TEE Time Episode 8: Evaluating Newly Implanted Heart Valves with the SLICK System

In this episode of TEE Time, Dr. Andreas Plackis introduces the SLICK evaluation system for assessing newly implanted heart valves during cardiac surgery. The focus is on stented bioprosthetic and mechanical valves, covering key assessment points such as the sewing ring, leaflet function, insufficiency, collateral injury, and kinetics. Dr. Plackis provides detailed guidelines and visual examples to ensure a thorough yet efficient evaluation process immediately after removing the aortic cross clamp and coming off cardiopulmonary bypass. Emphasis is placed on systematic approaches and using tools like checklists to maintain focus and accuracy under high-pressure conditions.

00:00 Introduction to Episode 8: The Newly Implanted Heart Valve

00:46 Clinical Question and Focus of the Episode

01:24 Importance of Systems and Checklists

02:11 Understanding the SLICK Evaluation

04:17 S: Sewing Ring Assessment

05:10 L: Leaflet Evaluation

05:57 I: Insufficiency Check

10:14 C: Collateral Injury Examination

12:07 K: Kinetics of the Valve

14:42 Practical Tips and Conclusion

16:22 Preview of Next Episode and Closing Remarks

Keywords: SLICK valve evaluation, prosthetic valve TEE, paravalvular leak, bileaflet mechanical valve, stented bioprosthetic valve, valvular insufficiency, leaflet excursion, TEE mitral evaluation, TEE aortic valve exam, cardiopulmonary bypass weaning, valve kinetics, post-valve replacement TEE protocol, valve-related collateral injury, dimensionless index, intraoperative echo workflow.

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