TAVR

TAVR

  • Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure used for the treatment of aortic stenosis.
  • It is suitable for aortic stenosis patients who can not undergo open-heart surgery due to comorbidities.
  • TAVR does not require a long incision, instead a thin tube is inserted into the patient’s artery through a tiny incision in the arm or groin area.
  • TAVR is of two types : Self-Expanding Valves and Balloon-Expandable Valves.

LONGEVITY OF TAVR

  • In a 2019 study, 91% of patients who underwent the TAVR procedure didn’t show any signs of severe valve degeneration 5 to 10 years post-implantation.
  • TAVR valves provides durability as good as or better than surgical bioprosthetic valves

How is TAVR done?

  • The cardiologist makes a tiny incision in the groin and inserts a catheter with a balloon tip into an artery.
  • The cardiologist uses moving X-ray images to properly position the catheter and guide it to the heart.
  • Once the catheter reaches the aortic valve, a replacement valve passes through the catheter.
  • The catheter’s balloon tip is inflated to insert the replacement valve into the correct position.
  • The cardiologist removes the catheter after the replacement valve is secured in place.

Complication of TAVR

  • Valve embolization or paravalvular leak
  • The most serious complication of TAVR is the failure of the replacement valve or its leaking.
  • Other risks are: Heart attack; Stroke or transient ischaemic attack (TIA); Blood clots; Bleeding and infection.
  • Specific care is taken to avoid these complication post-procedure.

Who are eligible to undergo TAVR?

  • Patients with a high risk of open-heart surgery.
  • Patient who cannot undergo invasive procedures due to previous ailment such as liver/lung diseases.
  • Patient who are undergoing the process again due to the previous valve narrowing.

Who is not eligible to undergo TAVR?

  • Patients who have had previous mechanical valve surgery at the aortic valve location.

Diagnostic Tests required to undergo TAVR procedure

  • Electrocardiogram
  • Echocardiogram
  • Transesophageal echocardiogram
  • CT aortogram

How is Dr. Abhishek Rajpopat the best doctor to receive your TAVR?

  • First person in western India who has used valve
  • Earliest doctors to perform TAVR procedure
  • Personalized pre-planning for TAVR procedure
  • Uses modern equipments for valve replacement
  • Minimal pain procedure