Core curriculum and training pathways to become a structural cardiac interventionalist

The field of interventional cardiology continues to evolve. This evolution is based on continued improvements in equipment, increasing operator experience and, perhaps most importantly, the creative application of percutaneous techniques to treat a variety of conditions and diseases. The treatment of structural heart disease represents expanding opportunities but carries with it expanding complexities. Training programmes are being developed to address the issues of knowledge of pathophysiology and natural history of the specific lesions to be treated, the application and understanding of haemodynamics and cardiac imaging, knowledge about the specific technical aspects of the procedure, and potential complications and pre- and post-procedural care and follow-up. Multiple disciples will be involved as the specific competencies for both programmes and individuals become more formalized.