General instructions for Structural hemodynamics or structural heart intervention

Valid instructions for: TAVI, TEER (Mitraclip/Pascal), tricuspid repair, valvuloplasty, PFO/ASD closure, LAA closure, and septal ablation.

  • Definition: Catheter-based treatment of heart valves or structural heart defects without open surgery.
  • Fasting: Strict fasting from solid food and liquids for at least 8 hours before the procedure is required. Only small sips of water are allowed to take authorised medication.
  • Medication: If you take anticoagulants (such as acenocoumarol/sintrom, warfarin, rivaroxaban, apixaban, dabigatran, heparin, etc.) or antiplatelets (such as aspirin, clopidogrel, ticagrelor, prasugrel, etc.), your doctor will tell you whether to continue, adjust or stop them, depending on the type of procedure and your situation. Please also consult your doctor about your diabetes medication. It is ESSENTIAL that you follow the exact instructions given by your doctor. Review the consultation report in which the test was requested to confirm the specific guidelines for your case.
  • Clothing and Accessories: Wear loose clothing. You must remove jewellery, watches, piercings, glasses, hearing aids and removable dentures.
  • Specific Requirements: You must come with a companion. You will need to stay in hospital (1 to 3 days). You will probably need to shower with antiseptic soap the night before and the morning of the procedure. It is essential that you tell the doctor if you are allergic to iodinated or radiological contrast media.
  • Discomfort or pain after the test: It is normal to feel mild pain or have a small bruise at the puncture site (groin). If a transoesophageal echocardiogram was needed, you may have a sore throat for a couple of days.

  • Mandatory requirement: If there is any possibility that you are pregnant, you must inform the staff before the test.*