TEE Alternative Views vs AngioAID 3D

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

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.