ABC | Volume 114, Nº1, January 2019

Statement Position Statement of the Brazilian Cardiology Society and the Brazilian Society of Hemodynamics and Interventional Cardiology on Training Centers and Professional Certification in Hemodynamics and Interventional Cardiology – 2020 Arq Bras Cardiol. 2020; 114(1):137-193 Content 1. Introduction ......................................................................................141 2. Objectives .........................................................................................141 3. Norms for Establishing Hemodynamics and Interventional Cardiology Training Centers ...............................................................142 3.1. Basic Requirements ..........................................................................142 3.1.1. Hospitals (Institutions) .................................................................142 3.1.2. Hemodynamics Laboratories ........................................................142 3.1.3. Medical Teams ..............................................................................142 3.1.4. Trainees .........................................................................................143 3.1.5. The Theoretical-Practical Program ...............................................143 4. Approval, Maintenance, and Revalidation of Accredited Centers ..................................................................................................144 5. Annual Evaluation of Trainees and Training Centers .................145 6. Percutaneous Intervention in Congenital and Structural Heart Diseases and in the Extracardiac Vascular Bed ..............................145 6.1. Congenital Heart Diseases ................................................................145 6.1.1. Basic Interventions in Congenital Heart Diseases ........................145 6.1.1.1. Interatrial Communication Occlusion .......................................145 6.1.1.1.1. Basic Knowledge .......................................................................145 6.1.1.1.2. Interventional Cardiologists’ Abilities .........................................145 6.1.1.2. Ductus Arteriosus Occlusion .....................................................146 6.1.1.2.1. Basic Knowledge .......................................................................146 6.1.1.2.2. Interventional Cardiologists’ Abilities .........................................146 6.1.1.3. Pulmonary Valvuloplasty ............................................................146 6.1.1.3.1. Basic Knowledge .......................................................................146 6.1.1.3.2. Interventional Cardiologists’ Abilities .........................................146 6.1.1.4. Aortic Valvuloplasty ...................................................................146 6.1.1.4.1. Basic Knowledge .......................................................................146 6.1.1.4.2. Interventional Cardiologists’ Abilities .........................................146 6.1.2. Complex Interventions in Congenital Heart Diseases ..................146 6.1.2.1. Interventricular Communication Occlusion ..............................146 6.1.2.1.1. Basic Knowledge .......................................................................146 6.1.2.1.2. Interventional Cardiologists’ Abilities .........................................146 6.1.2.2. Angioplasty and Stent Implantation for Aortic Coarctation .......147 6.1.2.2.1. Basic Knowledge .......................................................................147 6.1.2.2.2. Interventional Cardiologists’ Abilities .........................................147 6.1.2.3. Angioplasty and Stent Implantation for Pulmonary Artery Stenosis ...................................................................................................147 6.1.2.3.1. Basic Knowledge .......................................................................147 6.1.2.3.2. Interventional Cardiologists’ Abilities .........................................147 6.1.2.4. Angioplasty and Stent Implantation for Pulmonary Vein Stenosis ...................................................................................................147 6.1.2.4.1. Basic Knowledge .......................................................................147 6.1.2.4.2. Interventional Cardiologists’ Abilities .........................................147 6.1.2.5. Angioplasty and Stent Implantation in Surgical Conduits, Tunnels, and Homografts ......................................................................................147 6.1.2.5.1. Basic Knowledge .......................................................................147 6.1.2.5.2. Interventional Cardiologists’ Abilities .........................................148 6.2. Structural Heart Diseases .................................................................148 6.2.1. Basic Interventions in Structural Cardiovascular Diseases ..........148 6.2.1.1. Catheterization of Left Chambers Following Transseptal Puncture ..................................................................................................148 6.2.1.1.1. Basic Knowledge .......................................................................148 6.2.1.1.2. Interventional Cardiologists’ Abilities .........................................148 6.2.1.2. Aortic Valvuloplasty in Adults ....................................................148 6.2.1.2.1. Basic Knowledge .......................................................................148 6.2.1.2.2. Interventional Cardiologists’ Abilities .........................................148 6.2.1.3. Patent Foramen Ovale Occlusion ..............................................148 6.2.1.3.1. Basic Knowledge .......................................................................149 6.2.1.3.2. Interventional Cardiologists’ Abilities .........................................149 6.2.2. Complex Interventions in Structural Cardiovascular Diseases .......149 6.2.2.1. Transapical Ventricular Access ...................................................149 6.2.2.1.1. Basic Knowledge .......................................................................149 6.2.2.1.2. Interventional Cardiologists’ Abilities .........................................149 6.2.2.2. Transhepatic Access ...................................................................149 6.2.2.2.1. Basic Knowledge .......................................................................149 6.2.2.2.2. Interventional Cardiologists’ Abilities .........................................149 6.2.2.3. Mitral and Tricuspid Valvuloplasty in Adults ..............................149 6.2.2.3.1. Basic Knowledge .......................................................................149 6.2.2.3.2. Interventional Cardiologists’ Abilities .........................................149 6.2.2.4. Balloon Pericardiotomy .............................................................150 6.2.2.4.1. Basic Knowledge .......................................................................150 6.2.2.4.2. Interventional Cardiologists’ Abilities .........................................150 6.2.2.5. Post-Infarction Interventricular Communication Occlusion ........150 6.2.2.5.1. Basic Knowledge .......................................................................150 6.2.2.5.2. Interventional Cardiologists’ Abilities .........................................150 6.2.2.6. Occlusion of Paravalvular Leaks .................................................150 6.2.2.6.1. Basic Knowledge .......................................................................150 6.2.2.6.2. Interventional Cardiologists’ Abilities .........................................150 6.2.2.7. Left Ventricular Pseudoaneurysm Occlusion .............................150 6.2.2.7.1. Basic Knowledge .......................................................................150 6.2.2.7.2. Interventional Cardiologists’ Abilities .........................................150 6.2.2.8. Occlusion of Endovascular Endoleaks ........................................151 6.2.2.8.1. Basic Knowledge .......................................................................151 6.2.2.8.2. Interventional Cardiologists’ Abilities .........................................151 6.2.2.9. Aortic Pseudoaneurysm Occlusion ............................................151 6.2.2.9.1. Basic Knowledge .......................................................................151 6.2.2.9.2. Interventional Cardiologists’ Abilities .........................................151 6.2.2.10. Hypertrophic Cardiomyopathy and Alcohol Septal Ablation ........151 6.2.2.10.1. Basic Knowledge .....................................................................151 6.2.2.10.2. Interventional Cardiologists’ Abilities .......................................151 6.2.2.11. Left Atrial Appendage Occlusion ..............................................152 6.2.2.11.1. Institutional Prerequisites ........................................................152 6.2.2.11.2. Basic Knowledge .....................................................................152 6.2.2.11.3. Interventional Cardiologists’ Abilities .......................................152 6.2.2.11.4. Acquisition of Competence and Training Models ......................153 6.2.2.12. Transcatheter Aortic Valve Implantation ..................................153 6.2.2.12.1. Basic Knowledge .....................................................................153 6.2.2.12.2. Interventional Cardiologists’ Abilities .......................................153 6.2.2.13. Transcatheter Mitral Valve Repair ............................................154 6.2.2.13.1. Basic Knowledge .....................................................................154 6.2.2.13.2. Interventional Cardiologists’ Abilities .......................................154 6.2.2.14. Transcatheter Pulmonary Valve Bioprosthesis Implantation ......154 6.2.2.14.1. Basic Knowledge .....................................................................155 6.2.2.14.2. Interventional Cardiologists’ Abilities .......................................155 6.3. Extracardiac Interventions ................................................................155 6.3.1. Norms for Establishing Hemodynamics and Interventional Cardiology Training Centers that Include Extracardiac Interventions ....155 6.3.1.1. Medical Teams ...........................................................................155 6.3.1.2. Trainees ......................................................................................156 6.3.1.3. The Theoretical-Practical Program .............................................156 6.3.2. Individualized Knowledge for each Type of Intervention .............156 6.3.2.1. Interventions in Lower Limbs .....................................................156 6.3.2.1.1. Basic Knowledge .......................................................................156 6.3.2.1.2. Interventional Cardiologists’ Abilities .........................................156 6.3.2.2. Aortic Interventions (Aneurysms) ..............................................156 6.3.2.2.1. Basic Knowledge .......................................................................156 6.3.2.2.2. Interventional Cardiologists’ Abilities .........................................156 6.3.2.3. Interventions in Renal Arteries ..................................................157 6.3.2.3.1. Basic Knowledge .......................................................................157 6.3.2.3.2. Interventional Cardiologists’ Abilities .........................................157 6.3.2.4. Interventions in Carotid Arteries and Vessels of the Base ..........157 6.3.2.4.1. Basic Knowledge .......................................................................157 6.3.2.4.2. Interventional Cardiologists’ Abilities .........................................157 6.3.2.5. Embolotherapy ...........................................................................157 6.3.2.5.1. Basic Knowledge .......................................................................157 6.3.2.5.2. Interventional Cardiologists’ Abilities .........................................157 140