Publication

A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training

Bouma, W., Jainandunsing, J. S., Khamooshian, A., van der Harst, P., Mariani, M. A. & Natour, E., 1-Feb-2017, In : Interactive Cardiovascular and Thoracic Surgery. 24, 2, p. 169-172 4 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Bouma, W., Jainandunsing, J. S., Khamooshian, A., van der Harst, P., Mariani, M. A., & Natour, E. (2017). A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training. Interactive Cardiovascular and Thoracic Surgery, 24(2), 169-172. https://doi.org/10.1093/icvts/ivw291

Author

Bouma, Wobbe ; Jainandunsing, Jayant S. ; Khamooshian, Arash ; van der Harst, Pim ; Mariani, Massimo A. ; Natour, Ehsan. / A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training. In: Interactive Cardiovascular and Thoracic Surgery. 2017 ; Vol. 24, No. 2. pp. 169-172.

Harvard

Bouma, W, Jainandunsing, JS, Khamooshian, A, van der Harst, P, Mariani, MA & Natour, E 2017, 'A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training', Interactive Cardiovascular and Thoracic Surgery, vol. 24, no. 2, pp. 169-172. https://doi.org/10.1093/icvts/ivw291

Standard

A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training. / Bouma, Wobbe; Jainandunsing, Jayant S.; Khamooshian, Arash; van der Harst, Pim; Mariani, Massimo A.; Natour, Ehsan.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 24, No. 2, 01.02.2017, p. 169-172.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Bouma W, Jainandunsing JS, Khamooshian A, van der Harst P, Mariani MA, Natour E. A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training. Interactive Cardiovascular and Thoracic Surgery. 2017 Feb 1;24(2):169-172. https://doi.org/10.1093/icvts/ivw291


BibTeX

@article{c1c51871606d42c3bdf8585076ff20f7,
title = "A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training",
abstract = "OBJECTIVES: A thorough understanding of mitral and aortic valve motion dynamics is essential in mastering the skills necessary for performing successful valve intervention (open or transcatheter repair or replacement). We describe a reproducible and versatile beatingheart mitral and aortic valve assessment and valve intervention training model in human cadavers.METHODS: The model is constructed by bilateral ligation of the pulmonary veins, ligation of the supra-aortic arteries, creating a shunt between the descending thoracic aorta and the left atrial appendage with a vascular prosthesis, anastomizing a vascular prosthesis to the apex and positioning an intra-aortic balloon pump (IABP) in the vascular prosthesis, cross-clamping the descending thoracic aorta, and finally placing a fluid line in the shunt prosthesis. The left ventricle is filled with saline to the desired pressure through the fluid line, and the IABP is switched on and set to a desired frequency (usually 60-80 bpm). Prerepair valve dynamic motion can be studied under direct endoscopic visualization. After assessment, the IABP is switched off, and valve intervention training can be performed using standard techniques.RESULTS: This high-fidelity simulation model has known limitations, but provides a realistic environment with an actual beating (human) heart, which is of incremental value. The model provides a unique opportunity to fill a beating heart with saline and to study prerepair mitral and aortic valve dynamic motion under direct endoscopic visualization.CONCLUSIONS: The entire set-up provides a versatile beating-heart mitral and aortic valve assessment model, which may have important implications for future valve intervention training.",
keywords = "Mitral valve, Aortic valve, Training model",
author = "Wobbe Bouma and Jainandunsing, {Jayant S.} and Arash Khamooshian and {van der Harst}, Pim and Mariani, {Massimo A.} and Ehsan Natour",
year = "2017",
month = "2",
day = "1",
doi = "10.1093/icvts/ivw291",
language = "English",
volume = "24",
pages = "169--172",
journal = "Interactive Cardiovascular and Thoracic Surgery",
issn = "1569-9293",
publisher = "Oxford University Press",
number = "2",

}

RIS

TY - JOUR

T1 - A new beating-heart mitral and aortic valve assessment model with implications for valve intervention training

AU - Bouma, Wobbe

AU - Jainandunsing, Jayant S.

AU - Khamooshian, Arash

AU - van der Harst, Pim

AU - Mariani, Massimo A.

AU - Natour, Ehsan

PY - 2017/2/1

Y1 - 2017/2/1

N2 - OBJECTIVES: A thorough understanding of mitral and aortic valve motion dynamics is essential in mastering the skills necessary for performing successful valve intervention (open or transcatheter repair or replacement). We describe a reproducible and versatile beatingheart mitral and aortic valve assessment and valve intervention training model in human cadavers.METHODS: The model is constructed by bilateral ligation of the pulmonary veins, ligation of the supra-aortic arteries, creating a shunt between the descending thoracic aorta and the left atrial appendage with a vascular prosthesis, anastomizing a vascular prosthesis to the apex and positioning an intra-aortic balloon pump (IABP) in the vascular prosthesis, cross-clamping the descending thoracic aorta, and finally placing a fluid line in the shunt prosthesis. The left ventricle is filled with saline to the desired pressure through the fluid line, and the IABP is switched on and set to a desired frequency (usually 60-80 bpm). Prerepair valve dynamic motion can be studied under direct endoscopic visualization. After assessment, the IABP is switched off, and valve intervention training can be performed using standard techniques.RESULTS: This high-fidelity simulation model has known limitations, but provides a realistic environment with an actual beating (human) heart, which is of incremental value. The model provides a unique opportunity to fill a beating heart with saline and to study prerepair mitral and aortic valve dynamic motion under direct endoscopic visualization.CONCLUSIONS: The entire set-up provides a versatile beating-heart mitral and aortic valve assessment model, which may have important implications for future valve intervention training.

AB - OBJECTIVES: A thorough understanding of mitral and aortic valve motion dynamics is essential in mastering the skills necessary for performing successful valve intervention (open or transcatheter repair or replacement). We describe a reproducible and versatile beatingheart mitral and aortic valve assessment and valve intervention training model in human cadavers.METHODS: The model is constructed by bilateral ligation of the pulmonary veins, ligation of the supra-aortic arteries, creating a shunt between the descending thoracic aorta and the left atrial appendage with a vascular prosthesis, anastomizing a vascular prosthesis to the apex and positioning an intra-aortic balloon pump (IABP) in the vascular prosthesis, cross-clamping the descending thoracic aorta, and finally placing a fluid line in the shunt prosthesis. The left ventricle is filled with saline to the desired pressure through the fluid line, and the IABP is switched on and set to a desired frequency (usually 60-80 bpm). Prerepair valve dynamic motion can be studied under direct endoscopic visualization. After assessment, the IABP is switched off, and valve intervention training can be performed using standard techniques.RESULTS: This high-fidelity simulation model has known limitations, but provides a realistic environment with an actual beating (human) heart, which is of incremental value. The model provides a unique opportunity to fill a beating heart with saline and to study prerepair mitral and aortic valve dynamic motion under direct endoscopic visualization.CONCLUSIONS: The entire set-up provides a versatile beating-heart mitral and aortic valve assessment model, which may have important implications for future valve intervention training.

KW - Mitral valve

KW - Aortic valve

KW - Training model

U2 - 10.1093/icvts/ivw291

DO - 10.1093/icvts/ivw291

M3 - Article

VL - 24

SP - 169

EP - 172

JO - Interactive Cardiovascular and Thoracic Surgery

JF - Interactive Cardiovascular and Thoracic Surgery

SN - 1569-9293

IS - 2

ER -

ID: 44481708