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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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Baby Memorial Hospital
Calicut, India
- BMH (Baby Memorial Hospital) is a prominent tertiary referral hospital located in Kerala India, treating a variety of high-risk complex and multidisciplinary medical cases. BMH has been designated by other hospitals throughout Kerala and several other neighbouring states to provide specialty services for myocardial infarction, cerebrovascular accident, cancer, and more. These patients are referred because of their high level of complexity; thus, BMH has assembled a team of multidisciplinary specialists who provide evidence-based medicine 24 hours a day. As such, BMH provides accurate and optimal diagnosis, treatment, and excellent clinical outcomes.
Saudi German Hospital
Cairo, Egypt
- Saudi German Hospital, Cairo, is a leading tertiary care hospital in Egypt, delivering comprehensive, patient-centric healthcare across a wide spectrum of medical and surgical specialities.
- As part of the Saudi German Hospitals Group, the hospital combines international clinical standards with advanced medical technology to provide high-quality diagnosis, treatment, and long-term care.
- The hospital is internationally accredited and recognised for excellence in patient safety, clinical outcomes, and service quality. With access to global expertise through the Mayo Clinic Care Network, Saudi German Hospital Cairo offers multidisciplinary care supported by evidence-based practices and collaborative medical decision-making.
- Backed by highly skilled medical professionals, modern infrastructure, and a strong commitment to innovation, SGH Cairo serves both local and international patients seeking advanced medical treatments, complex procedures, and personalised care in a trusted tertiary healthcare setting.
Saudi German Hospital
Alexandria, Egypt
- Saudi German Hospital Alexandria is a modern tertiary care hospital delivering comprehensive, patient-centric healthcare across multiple medical specialities.
- Backed by the Saudi German Hospitals Group’s regional expertise and international accreditations, the hospital offers advanced diagnostics, evidence-based treatments, and high clinical safety standards.
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Marengo Asia Hospitals, Gurugram
Gurgaon, India
- Marengo Asia Hospitals, Gurugram, is a 250-bed multi-speciality tertiary care hospital, formerly known as W Pratiksha Hospital.
- A major medical centre for Delhi NCR and North India, it is situated on Golf Course Extension Road, Sector 56, Gurugram.
- The hospital's NABH and NABL accreditation ensures compliance with international standards for patient care, safety, and quality.
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Jaslok Hospital & Research Center
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- Jaslok Hospital & Research Centre, Mumbai, is a 350-bed super-speciality tertiary care hospital, established in 1973 and among India’s most respected private trust hospitals.
- Located on Peddar Road in South Mumbai, overlooking the Arabian Sea, it serves as a major referral centre for Mumbai, Maharashtra, and patients from across India and abroad.
- The hospital offers comprehensive care across 50+ specialities and nearly 20 multidisciplinary speciality clinics, addressing complex and advanced medical conditions.
- Supported by 300+ senior consultants and 200 resident doctors, ensuring high standards of expertise and round-the-clock patient care.
- Equipped with 75 ICU beds, advanced critical care units, modular operation theatres, and state-of-the-art diagnostic and imaging facilities.
- Recognised as a leading centre of excellence in Critical Care, Cardiac Sciences, Neurosciences, Oncosciences, Renal Sciences, Gastroenterology, and Assisted Reproduction.
- A prominent research and academic institution, conducting clinical trials and recognised by the National Board of Examinations (NBE) in 22 specialities.
- Strong emphasis on quality, patient safety, and evidence-based care, with continuous monitoring of clinical and operational outcomes to meet international healthcare standards.
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