Comprehensive Training Model for Procedural Guidance of Transcatheter Mitral Valve Edge-to-Edge Repair: Divide and...

Area of Science:

• Cardiology
• Medical Imaging
• Surgical Training

Background:

• Transcatheter edge-to-edge repair (TEER) of the mitral valve is a complex interventional procedure.
• Effective image guidance using 2D and 3D transesophageal echocardiography is critical for successful TEER.
• Current training structures for interventional echocardiographers lag behind the increasing prevalence of TEER procedures.

Approach:

• This review proposes a novel, step-wise training strategy for image guidance during mitral valve TEER.
• The approach deconstructs the complex TEER procedure into modular components with incremental training stages.
• Trainee proficiency is assessed at each stage before progression, ensuring a structured learning pathway.

Key Points:

• The echocardiographer's role is paramount in guiding TEER procedures.
• Interventional echocardiography training requires advanced imaging skills and understanding of hybrid operating room workflows.
• A structured, modular training approach is essential to address the current training gap.

Conclusions:

• Developing novel training strategies is crucial to enhance exposure and proficiency for interventional echocardiographers in TEER.
• This step-wise training model provides a structured method for achieving competence in image guidance for mitral valve TEER.
• Standardized training ensures better patient outcomes through improved procedural guidance.