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In addition, preparing a research plan before the application represents a unique opportunity to have the three stakeholders involved working together mentor of the mother institution, mentor of the hosting institution, and fellow. Fourth, experience and knowledge should be shared with colleagues to extend personal networks and international contacts. Moreover, a minimum duration of at least one year is suggested for a research stay.

Fifth, looking for additional modes of funding during the research stay is necessary for a prolonged stay and helpful to continue the research at the home institution, thereby ensuring sustainability in the research goal. How to support research and fellowship programmes?

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A platform for research centres willing to serve as a host seems to be most promising. Centres should be asked to post their research interests, outcomes, as well as collaborators and former fellows, on that platform. Moreover, they should post their expectations about fellows e. To conclude, all efforts should be devoted to carrying out the EAPCI mission statement on research, with the following considerations: 1 research and innovation are of pivotal importance in order to contribute to novel evidence and knowledge, and to advance the specialty in competition with other fields in medicine and cardiology; 2 independence of research and funding is an important objective; 3 funding in addition to industry is necessary; 4 scientific integrity and ownership of research is key to safeguarding against abuse and adhering to ethical principles.

The main focus of the discussion was the ESCeL platform and how this could improve the education of future operators in interventions. The programme consists of three core sections: Knowledge, Practical Skills and Professionalism. The first core gives the trainee a comprehensive review of the literature and finally a test of multiple-choice questions is provided. The second core enables the trainee to upload a number of cases for the local trainer for evaluation. It also enables the trainee to log the procedures performed during the two years of training and to monitor patient safety and directly observed practical skills DOPs.

The programme is estimated to last for two years and ends with a certificate of excellence in training in interventional cardiology. The receiving centre would thus be able to assess the level of knowledge and skills of the trainee. Also, an important topic of discussion was the possibility of adapting the curriculum to the needs and demands of the national societies.

WikiJournalClub:List of landmark papers/Cardiology

No national society should feel that entering the programme would lower the national standard of education. The challenge for now is how to get the national societies to endorse the programme by appointing a national coordinator 7. It will be the task of this national coordinator to check if the fellow is legally entitled to perform the training and to check if the training hospital and the local trainer have proper conditions to support the training process.

Each trainee is meant to have a local trainer to whom the trainee refers. Thus, the principle of apprenticeship will exist, as is known in many countries today. While the annual fee to enrol in the training programme euros was perceived as reasonably affordable by the workgroup, a call to have the subscription cost covered by third parties i. Networking among fellows and also between seniors and fellows was also discussed.

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The platforms already in use, such as Facebook, Twitter and Research gate, were in general regarded as too unfocused for this purpose. Important steps in this process regarding practical training could include some of the following: defining the number of PCIs that young interventionalists should perform independently, number and types of specific procedures i. Since the education of doctors is a very long and complex process, every effort should be made to reduce the overlap that may exist with curricula of the previous educational steps.

There are many existing educational programmes and platforms that may be used to improve the global level of education and to enhance the access of young fellows to European educative solutions fellows courses, PCR seminars, and other meetings dedicated to special topics , but the awareness of their availability among young interventionalists is limited.

Industry-supported educational programmes may sometimes be attractive, but in order to be used as official educational tools, their quality should be checked and certified by EAPCI or other regulatory bodies. Furthermore, the awareness of existing fellowship programmes is also low amongst doctors in training. Improved communication and sharing could help us improve the visibility of various educational opportunities. This information should not be presented in a classic web-page format, but preferably in the framework of a social network where information and experience could easily be communicated and shared among young interventionalists.

Furthermore, the availability of the whole or parts of this platform on mobile devices e. Importantly, the development of electronic platforms is not a substitute for more traditional peer-to-peer learning and exchange of young interventionalists between centres, but rather a novel tool in the educational armamentarium.

What are the options? It can be an academic career coupling activity in intervention and also research; working in a highly specialised centre public or private in coronary artery disease, structural heart disease or peripheral disease; it can be a broader commitment in clinical cardiology and intervention; finally, one may also choose an orientation in industry. Many resources exist for making choices and helping in the decision.

It seems necessary to create a new specialised resource on the current website to provide specific information for career orientation. Young interventional cardiologists may ask themselves a lot of important questions. How to choose the type of centre in which to practise? What are the requirements of specific diplomas to validate the fellowship? How or if to start research?

