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Transcatheter Aortic Valve Replacement

Understanding Transcatheter Aortic Valve Replacement 

At CardioVascular Health Clinic, we emphasize heart health through specialized services like transcatheter aortic valve replacement (TAVR), an advanced procedure for optimal cardiac function.

As one of Oklahoma’s premier centers for TAVR, we offer expert guidance and personalized support for various heart concerns and conditions.

Discover the benefits of this innovative valve replacement as part of our comprehensive heart care services, which are committed to safeguarding your cardiovascular well-being. 

Read on to learn more.

What is a TAVR Procedure?

A transcatheter aortic valve replacement (TAVR) is a minimally invasive heart procedure used to treat aortic valve stenosis, where the heart's aortic valve narrows, restricting blood flow. 

Unlike traditional open-heart surgery, TAVR does not require a large incision or stopping the heart. The new valve is typically made of biological tissue or a combination of materials. 

A TAVR heart procedure is especially beneficial for individuals who may be considered high-risk or inoperable for traditional valve replacement surgery.

TAVR offers a shorter recovery time and reduced risk compared to conventional surgery, making it a valuable option for many patients. 

Who Qualifies for TAVR Procedure?

Qualification for a transcatheter aortic valve replacement (TAVR) procedure depends on various factors. Generally, individuals who may qualify for TAVR include:

  • Aortic Valve Stenosis: TAVR is typically recommended for those diagnosed with aortic valve stenosis, where the aortic valve becomes narrowed.
  • Symptoms: Individuals experiencing chest pain, shortness of breath, fatigue, or dizziness due to aortic valve stenosis.
  • High Surgical Risk: TAVR is often considered for individuals who are at high risk or deemed inoperable for traditional open-heart valve replacement surgery.
  • Age: TAVR is commonly used in older adults who may have multiple health issues or are not suitable candidates for surgery.
  • Medical Evaluation: A thorough evaluation by a cardiac team, including imaging tests and assessments, is crucial to determine the overall health and suitability.
  • Patient Preference: In some cases, patient preference, especially when considering the less invasive nature of this procedure compared to traditional surgery, is considered.

It's important to note that individual health conditions and risk factors play a significant role in determining TAVR eligibility. A comprehensive assessment at CardioVascular Health Clinic is essential to decide whether TAVR is the right option.

TAVR Procedure Steps

During a TAVR procedure, the patient is prepared on the operating table, and local anesthesia is given.

A catheter is inserted through a blood vessel, often from the groin, and a guidewire is passed through it to reach the aortic valve. The replacement valve, made of biological tissue or a mix of materials, is then delivered to the proper position within the diseased aortic valve using the catheter. Once in place, the new valve is expanded, taking over the function of the old valve. 

Imaging techniques are used throughout the process to ensure the correct placement, and adjustments can be made if needed. 

After successful placement, the catheter is removed, the access site is closed, and the patient is monitored before being transferred to a regular hospital room. 

TAVR is known for its minimally invasive nature, leading to shorter recovery times and hospital stays than traditional open-heart surgery.

How Long Does A TAVR Procedure Take?

The duration of a TAVR heart procedure can vary, but on average, it typically takes around 1 to 3 hours.

Several factors contribute to the variability in the duration of the procedure, including the complexity of the case, the patient's specific anatomy, and any unforeseen complications that may arise during the process. 

Additionally, the medical team may take extra time for careful planning, imaging, and ensuring the precise placement of the replacement valve. 

While TAVR is generally considered a quicker procedure than traditional open-heart surgery, the focus remains on ensuring the safety and effectiveness of the valve replacement. 

Patients should consult their healthcare team for specific details about their individual cases and expected procedure duration.

What Does Transcatheter Aortic Valve Replacement Recovery Look Like?

After TAVR, patients spend a few hours in recovery and are moved to a regular hospital room. Monitoring vital signs and encouraging early mobility are priorities. Medications may be prescribed, and a gradual return to a regular diet is introduced. 

The hospital stay is typically shorter than traditional surgery, lasting around 1 to 3 days. 

Follow-up appointments are scheduled to monitor progress, and patients are guided to resume normal activities while avoiding strenuous exercises gradually. 

Some may be recommended for cardiac rehabilitation to support recovery. Overall, TAVR recovery focuses on a swift and steady return to regular life with less downtime than traditional open-heart surgery.

A Look at Potential Transcatheter Aortic Valve Replacement Risks 

While transcatheter aortic valve replacement is generally considered safe and effective, it carries some potential risks and complications. These may include:

  • Vascular Complications: Damage to blood vessels during catheter insertion can occur, leading to bleeding or hematoma at the access site.
  • Valve Migration or Malposition: The replacement valve may shift from its intended position, affecting its functionality.
  • Valve Leakage (Regurgitation): There is a possibility of blood leaking around the replacement valve, reducing its effectiveness.
  • Arrhythmias: Irregular heart rhythms may occur as a result of the procedure.
  • Stroke: There is a slight risk of blood clots forming during the procedure and causing a stroke.
  • Infection: Although rare, there is a risk of infection at the access site or around the heart valve.
  • Kidney Issues: The contrast dye used during the procedure can sometimes affect kidney function.
  • Allergic Reactions: Some individuals may have allergic reactions to medications or materials used during the procedure.
  • Death: While extremely rare, as with any medical procedure, there is a small risk of mortality associated with TAVR.

It's important to note that these risks are generally lower than those associated with traditional open-heart surgery, especially in patients considered high-risk for surgery. 

What Is the Transcatheter Aortic Valve Replacement Life Expectancy?

The life expectancy following a TAVR varies based on individual health conditions, age, and other factors. 

TAVR has been shown to significantly improve the quality of life and life expectancy for many individuals with severe aortic valve stenosis, especially those considered high-risk for traditional open-heart surgery.

Studies and clinical trials have demonstrated that TAVR can offer comparable or even better survival rates when compared to surgical aortic valve replacement. However, predicting an exact life expectancy for an individual undergoing TAVR is challenging, as it depends on factors such as overall health, coexisting medical conditions, and the procedure’s success.

It's important to discuss specific expectations and considerations with the healthcare team, as they can provide personalized information based on the individual's health status and medical history.

Schedule a Personalized TAVR Heart Procedure in Oklahoma 

Your heart health is always our priority.

Our commitment to advancing heart care at CardioVascular Health Clinic includes specialized expertise in cutting-edge TAVR procedures. 

If you or a loved one is navigating cardiovascular concerns, we invite you to explore the transformative benefits of TAVR.

Contact us online or at (405) 701-9880 for a consultation and detailed information, allowing our dedicated team to guide you toward the optimal choice for cardiac well-being. 

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