TAVI is a minimally invasive cardiac procedure used to replace a stenotic aortic valve. Instead of open-heart surgery, a catheter-based technique is used, making it a safer alternative for high-risk patients. It is particularly beneficial for elderly patients or those who cannot undergo traditional surgery.
TAVI is performed through a catheter inserted in a blood vessel (usually through the groin or chest). The new valve is delivered to the aortic position and deployed to restore normal blood flow. This procedure offers significant symptomatic relief and improves heart function.
- Access Route: The most popular method is transfemoral, which entails putting a catheter into the groin's femoral artery. Depending on anatomy, additional access points can be transapical (through the chest wall) or transaortic (via a little incision in the upper chest).
- Valve Replacement: A bioprosthetic valve is mounted on a balloon or self-expanding stent and delivered via catheter to the diseased aortic valve. Once positioned, it is expanded to push aside the native valve and take over its function.
- Vascular injury
- Stroke
- Bleeding
- Arrhythmias or need for pacemaker
- Valve leakage (paravalvular leak)
- Kidney dysfunction
- Infection
- Rarely, valve malposition or failure
- Significant improvement in symptoms and daily functioning
- Lower procedural risk compared to open-heart surgery
- Shorter hospital stay and faster recovery
- Increased survival in high-risk and elderly patients
- Minimally invasive—no need for open chest incision
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