Aortic Root Replacement (ARR) Training
Objective: To provide hands-on training on the step-by-step procedure for aortic root replacement using an aortic allograft valve and/or an On-X Ascending Aortic Prosthesis (AAP) and a pig heart for simulation of implantation.
Potential training opportunities:
- Understanding trimming and debulking of the aortic allograft
- How to set up the aorta for aortic root implantation
- Coronary artery button development and mobilization
- How to determine correct valve size
- Understanding suturing techniques for proximal suture line
- Coronary artery reimplantation
On-X Aortic Heart Valve - Aortic Valve Replacement Training
Objective: To provide hands-on training on the step-by-step procedure for aortic valve replacement using the On-X Aortic Heart Valve and a pig heart for simulation of implantation.
Potential training opportunities:
- How to set up the aorta for aortic valve implantation
- Sizing for the On-X Aortic Heart Valve (ring sizer and replica sizer ends)
- Visualize the key technologic improvements to the On-X Aortic Heart Valve (1 mm flared inlet, leaflet guards)
- Implant positioning of the On-X Aortic Heart Valvealve (intra-supra annular implant)
- Suture techniques for implantation of the On-X Aortic Heart Valve
- Removal of handle/holder from the seated valve
- Seating and knot tying sequence for the On-X Aortic Heart Valve (nadirs first)
- Sequestration of pledgets behind On-X carbon – benefit to flow, turbulence and eliminating pannus
- Rotating the On-X Aortic Heart Valve (when, how and universal aortic rotator)
- Orientation of On-X Aortic Heart Valve in-situ (recommendations and considerations)
Chord-X Mitral Chordal Replacement Training
Objective: To provide learning techniques to repair regurgitant mitral valves, due to degenerative etiologies, using Chord-X pre-measured ePTFE (neo-chord) loops.
Potential training opportunities:
- Sizing for proper Chord-X length
- Review and understand the Chord-X device in the package (papillary arm, ‘neo-papillary loop’, chords 1, 2 and 3)
- Anchoring the ‘papillary arm’ of Chord-X: which papillary muscle, where to anchor, hidden second pledget
- Chord-X and control/suture management of its four “arms” during implant
- Three neo-chord arm placement (how far in, how far apart, rolling stitch, cleft closure, can you remove one if not needed)
- How many knots and how tight to tie
- Anterior vs Posterior mitral leaflet neo-chords (length differences)
- Which etiologies of chronic mitral regurgitation can NOT be addressed with Chord-X (tethered leaflets/DCMs)
On-X Mitral Heart Valve - Mitral Valve Replacement Training
Objective: To provide hands-on training on the step-by-step procedure for mitral valve replacement using the On-X Mitral Heart Valve and a pig heart for simulation of implantation.
Potential training opportunities:
- How to set up the aorta for aortic valve implantation
- Sizing for the On-X Mitral Heart Valve (ring sizer only)
- Visualize the key technologic improvements to the On-X Mitral Heart Valve (1 mm flared inlet, leaflet guards)
- Suture techniques for implantation of the On-X Mital Heart Valve
- Removal of handle/holder from the seated valve
- Seating and knot tying sequence for the On-X Mitral Heart Valve
- Sequestration of pledgets behind On-X carbon – benefit to flow, turbulence and eliminating pannus
- Rotating the On-X Mitral Heart Valve (when, how and universal mitral rotator)
- Orientation of On-X Mitral Heart Valve in-situ (recommendations and considerations)
BioGlue and PhotoFix Training
Objective: To provide attendees with the ability to use BioGlue on a pig heart model experimenting with its various applications, as well as PhotoFix Decellularized Bovine Pericardium in procedures where a pericardial patch would be recommended or required. This training can also be incorporated into other cardiac training modules where BioGlue and/or PhotoFix would be incorporated in the procedure (i.e., defect repair for endocarditis simulation on aortic root replacement).
Potential training opportunities:
- Simulation of aortic dissection with pig aorta and repair with BioGlue
- Practice set up and proper use of BioGlue on tissue
- Determine suture strength of PhotoFix Decellularized Bovine Pericardium
- Implantation of PhotoFix in procedures typically using bovine pericardium (defect repair, etc.)
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Institutional Training Event