The use of patient radiation dose as a metric for advanced trainee performance of diagnostic coronary angiographic procedures

SAS for what was until a recently a fatally progressive disease without surgery. But these patients often have a poor functional reserve and are prone to significant morbidity if any complication arises. This case illustrates themultiple cardiac and vascular complications that can result from TAVI. It emphasises the importance of a multi-disciplinary approach to appropriately select patients in whom possible morbidity may be avoided.