Wk 1: General Principles |
-History and current practice standards (indications, contraindications, |
and quality assurance) |
-Cineangiographic imaging, radiation safety and contrast agents |
-Integrated imaging modalities in the cardiac catheterization laboratory |
-Complications |
-Intro to pharmacological agents used in catheterizations |
Wk 2: Basic Technique |
-Selection of site, use of anesthetics, femoral access |
-Equipment overview |
-Intro to left and right heart catheterizations |
-Intro to pressure measurements |
-Closure devices |
-Transseptal and apical punctures |
Wk 3: Percutaneous and Surgical Approaches |
-Percutaneous Approach; radial artery |
-Catheter selection |
-Cutdown approach: brachial, femoral, axillary, aortic and transapical |
-Special techniques |
-Intro to PCI |
Wk 4: Diagnostic Catheterization in Childhood and Adult Congenital Heart Disease |
-Types of surgical repairs |
-Shunt calculations and agiography |
-Special cirucumstances |
Wk 5: Intro to Hemodynamics and Blood Flow Measurement |
-Hemodynamics introduction |
-Cardiac output and measurements |
-Vascular resistance |
-Shunt detection and quantification |
Wk 6: Valve Stenosis Calculations and Errors in Hemodynamic Data |
-Gorlin formula |
-Valve area calculations |
-Gradients |
-Catheter location and callibration |
Wk 7: Coronary Angiography |
-Angiographic techniques |
-Indications and general issues |
-Cannulation of different vessels |
-Adverse effects |
-Injection techniques |
-Angiographic views |
Wk 8: Anomolies, Ventriculography, and Pulmonary Angiography |
-Imaging modalities |
-Coronary anomolies |
-Cardiac ventriculography |
-Pulmonary angiography |
Wk 9: Angiography of the Aorta and Peripheral Arteries |
-Thoracic and abdominal aorta and imaging techniques |
-Peripheral imaging and techniques |
Wk 10: Evaluation of Cardiac Function |
-Stress testing during cardiac catheterization |
-Measurement of Ventricular volumes |
-Ejection fraction |
-Mass, wall stress, and regional wall motion |
-Evaluation of systolic and diastolic function of ventricles and myocardium |
Wk 11: Evaluation of Cardiac Function Continued and Intro to Catheter Techniques |
-Evaluation of tamponade |
-Constrictive and Restrictive physiology |
-Evaluation of Myocardial and coronary blood flow and metabolism |
-FFR and IVUS |
Wk 12: Intravascular Imaging |
-IVUS |
-OCT |
-Angioscopy |
Wk 13: Endomyocardial Biopsy and Review of Calculations |
-EMB |
-Practice calculations |
Wk 14: Introduction to Percutaneous Circulatory Support |
-IABP |
-Impella |
-TandemHeart/LVAD systems |
-ECMO |
Wk 15: Review for final exam |
-Review |