPoint.
6. To click the boxes (see slide 7) go into presentation mode
INSTRUCTIONS FOR USE 2/2Helpful tool for Windows users is the
“Snipping Tool”Where you can easily make pictures from your
screenVia START button->All Programs->Accessories
See example
Helpful tool for Windows users is the “Snipping Tool”
Where you can easily make pictures from your screen
Via START button->All Programs->AccessoriesSee example
CRITERIA
INDICATIONSINDICATIONS
1.Symptomatic Degenerative Aortic Stenonosis
2.AVA ≤ 0.8cm2
3.Logistic Euroscore > 20% or STS > 10%
www.euroscore.org/calc.html http://209.220.160.181/STSWebRiskCalc261
INDICATIONSINDICATIONS
1.Symptomatic Degenerative Aortic Stenonosis
2.AVA ≤ 0.8cm2
3.Logistic Euroscore > 20% or STS > 10%
www.euroscore.org/calc.html http://209.220.160.181/STSWebRiskCalc261
ANNULUS BY ANNULUS BY TEETEE
18 to 21mm -> 23mm SAPIEN
21+ to 24.5mm -> 26mm SAPIEN
ANNULUS BY ANNULUS BY TEETEE
18 to 21mm -> 23mm SAPIEN
21+ to 24.5mm -> 26mm SAPIEN
CRITERIA
1. Non-valvular aortic stenosis2. Congenital aortic stenosis, unicuspid or bicuspid aortic valve3. Non-calcified aortic stenosis4. Evidence of intracardiac mass, thrombus or vegetation5. Untreated clinically significant coronary artery disease requiring revascularization6. Active bacterial endocarditis or other active infections7. Myocardial infarction within 1 month8. Cerebrovascular accident (CVA)9. Patient unable to tolerate anticoagulation therapy10. Hypertrophic cardiomyopathy with or without obstruction (HOCM)11. Presence of mitral bioprosthesis12. Severe ventricular dysfunction with ejection fraction < 20%13. Severe deformities of the chest14. Severe coagulation problems15. Unstable angina during index procedure16. Recent pulmonary emboli Recent17. Significant atheroma of femoral and iliac vessels18. Severe tortuosities of the femoro -iliac vessels19. Severe calcifications or femoro -iliac vessels < 7mm20. Patients with bilateral iliofemoral bypasses
1. Non-valvular aortic stenosis2. Congenital aortic stenosis, unicuspid or bicuspid aortic valve3. Non-calcified aortic stenosis4. Evidence of intracardiac mass, thrombus or vegetation5. Untreated clinically significant coronary artery disease requiring revascularization6. Active bacterial endocarditis or other active infections7. Myocardial infarction within 1 month8. Cerebrovascular accident (CVA)9. Patient unable to tolerate anticoagulation therapy10. Hypertrophic cardiomyopathy with or without obstruction (HOCM)11. Presence of mitral bioprosthesis12. Severe ventricular dysfunction with ejection fraction < 20%13. Severe deformities of the chest14. Severe coagulation problems15. Unstable angina during index procedure16. Recent pulmonary emboli Recent17. Significant atheroma of femoral and iliac vessels18. Severe tortuosities of the femoro -iliac vessels19. Severe calcifications or femoro -iliac vessels < 7mm20. Patients with bilateral iliofemoral bypasses
CONTRA - INDICATIONSCONTRA - INDICATIONS
PATIENT DATA Echo Evaluation
Hospital Name Logisc EuroSCORE Logisc EuroSCORE / STS ScoreSTS Score Subject Initials_____________________________ __ % / __% __ __First/LastIf Euroscore < 20% and STS < 10%, COMMENTS:
Date of Screening: __/__/____ (dd/mm/yyyy)
Subject Gender Female MaleHeight:
Subject Age and birth date ___________________________ Weight:
ECHO FINDINGSECHO FINDINGSAnnulus Ø, TTE (mm) (18 to 24) Annulus Ø, TEE (mm) (18 to 24)AVA (cm2) (< 0.8 cm2) Mean gradient (mmHg)EF (>20%) Calcification degreeSeptal hyperthrophy Bicuspid/unicuspid aortic valve?
AORTOGRAMAORTOGRAMCalcified bulky leaflets? Distance coronary ostia – annulus (≥10mm)Horizontal aorta? Define optimum view (3 leaflets aligned)Porcelain aorta?
