Structural Heart Disease (valves, holes, leaks) is a growth area, and treatment is undertaken by paediatric interventional cardiologists, as well as adult structural interventional cardiologists. The skill set needed is different from coronary angioplasty-the mainstay of work for the adult interventional cardiologist. Cases more variable than the average adult patient with just coronary disease. Education, and learning from your colleagues is vital.
This new meeting brought together Professor Shakeel Qureshi (Evelina Hospital, London), Dr Ziyad Hijazi (Rush University, USA and Sidra University, Qatar) and Dr Iqbal Malik (Hammersmith Hospital and Imperial College, London) to chair sessions on:
A lively audience of high volume operators contributed to a highly educational meeting over three days, sharing experience, discussing complications, and reviewing emerging technologies. The small and interactive nature of the meeting added value beyond that found in attending large scale venues such as the main European and American Cardiology Society Programs that occur annually.
Dr Malik hopes that this meeting will become a recurrent and “must-do”event in the cardiology calender.
Is a less invasive approach to aortic valve replacement close at hand?
At a recent conference (ACC -March 2014) the COREVALVE transcatheter aortic valve TAVI) was tested against conventional surgery (SAVR) in high risk patients. The results suggest that TAVI is as good as if not better than surgery, and should be considered as a treatment choice. In addition, the risk of stroke, thought to be higher with TAVI previously, appears to be equivalent out to 12 months.
If you would like to be assessed for TAVI, Dr Malik has a large experience and leads the TAVI program at Imperial College Healthcare NHS trust.