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Related Experiment Video

Updated: May 14, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Introducing transapical aortic valve implantation (part 2): institutional structured training program.

Miralem Pasic1, Axel Unbehaun1, Stephan Dreysse1

  • 1Deutsches Herzzentrum Berlin, Berlin, Germany.

The Journal of Thoracic and Cardiovascular Surgery
|February 6, 2013
PubMed
Summary

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A structured training program for transcatheter aortic valve implantation (TAVI) successfully eliminated the typical learning curve's increased risks. This approach ensures safe implementation of new procedures, improving patient outcomes and clinical environments.

Area of Science:

  • Cardiology
  • Medical Education
  • Surgical Innovation

Background:

  • New medical procedures often have a learning phase with higher complication rates.
  • Transcatheter aortic valve implantation (TAVI) requires specialized training to mitigate risks.

Purpose of the Study:

  • To develop and evaluate an institutional structured training program for TAVI.
  • To eliminate the negative effects of the learning curve during TAVI implementation.

Main Methods:

  • The program integrated existing knowledge with institutional experience.
  • It involved stepwise training in strategic planning, team communication, technical skills, and postoperative care.
  • Emphasis was placed on team interaction and feedback loops ('teach and learn', 'proctor and proctored').

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

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Last Updated: May 14, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Main Results:

  • The program comprised general principles, team building, education, and procedural policies.
  • Control mechanisms like external proctoring were included.
  • The program led to spontaneous procedural improvements, optimized outcomes, and general clinical enhancement by identifying and correcting latent conditions.

Conclusions:

  • A structured training program allows TAVI implementation without increased morbidity or mortality.
  • This model is adaptable for introducing other new devices and procedures into clinical practice.