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Transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR) is a minimally invasive heart procedure. This procedure is adhered to replace an aortic valve that fails to open properly (aortic valve stenosis).
People who are at intermediate or considerable risk of complications from surgical aortic valve replacement (open-heart surgery) go for TAVI. The decision to undergo TAVI or TAVR is determined by surgery specialists, who will work together to determine the best treatment option for you.
After undergoing this procedure, it improves the quality of life in patients who otherwise have limited choices for repair of their aortic valve. Consult your doctor to reduce your heart rate risks.
A person may need TAVI if he/she has progressive heart failure due to aortic stenosis. But the person isn’t a suitable candidate for a traditional open-heart aortic valve replacement surgery.
Aortic valve stenosis — or aortic stenosis — is caused when the heart's aortic valve thickens and calcifies. This prevents the valve from opening fully, which limits blood flow from your heart to the rest of your body.
A person suffering from Aortic Stenosis will experience chest pain, fatigue, fainting, leg swelling, and shortness of breath. This can also lead to heart failure and sudden cardiac death.
TAVI remains an option for you if:
The conditions which make open-heart surgery dangerous for you include:
Your doctor will evaluate your overall health. The medical and surgical team will provide you instructions on how to prepare for your transcatheter aortic valve implantation (TAVI) procedure. You may moreover have to undergo X-rays, blood tests, CT scans, and other tests to check the health of your lungs and heart.
You will also have to inform your medical team about:
The Surgeon will sedate the patient with general anesthesia during the TAVI procedure. The Medication will be given through an IV to prevent blood clots.
The health care team will monitor your blood pressure, heart function, and rhythm. Any changes in heart rhythm will be noted and managed with treatments as needed during the procedure.
While performing TAVI, the doctor may access your heart through a blood vessel in your leg or through a tiny incision in your chest. Sometimes, an alternative approach is used where the Doctor will insert a hollow tube (catheter) through the access point. To guide the catheter through your blood vessels, to your heart, and into your aortic valve, the Surgeon will use advanced imaging techniques.
Once the new valve is placed, a balloon on the catheter's tip is inflated to enlarge the replacement valve into the appropriate position. The catheter is removed when the surgeon is assured that the valve is placed securely.
You will be moved to the intensive care unit for monitoring after your procedure. In most cases, a patient spends about two to five days recovering in the hospital.
After your doctors feel you have recovered enough from the procedure, you will be allowed to go home. You will have to follow all instructions for medicines, diet, activity, pain control, and wound care. You'll also need follow-up appointments with your doctor after TAVI.
Here are some guidelines which you will have to follow after TAVI,
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