828 Factors Influencing Periprocedural Stroke at the Time of Transcatheter Aortic Valve Implantation in the Era of Cerebral Protection

Abstract

Background: Minimally invasive treatment options for structural heart disease have rapidly expanded over the last decade. Yet despite national and clinical program recognition of the need for structural heart coordinators , limited information is available to describe this role in the Australian context. Methods: National exploratory survey across Australian public hospitals (n=18 accredited sites) to identify and describe the current SH coordination environment, role and responsibilities of personnel. An online survey consisting of 50 questions and was distributed by the Cardiac Society of Australia and New Zealand (CSANZ). Results: 10 of 18 (56%) sites responded, most prevalent title held was Structural Heart (SH) Coordinator (40%). Respondents were predominantly registered nurses, with an average 17 years nursing experience and commonly graded as clinical nurse consultants (50%). Average duration in position was 3years, 44% held post graduate certificate and 22% master's degree. 60% of respondents coordinated care for four or more procedures including TAVI, TMVr MitraClip, ASD/PFO and LAA, with 40% overseeing research procedures and 30% managing national clinical registries. Only 20% said they had cover for planned leave. Common responsibilities were coordinating patient clinical assessment for treatment consideration and waitlist management, followed by SH meeting preparation and patient follow-up. Respondents identified key barriers as unrealistic workload and time expectations, poorly defined role and lack of professional support. Conclusion: This study provides an overview of the current SH coordination landscape across public hospitals in Australia. This data can be used to further inform development and standardisation of a national position description for coordinators.