WHATISTAVR?
● TAVRstandsforTranscatheterAorticValveReplacementanditisaboutheartvalve replacement.
● Theaorticvalveisoneofthefourvalvespresentinourheartthattransportsbloodinto thelargestarteryi.e.,theaorta,fromtheleftside(leftventricle)oftheheart.Valvesmake surethatthebloodflowsinonedirectionthuspreventingthebackflowofbloodintothe heart.
● Aortadeliversoxygen-richbloodtoallpartsofthebody,valveconnectedtothismajor arteryisthusnamedtheaorticvalve.
● Aorticstenosisisaconditionofnarrowingdowntheaorticvalvecausingthereduced bloodsupplytothebodyandcanoccurduetovariousreasons.
● Theseverityofthisconditionisthedecidingfactorofthetreatmentprocedurewhichis followed,withoutwhichitmayprovefatal.
● Awell-experiencedcardiologistwithhands-onexperienceinperformingcomplex surgeriesoptsforaminimallyinvasivetechniquetoreplaceorrepairthedamagedvalve usingatechniquecalledTAVR.
● TAVRcanhelptoreducethesignsandsymptomsofaorticstenosissuchaschestpain, fatigue,shortnessofbreath,etc.
WHYTAVR BECAMEAPOPULAR PROCEDURE?
● PeoplewithhighriskduringopenheartsurgeriesareadvisedforTAVRasitisa non-invasiveprocedure.
● Theaorticvalvetendstodegeneratewithincreasingage,andpeoplethatagehaveahigh riskofopenheartsurgeries,especiallywithexistingotherailmentsorkidney dysfunctionsorotherblockages.TAVRinsuchcases,becomesarevolutionaryprocedure savingthelivesofmanyandaimstosavethelivesofmany.
● Thistechniquewasearlierrecommendedtopeoplewithhighriskforopenheartsurgeries butisadvisedlatelytopeoplewithintermediateandlowrisksforothersurgeries.
● Also,thisprocedurerequireshospitalizationforlesserdays.
● Dr.RavinderSinghRao,TheBestTAVRExpertisgivingthebesttreatmentforTAVR (TranscatheterAorticValveReplacement)inJaipur,India.
RISKS OFTAVR PROCEDURE:
Usually,theprocedureissafeandhastheleastsideeffectsorrisks.Butnoprocedureis100% safeandshowssomeproblemsinafewcases.Risksmightincludeoneofthefollowing:
● Heartattack
● Bleeding
● Stroke
● Infections
● Kidneyfailure
● Failureorleakageofnewvalve
● Damagetobloodvessels
WHO IS ELIGIBLE FORTAVR?
● Peoplewhohadundergonevalvereplacementsurgeriespriorandthatfailed.
● Peoplewithahighriskofopen-heartsurgeries.
● Peoplewithotherkidneyorheartdiseasesareatriskofcomplicationsfromother invasivesurgicalprocedures.
WHICHTESTSARE NEEDEDTO BE PERFORMED BEFORE THETAVR PROCEDURE?
Beforeperformingtheprocedurefollowingtestsarerecommendedtobeperformed:
● Bloodtests
● Echocardiogram
● Electrocardiogram
● CTscans
● Catheterization
TAVR PROCEDURE:
● Ateamofcardiologists,imagingexperts,andcardiacanaesthesiologistsworktogetherto performthisprocedureeffectively.
● Thereisnoopen-heartsurgeryasitisanon-invasivetechniquehenceisputforwardto useoverconventionalsurgicalproceduresbuthastobedonewithefficacyandprecision.
● Acatheterisplacedthroughaveininthegroinregionfromwheretheimagingspecialists guideitswaytotheheart.
● TheTranscathetervalveisplacedonthecatheter,itisthenpositionedonthemitralvalve. Thetranscathetervalvethenexpandssecuringitsplacefollowingwhichthecatheteris removedfromitsplacei.e.,thebloodvessel.
● Thepatientiskeptonsedationfortheentireprocedurefortheprecisionofthetechnique.
WHATHAPPENSAFTERTHETAVR PROCEDURE?
● Aftertheprocedureisdone,themedicalstaffstopsthesedationtobringyoubacktothe sensesandwillkeepthepatientunderobservationforatleast24hoursintheICU.
● ThevitalsofthepatientismonitoredthatincludesBP,oxygenlevels,pulserate,and temperature.
● Ifthecatheterisinsertedfromthegroinarea,thepatientiskeptinbedforseveraldays (atleast3-4days)sothatthestitchesarewellrecovered.Thisisbecausethecatheteris insertedfromamajorvein.
● Thesiteofinsertionofthecatheterisalsomonitoredforinfections.
● Regularfollow-upalsoincludesbloodtests,echocardiogram,andelectrocardiogramto checktheactivityoftheheartasusual.
DIFFERENCE BETWEENTAVRANDAORTIC VALVE REPLACEMENT SURGERY?
● Thebasicdifferenceliesintheprincipleofbothprocedures.TAVRisanon-invasive procedurethatincludesnocutinthechestregion.Thecatheterisinsertedfromthevein inthegroinregionwhereasAorticvalvereplacementisopenheartsurgerywherean artificialvalveisinsertedbyforminganincisioninthechestregion.
● Anothermajorlimitationistheperiodofrecovery.PatientsundergoingTAVRrecover fastercomparedtoopenheartsurgeries.
● TAVRcanbeperformedincaseswithhigh,moderate,andlowrisksofheartsurgeries whereasAorticvalvereplacementcanbeperformedonlywithlowriskscases.
Who is the bestTAVR Expert in India?
Dr.RavinderSinghRaoistheBestTAVRExpertinIndiabecausehereplacedadoublevalve withoutopenheartsurgeryforthefirsttimeinIndiaatEternalHospital.Consultwithhimforthe bestTranscatheterAorticValveImplantationTreatmentontheemergencyhelplinenumber +91-7891791586.