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 • Appropriate angiography for characterization of the defect. • Techniques for crossing and releasing the device: anterograde and retrograde. • Proper technical knowledge of different devices available, characteristics, sizes, and forms of release. • Mastery of techniques necessary to remove devices in the event of embolization. • Patient care and recognition of immediate and late complications and long-term patient guidance. 6.1.2.2. Angioplasty and Stent Implantation for Coarctation of the Aorta 6.1.2.2.1. Basic Knowledge • Natural history and treatment of native coarctation of the aorta (CoA) or post-operative recoarctation. • Knowledge of different types and etiology of simple or complex CoA and associated anomalies. • Assessment of characteristics of CoA by means of diverse imaging methods: TTE, TEE, CT, MR, and angiography. • Indications for intervention. 6.1.2.2.2. Interventional Cardiologists’ Abilities • Knowledge and proper handling of sheaths, guidewires, and catheters. • Choice of adequate access route: femoral, carotid, radial, axillary; puncture or dissection. • Hemodynamic and angiographic interpretation of CoA in the intervention laboratory. • Techniques for crossing the coarctation: anterograde or retrograde. • Knowledge and appropriate choice of different balloons and covered or uncovered stents available for this procedure and their techniques. • Recognition and treatment of acute complications. • Knowledge and techniques for utilizing different hemostasis devices. • Long-term care. 6.1.2.3. Angioplasty and Stent Implantation for Pulmonary Artery Stenosis 6.1.2.3.1. Basic Knowledge • Natural history and knowledge of etiology, whether congenital or acquired, isolated or multiple, proximal or distal, and associated malformations. • Appropriate assessment of pulmonary arteries by means of diverse imaging methods: TTE, TEE, CT, MR, angiography, and scintigraphy. • Indications for intervention. 6.1.2.3.2. Interventional Cardiologists’ Abilities • Knowledge and proper handling of sheaths, guidewires, and catheters utilized. • Choice of adequate vascular access. • Hemodynamic and angiographic assessment of pulmonary stenoses. • Knowledge and appropriate choice of different balloons, stents, and covered stents available for this procedure and their techniques. • Recognition and treatment of acute complications. • Medium and long-term care and orientations for the patient. 6.1.2.4. Angioplasty and Stent Implantation for Pulmonary Vein Stenosis 6.1.2.4.1. Basic Knowledge • Natural history and knowledge of etiology, whether congenital or post-operative. • Appropriate assessment of pulmonary veins by means of diverse imaging methods: TTE, TEE, CT, MR, angiography, and scintigraphy. • Indications for intervention. 6.1.2.4.2. Interventional Cardiologists’ Abilities • Knowledge and proper handling of sheaths, guidewires, and catheters utilized. • Choice of adequate access route. • Transseptal puncture: techniques (guided by fluoroscopy and echocardiography) and complications. • Selective hemodynamic and angiographic assessment of pulmonary veins. • Knowledge and appropriate choice of different balloons and stents available for this procedure and their techniques. • Recognition and treatment of acute complications. • Medium and long-term care. 6.1.2.5. Angioplasty and Stent Implantation in Surgical Conduits, Tunnels, and Homografts 6.1.2.5.1. Basic Knowledge • Natural history of the different types of material utilized: biological or synthetic, valved or not valved. • Knowledge of anatomical and physiological differences in intra- or extracardiac surgical conduits and tunnels. • Appropriate understanding of the anatomy and hemodynamics of surgical procedures performed in complex heart diseases, univentricular physiology, transposition of great arteries, corrected transposition of great arteries; repercussions of ventricle pressure and volume overload. • Appropriate assessment of anatomy and physiology by means of diverse imaging methods: echocardiography, CT, MR, angiography, and scintigraphy. • Indications for intervention. 147