WHAT IS TAVR?

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure for patients with severe aortic stenosis. Aortic stenosis is the narrowing of the heart’s aortic valve that obstructs blood flow, causing reduced oxygen flow and poor quality of life.

An alternative to open heart aortic valve replacement, TAVR is performed through a catheter that is typically inserted through the groin. TAVR is an FDA-approved alternative for individuals who present an intermediate or higher risk for traditional open heart surgery.

WHAT ARE SYMPTOMS OF AORTIC STENOSIS?

CHEST PAIN OR TIGHTENING

EXTREME FATIGUE

HEART PALPITATIONS OR IRREGULAR HEARTBEAT

SHORTNESS OF BREATH OR DIFFICULTY EXERCISING

HEART MURMUR

RODNEY REEVES, MD, FACC

WHAT ARE HEART VALVE & STRUCTURAL HEART DISORDERS?

In a healthy heart, all four heart valves work together to pump blood from the upper chambers into the lower chambers in order to supply blood to the lungs and vital organs. When one or more of the valves is damaged or defective, the heart can no longer function efficiently. Structural heart disease can be congenital (present at birth), but it can also develop over time. It’s important that individuals experiencing symptoms of heart valve & structural heart disease are evaluated by a cardiologist so a proper treatment plan can be established.

TAVR vs Open Heart Surgery

Both TAVR and open heart surgery are procedures used to replace a non-functioning or diseased aortic valve. While the end result is the same for both procedures, the invasiveness of each procedure differs drastically. TAVR, while a newer type of procedure, is minimally invasive and uses a catheter to deliver and install the new aortic valve to its proper position. Open heart surgery, on the other hand, is the more traditional approach but involves invasive surgery with a much longer recovery time.

While each of these procedures differs in severity, both also have their applicability in treating medical conditions related to heart function. TAVR is a great alternative to open-heart surgery required for treating aortic stenosis, or narrowing of the aortic valve, but may not be suitable for more complex valve replacements or for patients with other medical conditions. The physicians at ACS evaluate each patient’s health history and current health condition to determine aortic valve replacement eligibility through TAVR.

Patient Eligibility Criteria and Evaluation Process

TAVR patient eligibility is determined through a lengthy review process at Advanced Cardiovascular Specialists. Our team of physicians and surgeons performs a full health history review on each patient to determine if TAVR is the correct procedure to rectify issues with the aortic valve. Our team considers factors such as age, current medical conditions, and full health history in order to identify and mitigate risks to the procedure and recovery. The evaluation process involves a variety of patient diagnostic testing, including echocardiogram, CT scan, and heart catheterization to identify if TAVR is the most appropriate means of valve transplant.

TAVR Procedure Duration

As the TAVR procedure is considered to be minimally invasive, the procedure duration is relatively short. From procedure preparation to transition into recovery, TAVR procedures take approximately 3-4 hours. This includes the time necessary for patient preparation, the TAVR procedure, and a short observation period before moving into longer-term recovery.

 

TAVR Recovery Timeline

TAVR recovery often requires a 1 to 2-day hospital stay that involves physician monitoring and diagnostic testing to ensure improvement in blood flow from the aortic valve. During this time, our medical staff will closely monitor the function of the new valve and ensure a smooth transition to home recovery. Following hospital discharge, patients are encouraged to engage in only low-impact activities with gradual increases over a 6-10 week period, depending on physical ability. It is crucial that patients follow the doctor-specific recovery instructions that are provided by ACS to support a successful recovery and long-term health.

 

Risks And Benefits Specific To TAVR

TAVR is considered to be a relatively safe and effective means of valve replacement, but like any medical procedure, there are risks associated. The doctors at ACS will discuss these risks in detail during the patient consultation to ensure all patients are able to make informed decisions about their health. However, the benefits often outweigh these risks, especially for patients who are not candidates for traditional open-heart surgery. TAVR provides a chance for a significantly improved quality of life, reduced symptoms, and increased mobility.

Post-Procedure Lifestyle And Follow-up Care Requirements.

Maintaining a healthy lifestyle post-TAVR procedure is the key to a successful recovery. A healthy diet, combined with regular low-impact exercise along with prescribed medications, is often recommended and will be included in each patient’s recovery plan. Follow-up appointments to monitor recovery and changes in health will be scheduled following the TAVR procedure, and will include diagnostic testing to ensure the procedure has been effective.

What Is Transcatheter Aortic Valve Replacement?

Transcatheter Aortic Valve Replacement is a procedure used to replace the aortic valve in instances of aortic stenosis, or narrowing of the aortic wall. Through a minimally invasive procedure, physicians, using a catheter delivery method, replace the damaged valve to reinstate proper blood flow and valve function.

 

What Is Aortic Valve Stenosis?

Aortic valve stenosis is the narrowing of the aortic wall caused by a number of factors, including congenital abnormalities or calcium buildup along the lining of the aortic walls. This causes reduced blood flow from the heart to the rest of the body.

 

What Are The Benefits Of TAVR?

The benefits of TAVR vs open heart surgery include a reduction in procedure time and recovery due to the procedure’s minimally invasive nature. This, in turn, comes with reduced surgical risks and anesthetic requirements inherent to open heart surgery. Those eligible for valve replacement through TAVR will experience an increased quality of life with fewer complications due to a lack of blood flow through the aortic valve.

 

What Are The Risks Of TAVR?

Like many medical procedures, TAVR carries risks associated with the procedure itself as well as any anesthetic or medications prescribed.. These risks can be present throughout the procedure duration or post-procedure and include stroke, heart rhythm irregularities, valve leak, infection, and vascular complications. Based on previous medical history, there are also risks that are specific to the individual and will be discussed in detail during the TAVR consultation.

TO SCHEDULE A CONSULTATION, CALL 318.798.9400

 

MEDICAL DISCLAIMER

The medical information on this website should not be a substitute for physician consultation, diagnosis, or treatment. All content including text, images, and information contained on or through this site is provided for informational purposes only. You are encouraged to confirm information with other sources and review all information regarding medical conditions or treatments with your physician. Please consult your physician, or contact ACS for an appointment, before making any healthcare decisions regarding a specific condition or treatment.