TAVI​/structural Fellow

The Centre provides a full range of invasive and non-invasive diagnostic cardiac and pulmonary facilities. LHCH is one of the largest Trusts in the UK for percutaneous coronary intervention (2500 PCIs per annum . The TAVI programme consists of four interventional cardiologists, two aortic and one non-aortic surgeon, an imaging cardiologist and a radiologist. There are 2 dedicated TAVI specialist nurses and a co-ordinator who complete the TAVI team.

Two hundred and forty TAVI procedures were performed in 2019. Transfemoral TAVI is minimally invasive and performed under local anaesthesia in the catheter lab. Complex ASD and PFO closures and other structural procedures also undertaken.

There will be exposure to all aspects of structural intervention as well as opportunities to maintain skills in coronary intervention.

Outpatient work will include a weekly TAVI clinic and occasional PCI clinics (no more than 2 clinics per week in total). The appointee will be responsible for the management of TAVI patients and also for the post-procedure management of other structural intervention patients. The fellow will also have an integral part in weekly TAVIU MDTs.

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

Please visit our website -

Please follow this link for a tour of our site - (Use the "Apply for this Job" box below)./36ylsoq

The post is based at Liverpool Heart & Chest Hospital. The successful applicant will work under the supervision of the consultants who perform the different structural interventions, although they will be assigned a named educational supervisor. There will be exposure to all aspects of structural intervention as well as opportunities to maintain skills in coronary intervention. Outpatient work will include a weekly TAVI clinic and occasional PCI clinics (no more than 2 clinics per week in total).

The appointee will be responsible for the management of TAVI patients and also for the post-procedure management of other structural intervention patients. There will be an opportunity to gain experience in other interventions such as LAAO, PFO/ASD closure, percutaneous VSD closure.

The successful candidate will be expected to become fully competent in TAVI and other procedures by the end of their 12 months with the aim to take up a consultant post which includes structural intervention. We would expect a suitably trained appointee to perform at least 80-100 first operator trans-femoral cases by the end of their fellowship.

There will be regular emergency cover as part of the cardiology SpR rota which will be closely supervised by consultant staff. The post-holder will gain considerable experience of the management of cardiac patients in a tertiary setting. There is a full shift rota in place, 1:15 band 1a inclusive of prospective cover.

Specific duties

Outpatient clinics
- One TAVI clinic per week

One general clinic per week

Available for pre assessment

Catheter Labs:
Twice weekly transfemoral TAVI list, monthly transapical TAVI list, monthly structural intervention list under general anaesthesia.

Ward Work:
The trainee will perform regular ward rounds for TAVI patients and will supervise the day-to-day work of the senior house officers/trust doctors in conjunction with the other trainees. The trainee will participate in the registrar of the week rota (1 in 15)

• MRCP (UK) or equivalent Close to obtaining CCT or equivalent
• GMC registration
• MD (Res)/Higher degree Obtained CCT or equivalent

• Completed or near completed general cardiology training in adult or paediatrics
• Tertiary centre elective, acute and outpatient intervention experience
• Can set up and perform routine PCI
• Fully competent in diagnostic coronary catheter studies, graft seeking & RHC
• Exposure to TAVI or other structural interventions

• Safe

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.