Transcatheter Aortic Valve Replacement (TAVR)

Introduction

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure used to replace a diseased aortic valve in patients suffering from severe aortic stenosis. It is an alternative to open-heart surgery, particularly for patients who are at high or intermediate surgical risk.

What is Aortic Stenosis?

Aortic stenosis occurs when the aortic valve narrows, restricting blood flow from the heart. This can lead to symptoms such as: - Chest pain - Shortness of breath - Fatigue - Dizziness or fainting - Heart failure in severe cases

How Does TAVR Work?

During a TAVR procedure: 1. A catheter is inserted, usually via the femoral artery (groin) or another access point. 2. A replacement valve, typically made from biological tissue, is guided to the heart. 3. Once positioned correctly, the new valve is expanded, pushing the old valve aside. 4. The new valve takes over the function of regulating blood flow.

Benefits of TAVR

  • Minimally invasive (avoids open-heart surgery)
  • Faster recovery times
  • Reduced complications in high-risk patients
  • Improved quality of life and symptom relief

Potential Risks

  • Stroke
  • Vascular complications
  • Pacemaker necessity due to conduction disturbances
  • Valve leakage (paravalvular regurgitation)

Who is a Candidate?

TAVR is recommended for patients with severe symptomatic aortic stenosis, especially those who: - Are at high or intermediate risk for open-heart surgery - Have other health conditions that make traditional surgery risky

Follow-Up Care

After TAVR, patients require routine follow-ups, including: - Echocardiograms to assess valve function - Blood pressure and heart rhythm monitoring - Lifestyle modifications such as diet, exercise, and medication adherence

Conclusion

TAVR is a revolutionary procedure that offers hope to patients with severe aortic stenosis. If you or a loved one has been diagnosed with this condition, consult a cardiologist to determine the best treatment approach.

Source recommendations

1. American College of Cardiology/American Heart Association Guidelines on the Management of Patients With Valvular Heart Disease

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000923
  2. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/03/13/18/13/2024-acc-aha-clinical-performance-valvular
  3. https://pubmed.ncbi.nlm.nih.gov/9809971/
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2020/12/16/21/58/2020-ACC-AHA-VHD-GL-Pt-1-GL-VHD
  5. https://pubmed.ncbi.nlm.nih.gov/33332149/

2. European Society of Cardiology Guidelines for the Management of Valvular Heart Disease

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Valvular-Heart-Disease-Guidelines
  2. https://academic.oup.com/eurheartj/article/43/7/561/6358470
  3. https://pubmed.ncbi.nlm.nih.gov/34453165/
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000923
  5. https://pubmed.ncbi.nlm.nih.gov/17259184/

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