AngioAID 3D vs Redo TAV

AngioAID 3D is educational tool designed to teach key concepts of diagnostic angiography of coronary arteries. Developed at the Mount Sinai Hospital in New York City, New York State's highest volume cardiac cath lab, we aim to provide an interactive learning experience on this important topic. Within a 3D live simulation, you begin by advancing a diagnostic guidewire into the aortic root. Then, advance one of many diagnostic catheter options to either the right of left coronary ostium. Through pushing and pulling, as well as rotation of the catheter, try to achieve a truly co-axial engagement of the coronary ostium with the catheter. Meanwhile monitor the hemodynamic tab which simulated damping from over-engagement or roofing of the catheter tip. Line up the view with the target view, zoom to fill the screen with he coronaries, and rotate the C-Arm LAO/RAO and Cranial/Caudal until you're where you think you need to be. Finally, inject dye and take a cine to compare with the one we actually did in the cath lab for this set of coronaries. In addition to the diagnostic simulation, "Review Mode" allows you to play with angles and panning while always being able to see the vessels with no dye injection needed. Also a collection of key topics have been included within the review mode such as key angiographic angles depending on what you're aiming to see clearly, vessel segmentation conventions, and more coronary anatomy and angiography pearls. We highly recommend you view the tutorial video that is available when you first open the application or from the settings page to understand all of the available functions. The first launch has a normal set of coronary arteries but please stay tuned while we create more sets of coronaries such as anomalous coronaries and bypass grafts.

The Redo TAV app provides guidelines for assessing the suitability of a transcatheter aortic valve for Redo-TAV procedures using systematic CT analysis (Redo-TAV CT planning) and provides procedural guidance (Procedural Guide) for the procedure. The algorithm behind the app has been derived from extensive research of published materials on Redo-TAV procedures, including bench and CT simulation work. - Redo-TAV CT Planning After the user selects a particular valve type and size, Redo-TAV provides them with the valve's CT appearance and dimensions. Once the second valve is chosen, the app guides the user through different steps of assessment and collates the information. Using systematic step-by-step assessment, the app ensures that no aspect of assessment is missed. The app does not make recommendations to the user but simply guides them to the next step based on their choice. - Procedural Guide Based on the first valve type and size in the patient and the second valve chosen by the user, the app provides information on the height and depth of implant. When available, the app also includes a small clip of actual implant. - Procedure Data and Outcome The user is able to input important data points if desired to create a visual report.