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Patients with severe aortic stenosis can have a narrowed aortic valve replaced with transcatheter aortic valve replacement (TAVR), a minimally invasive surgery. A catheter is usually introduced through the femoral artery (groin) or other access locations during TAVR, unlike open-heart surgery. After that, the replacement valve is inserted into the damaged valve and opened to allow blood to flow normally again.

Severe aortic stenosis, a disorder in which the aortic valve narrows and reduces blood flow from the heart to the body, is treated by transcatheter aortic valve replacement (TAVR). Patients who are at high or intermediate risk of problems from open heart surgery are especially advised to use it. Using a catheter-based technique, TAVR replaces the damaged valve without removing it, restoring appropriate blood flow and easing symptoms such as fatigue, fainting, shortness of breath, and chest pain.

See a cardiologist if you have symptoms like dizziness, exhaustion, pressure in your chest, trouble breathing, or fainting, especially when exercising. Regular follow-ups and cardiac imaging can help identify when TAVR is appropriate if you have a history of valve disease or have been diagnosed with aortic stenosis. MediGence offers cardiologists who can evaluate your surgery risk and suggest cutting-edge, minimally invasive procedures like TAVR.

A thorough heart evaluation, including echocardiography, cardiac catheterisation, CT scans, and angiography to evaluate valve architecture and vascular access pathways, is part of the preparation process. Additionally, lung function tests and blood tests might be performed. Before the treatment, your care team will provide instructions on how to alter your medications, including how to cease using blood thinners. You must fast the night before. A thorough examination of your medical history guarantees the process is customised to meet your unique requirements.

Access and Valve Delivery: A catheter is placed, usually by the transfemoral method, which passes through the femoral artery in the groin. Access may occasionally be made via the chest or another artery.
Valve Placement: Using a catheter, the new valve, which is often manufactured from animal tissue and affixed to a metal stent, is inserted into the damaged valve and guided to the heart. It starts working right away.
Closure and Monitoring: When the catheter is removed, the access site is sealed. The patient is then observed in an intensive care or recovery unit.

In most cases, the TAVR process takes one to two hours. Typically, patients spend two to three days in the hospital. Compared to open heart surgery, recovery is substantially quicker, and most patients return to their regular activities in one to two weeks.

Bleeding or vascular injury at the catheter site
Stroke or transient ischemic attack
Heart block requiring a pacemaker
Valve leakage (paravalvular regurgitation)
Infection
Kidney injury or contrast reaction
Rare chance of valve displacement or failure

TAVR provides a less intrusive option to open-heart valve replacement. It provides a shorter hospital stay, less discomfort, and a faster recovery. In patients with severe aortic stenosis, it dramatically reduces symptoms, improves quality of life, and raises survival rates. Patients who are elderly or have multiple medical issues benefit most from it.

Following TAVR, patients are watched for bleeding, irregular heartbeats, or issues at the access site. Within a day, most are walking. Usually, discharge occurs in two to three days. The follow-up includes echocardiograms, blood pressure checks, and regular device inspections. Regaining strength and endurance may require cardiac rehabilitation.

TAVR has a very high success rate, particularly at centers with a lot of expertise. Significant symptom reduction and improved heart function are reported by more than 90% of patients.

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