Program

The Fellowship in Advanced Structural Heart Disease (SHD) Interventions at the Allina Health Minneapolis Heart Institute (AHMHI) is designed to train qualified applicants in various aspects of percutaneous valvular and other non-valvular, adult and congenital structural interventions. Graduates of our 1-year training program are expected to be fully proficient in performing all aspects of structural interventional techniques.

The Allina Health Minneapolis Heart Institute Catheterization Laboratory performs over 600 structural interventions every year. Our academic schedule includes a weekly multidisciplinary Valve Conference with approximately 20-30 case presentations with detailed CT/MRI and TTE/TEE review. Fellows will gain familiarity with the interpretation and performance of these advanced imaging modalities, develop expertise in the clinical evaluation, procedural planning, and management of patients considered for structural heart interventions. The Advanced Structural Heart Disease fellow can expect to perform between 350-450 structural interventions with progressive responsibility as an independent operator.

Program highlights

  • Transcatheter Aortic Valve Replacement (TAVR, including valve in valve)
  • Transcatheter Mitral Valve Repair (e.g. MitraClip and Pascal) and Transcatheter Mitral Valve Replacement (e.g. valve in valve)
  • Transcatheter Tricuspid Valve Repair (e.g. TriClip)
  • Balloon aortic and mitral valvuloplasty (BAV and BMV)
  • Alcohol Septal Ablation
  • Paravalvular Leak Closure
  • Left Atrial Appendage Closure (Watchman)
  • Atrial Septal Defect/ Patent Foramen Ovale Closure
  • Transcatheter Pulmonary valve replacement (TPVR)
  • Pulmonary artery stenting
  • Patent ductus arteriosum (PDA) closure
  • Stenting of aortic coarctation
  • Hemodynamic assessment of Fontan Circulation

Curriculum

  • Half day to two half days clinic per week
  • 4 days in the Catheterization Laboratory
  • Daily team rounds at Abbott Northwestern Hospital (including pre-procedure, post procedure, discharge and in-house consultations)
  • Research projects with the expectation of 1-2 national meetings presentations and 1-2 full manuscripts.