8. How to Evaluate the Newly Replaced Heart Valve with TEE - The SLICK System (Echocardiography)

TEE Time Episode 8: Evaluating Newly Replaced 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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