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How or if to become a fellow at home or abroad? How or if to find a job abroad and how to come back later to their own country? How to get connected with peers and industry? Is a career in industry an alternative option? Answers to all of these questions are, of course, country-specific. There are many centres in Europe potentially offering great interventional and research opportunities and willing to attract young fellows from abroad.

This is going to be facilitated by the CathGo platform. The ultimate goal would be to create a kind of dedicated search engine to help fellows in their career opportunities. With all this web-based information, the existence of international fellows courses, numerous congresses ESC Congress, EuroPCR, national conferences and the creation of a tool for searching tailored training opportunities, young interventional cardiologists will more easily find the support and advice to choose the best suitable career orientation.

Focus article. Abstract Every year, the EAPCI Board invites presidents and representatives of the interventional working groups affiliated to EAPCI to discuss issues and strategies surrounding the goals of education and advanced healthcare practices in interventional cardiology. Introduction In , the EAPCI executive board appointed a new committee to explore the unmet needs of the young generation of interventional cardiologists and promote tailored solutions accordingly 1,2.

Workshop 1. Workshop 2.

  1. The History of the Sevarambians: A Utopian Novel.
  2. Expressions in cardiology;
  3. WM 2006 - Hoffnungen und Befürchtungen (German Edition)!
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Workshop 3. Workshop 5.

Edited by Aung Myat and Tony Gershlick

Conclusions With the active participation of presidents and representatives of the interventional working groups affiliated to EAPCI, the 2 nd EAPCI Summit represented the ideal setting for discussing the unmet needs of the future generation of interventional cardiologists and forecasting dedicated actions to be taken by EAPCI Table 1, Online Appendix.

Conflict of interest statement The authors have no conflicts of interest to declare. Full report of the workshops. References 1.

Landmark Papers in Cardiovascular Medicine - Oxford Medicine

Fajadet J. Young interventionalists. The Young Interventionalist Portal. Latest news. Clinical use of intracoronary imaging Part 2. Read this consensus to appraise ACS, ambiguous coronary angio findings and interventional decision-making. The Trials book is supported by Biotronik. Ultimately, these fusion images provide operators with real-time 3-D context that fluoroscopy alone never provided. The basic steps of fusion imaging include segmentation, landmarking, co-registration and image overlay.

After initial imaging acquisition, a 3-D model of cardiac structures of interest is generated either automatically or manually. Next, landmarks are placed to identify the cardiac defect for planned intervention.

For syngo X, co-registration can be achieved using contrast aortography or by existent radiopaque makers such as prosthetic valves or calcification; for TrueFusion, machine learning-based probe detection registers the 3-D TEE field-of-view. A mitral valve paravalvular leak PVL closure was one of the first procedures using syngo X and TrueFusion in the laboratory.

An year-old patient with multiple comorbidities had two previous mitral valve replacements with bioprosthetic valves, with the most recent in Figure 2. In Figure 1, segmentation was performed of the left atrium, left ventricle and mitral bioprosthesis, and landmarks placed on the site of optimal transseptal access into the left atrium and the mitral PVL.

In Figures 3 and 4, TrueFusion and syngo X overlay can be seen. Successful percutaneous closure was performed using fusion imaging guidance with the placement of a single 10 mm Amplatzer Vascular Plug II; no residual regurgitation. Overlaying TEE and CTA information simultaneously on live fluoroscopy imaging can provide additional helpful information during percutaneous procedures.

Interventional Cardiology

With the Siemens fusion imaging suite, Lenox Hill Hospital has a unique solution that can drastically change how minimally invasive procedures are performed. Using this technology, Lenox Hill Heart and Lung continues to provide high-quality care to its structural heart patients, while potentially reducing procedure time and decreasing contrast dye and radiation delivered.

For more information: usa. An example of multimodality image fusion with live angiography to enhance soft-tissue visualization during complex procedures. This example is from Siemen's new TrueFusion software released in Figures 3: TrueFusion and syngo X overlay can be seen. Figures 4: TrueFusion and syngo X overlay can be seen. A Changing Landscape in Complex Cardiac Cath Lab Imaging Fluoroscopy has long been the cornerstone of interventional procedures thanks to the excellent device visualization and real-time feedback it provides.

Figure 2 In Figure 1, segmentation was performed of the left atrium, left ventricle and mitral bioprosthesis, and landmarks placed on the site of optimal transseptal access into the left atrium and the mitral PVL. Technology Angiography June 24, Technology Angiography June 04, Medis Medical Imaging Systems B.

Technology Angiography March 01,