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. 2020 Aug 14;15(1):2–15. doi: 10.1016/j.jcct.2020.08.003

Table 4.

Minimum case volumes for demonstration of Structural Heart Disease competencya.

Independent Practitionerb Advanced Practitionerc
Minimum number of mentored examinations involved directly with patient preparation, data acquisition and image reconstruction 10 30
Minimum number of mentored examinations interpreted to include, but not limited to:
  • •

    TAVR (including Valve-in-Valve)

  • •

    LAA Closure

  • •

    TMVR

  • •

    ASD/PFO Closure

  • •

    Paravalvular Leak

  • •

    Ventricular Assist Device

 50 100

Trainees are also directed to Table 8 for a discussion on potential future curriculum competencies in this rapidly evolving field.

a

While case volume and didactics can provide an initial training experience, demonstrated Independent (IP) and Advanced Practitioner (AP) competency in structural heart disease requires engagement at an institution with a multi-specialty heart team.

b

Emphasis for Independent Practitioner includes achieving basic competency in uncomplicated TAVR planning with exposure to the other clinical scenarios.

c

Demonstration of Advanced Practitioner Structural Heart Competency may not be sufficient for the comprehensive, expert level practice of all complex structural heart imaging studies, such as, but not limited to TMVR, paravalvular leak and other high-risk structural procedures.