Question 1

How do I prepare for a Structural hemodynamics or structural heart intervention?

Accepted Answer

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

Question 2

What do I need to know before a Structural hemodynamics or structural heart intervention?

Accepted Answer

• **Definition:** Treatment via catheters of heart valves or structural defects without open surgery. • **Fasting:** Strict fasting from solid food and liquids for at least 8 hours before the procedure is necessary. Only small sips of water are allowed for taking authorized 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.), they usually require suspension before the test (except for ASA 100 mg, which is usually maintained). However, 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. You should also consult your doctor about diabetes medication. • **Clothing and Accessories:** Wear loose clothes. You must remove jewelry, watches, piercings, glasses, hearing aids, and removable dentures. • **Specific Requirements:** Presence of a companion is mandatory. You will require hospital admission (1 to 3 days). You will likely need to shower with antiseptic soap the night before and the morning of the intervention. It is essential that you inform the doctor if you have allergies to iodine or radiological contrast media. • **Expected discomfort or pain from the test:** It is normal to feel mild pain or have a small bruise in the puncture area (groin). If a transesophageal echo was required, you might feel throat irritation for a couple of days. *Mandatory requirement: If there is any possibility of being pregnant, it is strictly mandatory to report it before the test.*

Question 3

What do I have to do before a Structural hemodynamics or structural heart intervention?

Accepted Answer

• **Definition:** Treatment via catheters of heart valves or structural defects without open surgery. • **Fasting:** Strict fasting from solid food and liquids for at least 8 hours before the procedure is necessary. Only small sips of water are allowed for taking authorized 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.), they usually require suspension before the test (except for ASA 100 mg, which is usually maintained). However, 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. You should also consult your doctor about diabetes medication. • **Clothing and Accessories:** Wear loose clothes. You must remove jewelry, watches, piercings, glasses, hearing aids, and removable dentures. • **Specific Requirements:** Presence of a companion is mandatory. You will require hospital admission (1 to 3 days). You will likely need to shower with antiseptic soap the night before and the morning of the intervention. It is essential that you inform the doctor if you have allergies to iodine or radiological contrast media. • **Expected discomfort or pain from the test:** It is normal to feel mild pain or have a small bruise in the puncture area (groin). If a transesophageal echo was required, you might feel throat irritation for a couple of days. *Mandatory requirement: If there is any possibility of being pregnant, it is strictly mandatory to report it before the test.*

General instructions for Structural hemodynamics or structural heart intervention

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