Aortic Stenosis
Aortic Stenosis Definition
Occurs when the aortic valve narrows due to calcification on valve leaflets.
Name the first TAVR valve
Corevalve
What type of tissue do we use in Evolut? Name and Surname
Porcine Pericardium
Name 2 activities "after" Evolut procedure
Family information
Post procedure suggestions (EKG, ECHO, Vascular punctions, ICU)
Follow up
Where does it live Lina? city and country
Bogotá- Colombia
There are three main causes of AS
•Degenerative
•Congenital
•Disease
Name the next Evolut generation that we will have in Curazao
Evolut FX+
Which is the target implant depth of Evolut?
3 mm below the annulus
Could you name two potentials complications on TAVR?
Vascular complications
Coronary oclussion
Pop out of the valve
Aortic disection
How many years of cathlab experience does it have Lina?
3 years
3 Symptoms of Aortic Stenosis
Heart Failure
Syncope
Angina
Evolut R
Evolut Pro
Evolut Pro+
Evolut FX
Which is the Annulus range of Evolut? ...mm to ... mm
18mm to 30 mm
Could you remind 3 suggestions into the Cathlab Staff Role before Evolut cases?
1. Prepare cathlab materials
2. Complications mitigations
3. Understand and plan for special needs of each patient
How many years of industry experience does it have Lina?
11 years
AS prevalence
More than 4% of people over age 75 have AS
How much cost the Corevalve Acquisition?
$1.03 Billion USD
How many and which numbers do we have in Evolut?
4 numbers, 23-26-29-34 mm
Which is the suggested activated clotting time (ACT) during Evolut procedures?
above 250 seconds
How many cats does Lina have?
3 beautiful orange cats
According to AHA could you name the 4 parameters in Echo for doing the diagnose the AS? (parameter name and number)
Jet velocity (m/s)
> 4.0
Mean gradient (mmHg)
> 40
Valve area (cm2)
< 1.0
Valve area index (cm2/m2)
< 0.6
Which is the name of the last biggest small annulus Medtronic Study?
Smart Trial (Small Annuli Randomized to Evolut)
Could you explain the advantage of supraannular design?
Bigger EOAs, Lower Gradients, Better durability
Could you name at least 6 ancillary materials during Evolut procedure? not related with Evolut kit
•Cathters (AL1,JR,AL2, pigtail), guidewires (Confida, straigth, exchange, snare), balloons (Pre-post dilation, NC, SC?)
•Vascular complications? (Covered stent, vascular balloon?)
Could you remember the full name (2 names, 2 last names)of our trainer?
Lina Maria Osorio Hernández