CORONAR ANGIOGRAMCORONAR ANGIOGRAMCoronary diseases?Comments:
ECGECGConduction irregularitiesPace MakerAV Block/ RBBB/LBBBComments
Add text in Edit modeClick boxes in Presentation mode
PATIENT DATA Echo EvaluationPATIENT ’S HISTORY , SYMPTOMS, NYHA CLASS
ADDITIONAL COMMENTS HELPFUL FOR PATIENT EVALUATION
Add text in Edit mode
PATIENT DATA Peripheral Sizing
CT Scan (section 5 mm max) Angiogram
RIGHT VESSEL SIZERight Common Femoral Vessel Size > 7.5 mm (Smallest Diameter) YES
NORight External Iliac Vessel Size > 8 mm (Smallest Diameter) YES NORight Common Iliac Vessel Size > 8 mm (Smallest Diameter) YES NOTortuosity None Mild Moderate SevereDegree of Calcification None Mild Moderate Severe
LEFT VESSEL SIZERight Common Femoral Vessel Size > 7.5 mm (Smallest Diameter) YES NORight External Iliac Vessel Size > 8 mm (Smallest Diameter) YES NORight Common Iliac Vessel Size > 8 mm (Smallest Diameter) YES NOTortuosity None Mild Moderate SevereDegree of Calcification None Mild Moderate Severe
ABDOMINAL AND THORACIC AORTAAortic Calcification No Yes Aortic Tortuosity No YesEDWARDS RECOMMENDATIONS
Edwards Valve Size: 23mm 26mmEdwards Sheath Access Site: Right
Left
Add text in Edit modeClick boxes in presentation mode
PATIENT DATA
INVESTIGATOR SIGNATUREPrint Name Date __ __ / __ __ / __ __ __ __(dd/mm/yyyy)Email address:
CASE APPROVED BY SCREENER Yes NoScreener Comments/Explanations
SCREENERS SIGNATUREPrint Name Date __ __ / __ __ / __ __ __ __(dd/mm/yyyy)
Add text in Edit modeClick boxes in presentation mode
ECHO Pictures
PICTURE 1PICTURE 1
LONG AXIS LONG AXIS Measurement Nr1Measurement Nr1
+ value+ value
PICTURE 1PICTURE 1
LONG AXIS LONG AXIS Measurement Nr1Measurement Nr1
+ value+ value
PICTURE 2PICTURE 2
LONG AXIS LONG AXIS Measurement Nr2Measurement Nr2
+ value+ value
PICTURE 2PICTURE 2
LONG AXIS LONG AXIS Measurement Nr2Measurement Nr2
+ value+ valuePICTURE 3PICTURE 3
LONG AXIS LONG AXIS Measurement Nr3Measurement Nr3
+ value+ value
PICTURE 3PICTURE 3
LONG AXIS LONG AXIS Measurement Nr3Measurement Nr3
+ value+ value
Show annulus measurements-hinge point to hinge point-Include diameter sinuses3 different measurements
Show annulus measurements-hinge point to hinge point-Include diameter sinuses3 different measurements
PICTURE 4PICTURE 4
SHORTSHORT AXIS view AXIS view(Calcium distribution)(Calcium distribution)
PICTURE 4PICTURE 4
SHORTSHORT AXIS view AXIS view(Calcium distribution)(Calcium distribution)
ECHO Movie
EchoEcho
AVI file AVI file MovieMovie
EchoEcho
AVI file AVI file MovieMovieShow Echo Movie:
•Long Axis view•4 Chamber view•Short axis view (calcium distribution)
•Ventricular contraction•Mitral Valve apparatus
Show Echo Movie:
•Long Axis view•4 Chamber view•Short axis view (calcium distribution)
•Ventricular contraction•Mitral Valve apparatus
AORTOGRAM Picture
PICTUREPICTURE
Aortic Root ShotAortic Root Shot
To recognize distance To recognize distance ostia to bottom cuspsostia to bottom cusps
PICTUREPICTURE
Aortic Root ShotAortic Root Shot
To recognize distance To recognize distance ostia to bottom cuspsostia to bottom cusps
ANGIOGRAM Peripheral
Include here the Include here the Peripheral AngiogramPeripheral Angiogram
AVI file AVI file MovieMovie
Include here the Include here the Peripheral AngiogramPeripheral Angiogram
AVI file AVI file MovieMovie
CT Angio Heart & Peripherals
Place PICTUREPlace PICTURE
Aortic Root Aortic Root distance from, Corononary Ostia to distance from, Corononary Ostia to
bottom cusp bottom cusp
Place PICTUREPlace PICTURE
Aortic Root Aortic Root distance from, Corononary Ostia to distance from, Corononary Ostia to
