Medical Global Academy

Program overview

Fellowship in Transcatheter Aortic Valve Implantation (TAVI) is a complete 12-month advanced training programme aimed at interventional cardiologists, cardiac surgeons, and structural heart specialists who want to gain expertise in the minimally invasive aortic valve replacement procedures. The programme consists of specific online learning, simulation training, live case observations, clinical exposure and expert mentorship, which aim to build advanced skills in patient selection, multimodality imaging, procedural planning, valve deployment, complication management, and post-procedural care. Participants will have clinical experience with state-of-the-art TAVI technologies and evidence-based clinical guidelines, allowing them to safely, effectively and in compliance with the international standards of structural heart care, perform transcatheter valve interventions.

Skills You Will Gain

  • Proficiency in aortic stenosis, structural heart disease and TAVI indications.

  • Knowledge of multidisciplinary heart team decision making, patient evaluation and risk stratification.

  • Familiarity with multimodality imaging (echocardiography, cardiac CT and MRI, and angiographic assessment)

  • Understanding of TAVI valve technology, valve selection, sizing and deployment strategies.

  • Practical skills of vascular access and management of alternative access.

  • Knowledge of procedural planning, valve implantation workflow and intraprocedural decision making.

  • Knowledge and skills to recognize, prevent and manage complications associated with TAVI.

  • Awareness of post-procedure follow up, anticoagulation and long-term management.

  • Advanced structural heart procedures which include valve-in-valve procedures and adjunctive therapies.

  • Interpretation of sophisticated computed tomography (CT) imaging and the use of digital planning for optimisation of procedures.

  • Understanding of ethical, regulatory and quality assurance guidelines for structural heart interventions.

  • Knowledge and ability to lead and communicate in multidisciplinary structural heart teams.

  • Knowledge of new innovations, digital health and future trends in TAVI practice.

  • Knowledge, understanding and practice of evidence-based clinical decision making for complex and high risk cardiac patients.

Career Outcomes

  • Cardiac Catheterization Laboratory Specialist

  • TAVI Specialist in tertiary cardiac centers and advanced heart institutes.

  • Structural Heart Disease & Transcatheter Valve Therapies Consultant.

  • Cardiac Surgeon experienced in minimally invasive valve procedures.

  • Structural Heart Program Coordinator/Clinical Lead.

  • Interventional Cardiology Clinical Educator/Faculty Member.

  • Clinical Researcher of the Structural Heart Disease / Transcatheter Therapies.

  • Advanced Cardiovascular Imaging and Planning Specialist.

  • Part of Multidisciplinary Heart Teams for difficult valvular heart disease.

  • Independent Consultant TAVI/Structural Heart Programs.

  • Medical Advisor for cardiovascular device companies, industry innovation programs.

  • Management jobs within cardiac centers, participating in the creation and growth of TAVI programs.

What you will learn 

Learn from Industry-Leading Interventional Cardiologists and Structural Heart Experts 

Skill-Driven Workshops on TAVI Techniques 

Flexible Learning for Modern Cardiac Professionals 

Future-Ready TAVI Curriculum 

Clinical Training for Real-World TAVI Practice 

Course curreculum

  • Natural history and epidemiology of aortic stenosis
  • Indications for TAVI vs SAVR (Surgical Aortic Valve Replacement)
  • Risk stratification tools (e.g., STS score, EuroSCORE II)
  • Evaluation of frailty and patient comorbidities
  • Shared decision-making and heart team approach
  • Role of Transthoracic and Transesophageal Echocardiography (TTE & TEE)
  • Cardiac CT for annulus sizing, access evaluation, calcium scoring
  • Understanding of 3D reconstruction software for annular and vascular planning
  • Role of MRI, especially in complex or redo cases
  • Imaging-guided case planning workshops
  • Overview of available TAVI devices: balloon-expandable vs self-expanding vs mechanically expanding
  • Device selection based on anatomy and risk profile
  • Delivery systems and sheath compatibility
  • Sizing charts, deployment characteristics, and retrieval mechanisms
  • Technical specifications of commonly used valves
  • Transfemoral access technique: imaging-guided puncture and sheath placement
  • Alternative access approaches: transaxillary, transaortic, transapical, transcaval
  • Vascular closure devices: principles and complications
  • Hands-on training in ultrasound-guided vascular access
  • Endovascular bailout strategies
  • Step-by-step procedural workflow
  • Valve-in-valve and bicuspid aortic valve considerations
  • Intraprocedural complications and management
  • Live case observation and hands-on simulator practice
  • Management of Valve embolization, Annular rupture, Coronary obstruction, Paravalvular leak, Stroke (embolic protection), Conduction disturbances and pacemaker indications.
  • Emergency protocols and escalation pathways
  • Hemodynamic monitoring and ICU/ward protocols
  • Post-procedural imaging surveillance
  • Antiplatelet/anticoagulation therapy strategies
  • Follow-up visit protocols: timeline and imaging
  • Quality-of-life and functional assessments
  • Familiarization with Balloon aortic valvuloplasty (BAV), Transcatheter mitral and tricuspid interventions, LAA closure and septal defect closure, Alcohol septal ablation.
  • Participation in structural heart disease clinics
  • Deep dive into MDCT analysis for Aortic annulus and root anatomy, Coronary ostia height and sinus dimensions, Peripheral access vessel tortuosity and calcification.
  • Radiologic predictors of complications
  • Virtual TAVI planning using AI-assisted tools
  • Interactive image review workshops with imaging experts
  • Informed consent for high-risk interventions
  • Ethical concerns in elderly and frail populations
  • Cost-effectiveness and resource allocation
  • National and international regulatory standards for TAVI
  • Device approval pathways and clinical trial governance
  • Setting benchmarks: 30-day mortality, stroke, PVL, vascular complications
  • Risk-adjusted performance tracking (TAVI-specific KPIs)
  • Learning curve assessments and operator certification
  • Root cause analysis (RCA) of adverse events
  • Participation in national/international outcome registries
  • Interdisciplinary collaboration: cardiology, cardiac surgery, anesthesia, radiology, geriatrics
  • Building a TAVI program: staffing, equipment, budgeting
  • Team communication models and conflict resolution
  • Role of the TAVI coordinator
  • Leadership simulations and feedback exercises
  • Future-generation TAVI devices: fully retrievable, leaflet-modifying, or polymer based designs
  • Low-risk and asymptomatic AS: evolving trial evidence
  • Valve durability and long-term outcomes beyond 10 years
  • TAVI in bicuspid valves and younger patients
  • Valve-in-valve technologies and 3D printing for planning
  • Post-TAVI wearable monitoring (arrhythmia, BP)
  • Digital platforms for follow-up care and symptom tracking
  • Telemedicine in pre-op and post-op TAVI care
  • Integration of EMR and structured reporting for outcomes
  • Weekly TAVI board meetings with case-based learning
  • High-fidelity simulation labs for Valve deployment, Complication management (embolization, rupture), Coronary obstruction rescue.
  • Role play: informed consent and breaking bad news
  • Proctored procedures with direct faculty supervision
  • Economic analysis of TAVI vs SAVR across risk categories
  • Reimbursement models: government and private insurance
  • Role of value-based care in TAVI planning
  • Policy-making exposure via hospital ethics or policy committees
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