Transcatheter Aortic Valve Implantation (TAVI)

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What isTAVI?

TAVIstandsforTranscatheterAorticValveImplantation.Anaorticvalvethatisfaultyor diseasedcanbereplacedthroughaminimallyinvasiveprocedureknownastranscatheteraortic valveimplantation.Theaorticvalveisoneoffourvalvesinourheartthatregulatebloodflowto bodyorgans.Heartfailureismorelikelytooccurwhentheaorticvalvemalfunctions.

Thereisanaorticvalvebetweentheleftventricleandtheaorta.Aswellaspreventingthe backflowofbloodintotheheart,thisvalveensuresthatbloodflowscorrectlyfromtheheartto thebodyorgans.Ifthisvalvedoesnotfunctionproperlyorbecomesstiffornarroweddownand doesnotmaintainbloodflow,thisconditioniscalledaorticstenosis.Duetothenarrowspace betweenthecuspsofthevalve,ourheartmustpumpmorebloodforcefullytomaintainblood supplytodifferentorgans.Pumpingforcefullyincreasestheriskoffailure.

Conventionaltreatmentforsuchconditionsincludesopenheartsurgeryforvalvereplacement. However,recentstudieshaveshownthatTAVIhasimprovedoutcomesnotjustinolderadults butineveryone.Recently,surgeryhasevolvedsignificantly,replacingconventionalandtedious procedureswithmoresuccessratesifproperlyperformedbyahealthcareprofessional.Dr RavinderSinghRao,TheBestTAVIExpertisgivingthebesttreatmentforTAVI(Transcatheter AorticValveImplantation)inJaipur,India.

Inordertoimplantafunctioningvalveinplaceofadiseasedorfaultyaorticvalve,thefollowing stepsmustbefollowed:

● Thepatientrequiringsurgeryisbroughttotheoperationtableafterpre-surgerychecks arecompleted,andthecatheterinsertionsiteisdecided.

● Theentireteamofspecialists,eachfromtheirrespectivefields,worktogetherto completethetaskeffectively

● Anaesthesiologistswillmonitoryourheartrate,bloodpressure,bloodoxygenlevels,and breathingpatternstoallowtherequiredandtolerableamountofsedationtothepatient.

● Theimagingexpertsworktoproperlyguidethewayforacathetertobeplacedproperly intheplaceasthesiteforinsertionisusuallyfromthegroinarea.

● Acardiologistwillinsertacatheterthroughaveinfromyourgroinareaandthreaditto theheartwherethevalvehastobeplacedintheplaceofafaultyone.

● Eitheraself-expandingvalveoraballoonvalveisusedtoreplacetheoldvalve.X-ray picturesareusedintheentireprocesstosafelyplacethenewvalvefollowingwhichthe catheterisremovedfromitspositionasitisnolongerrequired.

● Also,thesurgeonmakessure,thatthenewvalveworksproperlybeforeremovingthe catheterfromitsplace,ifitworksefficientlythearteryusedforthesurgicalplacementis closedandsutured.

● Thepatientisthenmonitoredduringhis/herrecoveryandistakenforacardiac rehabilitationprogramtoavoidanycomplications.

FAQs regardingTAVI:

IsTAVI different fromTAVR?

TherearealternativetermsforTAVI(TranscatheterAorticValveImplantation)andTAVR (TranscatheterAorticValveReplacement).Still,theprocedureisthesame,i.e.,replacinganold valvewithanewonewithminimaldamagetothebody.

Who is likely to derive benefit fromTAVI?

TAVIisrecommendedforpeoplewithonlythefollowingconditions:

● Failureofpreviousopenheartsurgeries

● Weakheart

● Oldage

● Kidneydiseases

● Aorticstenosis

How is a patient prepared forTAVI surgery?

Beforethesurgery,thepatientistakenforaregularcheck-upthatincludes:

● Bloodtests

● Echocardiogram

● CTscans

● Electrocardiogram

● Catheterization

● Kidneyfunctiontests

What are the risks of theTAVI procedure?

Eventhoughtheprocedureisminimallyinvasiveandsafe,nosurgeryiscentpercenterroror risk-free.Thecomplicationsmightinclude:

● Heartattack

● Bleeding

● Infectionatthesiteofinsertion

● Kidneyfailuremightoccurduetothedyeusedforcatheterization

● Damageorrupturingofbloodvessel

● Failureorimproperfunctioningofthenewvalve

How long does it take to recover from theTAVI surgery?

Thismethodisnotonlyeffective,butitalsotakesonlyashortperiodoftimetorecover Asit doesnotrequireopenheartsurgery,patientsneedtobemonitoredforseveralhourstoafew days.Intheabsenceofcomplications,thepatientcanbedischargedwithinacoupleofdays. Youwillneedtoattendregularfollow-upsforsometimeandundergocardiacrehabilitation.

List the difference betweenTAVI and open-heart surgery.

Openheartsurgeryforvalvereplacementisconventionalandinvolvesinvasion,whereasTAVI isaminimallyinvasivetechnique.

Incomparisonwithopenheartsurgery,theTAVIprocedurerequiresashorterrecoverytime. WithTAVI,thepatientisobservedforashorterperiodoftimethanwithopenheartsurgery.

Dr.RavinderSinghRaoistheBestTAVIExpertinIndiabecausehereplacedadoublevalve withoutopenheartsurgeryforthefirsttimeinIndiaatEternalHospital.Consultwithhimforthe bestTranscatheterAorticValveImplantationTreatmentontheemergencyhelplinenumber +91-7891791586.

Who is the bestTAVI Expert in India?

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