Valve In Valve vs TEE Alternative Views

An instant guide to Valve in Valve procedures for clinicians Quick, clear and concise information about heart valves and Valve in Valve therapy. A guide you wish you always had at your fingertips. About Valve in Valve app was originally developed as a collaboration between the technology company UBQO and Dr. Vinayak (Vinnie) Bapat, Consultant Cardiac Surgeon at St. Thomas' Hospital, London, UK. The team at KRUTSCH reimagined the app, introducing modern design, as well as a novel editing interface for to allow cardiologists to edit cloud-hosted valve data. Valve in Valve app provides information specific for a clinical scenario, quickly and simply. This will help in the planning of and performing a Valve in Valve case. The application navigates the user through important aspects of surgical and TAVR valve design, which are vital for a successful Valve in Valve procedure. The app logically steps through the possible combinations to give the user specific information needed to perform the procedure. Success of a Valve in Valve procedure is based on correct identification of the surgical valve, choosing the correct size of the TAVR valve and its subsequent accurate placement. Surgical valves vary in appearance under fluoroscopy and also in their internal diameter. Similarly TAVR valves differ in their appearances and available sizes. Knowledge about all the surgical valves that have been implanted in the last two decades is minimal but relevant to the Valve in Valve therapy. Users can now familiarise themselves with important design information about surgical and TAVI valves; they can also select the valve and find out which size of TAVR valve could be used and how it is best placed during a Valve in Valve procedure. If the valve type is unknown, the App also guides the user through a series of steps where they can identify the surgical valve type and then use the information available for it. The Valve In Valve app can be used to plan a case and confirm suitability for this procedure and reduces the need to trawl through vast amounts of literature to find information specific to the clinical scenario. The information is also available without the need for an internet connection and will enhance the users understanding of various aspects of this procedure. We hope this will result in improved results and better outcomes for patients. Key features - Design information for multiple types of surgical valve - Sizing information for multiple types of surgical valve - Real life and fluoroscopic images of all the surgical valves - Design information about TAVR valve designs - Sizing information for these TAVR valves - Guides the user through a stepped process to help choose a specific valve, then the size and lastly the important dimensions to plan a Valve in Valve procedure - Image based guidance for the ideal placement of a TAVR valve - Video examples of actual placement of a TAVR valve - Discusses important design considerations in detail to improve understanding of the Valve in Valve procedure

The primary challenge in learning TEE is translating the two dimensional echocardiographic image into a visualization of the complex three-dimensional (3D) structure of the heart. This TEE Alternative Views app provides a learning environment where users can explore 19 non-standard but complimentary 2D TEE views using two visualization methods simultaneously: (1) a rotatable 3D heart model with an echocardiographic plane and (2) the associated TEE clip. The 3D heart model and echo plane can be rotated, helping to relate the echocardiographic image to heart structures. Part of the heart above the echo plane can be removed, revealing the internal cardiac structures that correspond to the TEE image. This app will enable the user to perform a more complete TEE study than can be obtained from the 20 standard TEE views. For the 20 standard TEE views, please refer to our TEE Standard Views app. The 19 alternative TEE views illustrated in this app are: Coronary Sinus View (100 Degrees) Coronary Sinus View (0 Degrees) Tricuspid Valve Transgastric Short Axis View Tricuspid Valve Mid-Esophageal View Pulmonic Valve Transgastric View Pulmonary Artery Mid Esophageal Right Coronary Artery View Coronary Arteries View Left Pulmonary Veins View Right Pulmonary Veins View Right Upper Pulmonary Vein View Arch Innominate Artery View Arch Left Common Carotid Artery (LCCA) View Arch Subclavian (LSCA) View Five Chamber View Hepatic Vein View Left Atrial Appendage View 1 Left Atrial Appendage View 2 Superior and Inferior Vena Cava View