bottom cusp bottom cusp
Place PICTUREPlace PICTURE
Aortic bifurcationAortic bifurcation(CT-slice)(CT-slice)
Place PICTUREPlace PICTURE
Aortic bifurcationAortic bifurcation(CT-slice)(CT-slice)
Both for TA & TFBoth for TA & TF
CT Angio Heart & Peripherals
Place PICTUREPlace PICTURELeftLeft Side Side
Smallest lumen from Aortic Smallest lumen from Aortic bifurcation to common bifurcation to common
femoralfemoral
Place PICTUREPlace PICTURELeftLeft Side Side
Smallest lumen from Aortic Smallest lumen from Aortic bifurcation to common bifurcation to common
femoralfemoral
Place PICTUREPlace PICTURERight Right SideSide
Smallest lumen from Aortic Smallest lumen from Aortic bifurcation to common bifurcation to common
femoralfemoral
Place PICTUREPlace PICTURERight Right SideSide
Smallest lumen from Aortic Smallest lumen from Aortic bifurcation to common bifurcation to common
femoralfemoralIf availableIf available
3D Reconstruction3D ReconstructionTotal Aorta and Total Aorta and
peripheralsperipheralspicturespictures
If availableIf available3D Reconstruction3D Reconstruction
Total Aorta and Total Aorta and peripheralsperipherals
picturespictures
Please keep Please keep DICOMDICOM CT- CT-Angio CD Angio CD availableavailable
SPECIFIC FOR TransFemoral CASESSPECIFIC FOR TransFemoral CASES
Make sure you can recognize calcium differentiating from lumina (greyscaling)
Make sure you can recognize calcium differentiating from lumina (greyscaling)
CORONARY Angiogram
Include here the Include here the Coronary AngiogramCoronary Angiogram
Full coverage standard Coronary Full coverage standard Coronary AngiogramAngiogram
AVI file MovieAVI file Movie
Include here the Include here the Coronary AngiogramCoronary Angiogram
Full coverage standard Coronary Full coverage standard Coronary AngiogramAngiogram
AVI file MovieAVI file Movie
OUR SUGGESTIONS
This Patient will be suitable for
TransFemoralor
TransApical
Comments: ___________________________________________________
Suggested Valve Size: ___ mm
This Patient will be suitable for
TransFemoralor
TransApical
Comments: ___________________________________________________
Suggested Valve Size: ___ mm
EXAMPLES IMAGING=>Echo
22mm
23mm
ECHO 3xLong Axis Views Measurements (not realistic measurements!)
ECHO 3xLong Axis Views Measurements (not realistic measurements!)
23mm
ECHO Short Axis ViewECHO Short Axis View
EXAMPLES IMAGING => Aortogram
AORTOGRAMAORTOGRAM
Provides Info on:•Angulation•Left Main to bottom cusps•Diameter Sinusses•Porcelain Aorta
Provides Info on:•Angulation•Left Main to bottom cusps•Diameter Sinusses•Porcelain Aorta
EXAMPLES IMAGING => Aortogram peripherals
ANGIOGRAMPERIPHERALSANGIOGRAM
PERIPHERALS
Provides Info on:Tortuosity
Provides Info on:Tortuosity
EXAMPLES IMAGING => CT Angio
BIFURCATIONBIFURCATION
OSTIA TO BOTTOM CUSPSOSTIA TO BOTTOM CUSPSSMALLEST DIAMETERSSMALLEST DIAMETERS
3D RECONSTRUCTION3D RECONSTRUCTION
GENERAL INFO
For coming to the training please bring the Powerpoint Presentations.
Make sure you provide as much data as possible
If sending data to the proctor (who will attend the implants) also include the CD’s with all the files in
DICOM format as he/she can re-measure
(If you have questions please contact your local Clinical Specialist)
For coming to the training please bring the Powerpoint Presentations.
Make sure you provide as much data as possible
If sending data to the proctor (who will attend the implants) also include the CD’s with all the files in
DICOM format as he/she can re-measure
(If you have questions please contact your local Clinical Specialist)
Thank you!