TAVR Survey Step 1 of 2 50% Please review and complete the following survey on TAVR procedures and perfusion standby. The results of this survey will be shared with the entire perfusion community when the survey is complete. Address*Please select your country. AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country TAVR Performed*Does your hospital currently perform Transcatheter Aortic Valve Replacement (TAVR) procedures? YesNo Experience*How many years has your TAVR program been established? Please enter a value between 1 and 20.TAVR #*Please indicate approximately how many TAVR procedures are performed were perform in 2016 at your hospital or institution. Please enter a value between 1 and 1000.TAVR Location*Where are the TAVR procedures performed in your hospital or institution? Hybrid OR RoomRegular OR RoomCath LabPerfusion Standby*Please indicate the level of standby performed by the perfusion department on TAVR procedures. Standby for Every TAVR ProcedureStandby for High-Risk TAVR OnlyStandby for High-Risk and Moderate Risk TAVRStandby for Trans-Apical TAVR OnlyPerfusion "In House" but not on StandbyNo Perfusion StandbyTAVR Response Time*What is the required response time for perfusion when called for emergent TAVR support? Immediate1-5 Minutes5-10 Minutes10-15 Minutes15-20 Minutes20-30 Minutes>30 MinutesPerfusion Setup*Please indicate your level of pump setup for TAVR standby procedures. Pump Dry Setup in RoomPump Primed in RoomNo Pump in RoomNo Perfusion StandbyOn Pump Conversion*How many TAVR procedures converted to "On Pump" at your hospital or institutation last year (2016). Please enter a value between 0 and 1000.Other Procedures*Please select all other perfusion capabilities that are available to TAVR patients at your hospital or institution. ECMO VAD / Impella Intra-Aortic Balloon Pump PRP Cerebral Oximetry Autotransfusion Coagulation Mointoring Other None CommentsPlease indicate any other comments you have here. CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.