Free. Nothing to install. On desktop, tablet or phone.
Built by Mario Gramegna, MD, cardiologist.
1 mm stepsAdvance, withdraw and rotate the pump across the aortic valve of a 3D heart, under a virtual C-arm.
3 screensFluoroscopy, echo and a console with waveforms and alarms, all following the pump.
6 casesSix guided cases, each with a debrief. Plus coronary angiography: 21 guided views.
The simulator
What you can practice.
01Simulated fluoroscopy
Live fluoroscopy, any C-arm angle.
Six preset projections, or any angle on the angle map, with the pump, the pigtail and the valve plane in each. RAO 30° shows the depth but not reliably the rotation: for that, LAO 60°, LAO 90° or the three-chamber view (RAO 60° caudal 45°).
02Echo
Parasternal long axis: depth and rotation.
A caliper from the inlet to the aortic annulus shows the depth (target about 3.5 cm). The same view shows the rotation: inlet and pigtail toward the apex, concave side of the cannula facing the septum. Color Doppler shows the outflow jet above the valve, or a mosaic in the outflow tract if the outlet has dropped below it.
03Console
The console flags some errors, not all of them.
If the pump slips back into the aorta, the motor current flattens and an alarm goes off. If the inlet sits too shallow or too deep while the outlet stays in the aorta, or the pump is malrotated, the console can look normal: only imaging shows it. Motor current and flow also change with the P-level.
04Guided cases
Six guided cases, each with a debrief.
A pump found in the aorta after transfer, an inlet caught in the mitral apparatus, a pump entirely in the ventricle, and a pump that is too shallow, too deep or malrotated. Each comes with an objective, a checklist and a written debrief.
05Also included
Coronary angiography, view by view.
Selective left and right injections with JL3.5 and JR4, as from right radial access, on a right-dominant anatomy, in 21 guided views. Select a segment to see its name and SYNTAX number, its foreshortening in the current projection and the views that show it best. Free exploration, without cases or debrief.
Early access
How early access works.
1
Request access
Name, role, institution and email.
2
Get the link
I email you the link to the simulator.
It appears as soon as you send the form. Keep it to come back later.
3
Start training
Open it in your browser, whenever you want.
Who it is for
For the team around the pump.
Operators practice positioning. The ICU team practices recognizing a pump that has moved. Educators get ready-made cases to teach with.
Interventional cardiologists
Cardiologists
Intensivists and anesthesiologists
Cardiac surgeons
Perfusionists
Residents and fellows
Nurses and cath lab technologists
Course directors and educators
Medical students
Questions
Before you ask.
Is Cardiodrome free?
Yes. No payment details are requested.
Is it a medical device?
No. It is a simulator for education and training, not for clinical use: do not use it to diagnose, treat, plan or guide procedures on real patients. It does not replace the manufacturer’s training, the instructions for use or supervised practice. See the terms of use.
Which pump does it simulate?
A generic transvalvular microaxial flow pump, sized like the percutaneous 14 Fr class, with that class’s target depth (inlet about 3.5 cm below the aortic annulus). Geometry is schematic and console signals are simplified, based on public regulatory documents. It does not reproduce any manufacturer’s design, name or screens. The main references are on the sources page.
Does it model the patient’s hemodynamics?
No. Console signals are fixed teaching values that depend only on the pump position and the P-level; the patient’s hemodynamics are not modeled.
Can I use it with a group?
Yes. Tick the box in the form and I’ll set up access for your course, training program or shock team.
Something doesn’t match your practice?
Write to contacts@cardiodrome.com. Corrections from people who place and manage these pumps are the most useful feedback.
Is it only about the pump?
No. It also includes a coronary angiography module, with 21 guided views in the standard and working projections.
What’s next?
I plan to add more modules. Which procedure would you like to practice? Write to contacts@cardiodrome.com, or tick the news box in the form to hear when a new module is ready.
What do I need?
A recent browser on a computer, tablet or phone. Nothing to install.
What language is it in?
The simulator is in English; this site is also in Italian.
What happens to my data?
Only I read the requests, and the site uses no analytics or advertising cookies. Details in the privacy notice.
Early access
Request early access
Tell me who you are and where you work, and I’ll send you the link.
Tell me who you are and where you work, and the simulator opens right away.
Sign up so I know who is using Cardiodrome and, if you like, to get news about new modules, cases and versions.
A one-minute form
Free, no payment details
No analytics or advertising cookies
Thank you.
Your request is in. Within a day or two I’ll email you the link to the simulator, from Mario Gramegna. If you don’t see it, check your spam folder.
Your request is in. You can open the simulator now.