Transcatheter aortic valve replacement: Difference between revisions

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'''Transcatheter Aortic Valve Replacement''' (TAVR), also known as '''Transcatheter Aortic Valve Implantation''' (TAVI), is a minimally invasive surgical procedure that replaces the [[aortic valve]] in the heart without the need for open-heart surgery. This procedure is typically used for patients who are at high risk for traditional open-heart surgery due to age or other health conditions.
{{Short description|Minimally invasive procedure to replace a narrowed aortic valve}}
{{Use dmy dates|date=October 2023}}
 
[[File:TAVRprocedure.jpg|thumb|right|Illustration of a TAVR procedure.]]
'''Transcatheter aortic valve replacement''' ('''TAVR'''), also known as '''transcatheter aortic valve implantation''' ('''TAVI'''), is a minimally invasive procedure to replace a narrowed [[aortic valve]] that fails to open properly (aortic valve stenosis). TAVR is an option for patients who are considered to be at intermediate or high risk for open-heart surgery.


==Procedure==
==Procedure==
The TAVR procedure involves the insertion of a catheter into the patient's body, usually through the femoral artery in the leg. The catheter is then guided to the heart, where a replacement valve is deployed. The new valve begins functioning immediately, taking over the role of the damaged or diseased aortic valve.
TAVR involves inserting a catheter through the [[femoral artery]] in the groin or through a small incision in the chest. The catheter is guided to the heart, where a replacement valve is deployed. The new valve is typically made from animal tissue and is mounted on a balloon-expandable or self-expanding stent. Once in place, the new valve takes over the function of regulating blood flow from the heart to the [[aorta]].


==Indications==
==Indications==
TAVR is typically indicated for patients with severe [[aortic stenosis]] who are considered high risk for traditional open-heart surgery. This includes patients who are elderly, have multiple comorbidities, or have had previous heart surgeries.
TAVR is primarily indicated for patients with severe aortic stenosis who are at increased risk for complications from traditional open-heart surgery. It is also considered for patients who are not candidates for surgery due to other medical conditions. The decision to perform TAVR is based on a comprehensive evaluation by a heart team, including cardiologists and cardiac surgeons.


==Risks and Complications==
==Benefits and Risks==
While TAVR is less invasive than traditional open-heart surgery, it is not without risks. Potential complications include stroke, vascular complications, and the need for a permanent pacemaker. Long-term durability of the valve is also a concern.
The benefits of TAVR include a shorter recovery time compared to open-heart surgery, reduced hospital stay, and improved quality of life. However, TAVR carries risks such as bleeding, vascular complications, stroke, and the need for a permanent pacemaker. Long-term durability of the valve is also a consideration.


==History==
==History==
The first TAVR procedure was performed in 2002 by Dr. [[Alain Cribier]] in France. Since then, the procedure has been refined and improved, with newer generation valves and delivery systems reducing the risk of complications.
The first successful TAVR procedure was performed in 2002 by French cardiologist [[Alain Cribier]]. Since then, the procedure has evolved significantly, with improvements in valve design and delivery systems. TAVR has become a widely accepted treatment for aortic stenosis, with numerous clinical trials demonstrating its safety and efficacy.
 
==Related pages==
* [[Aortic stenosis]]
* [[Heart valve replacement]]
* [[Cardiac surgery]]
 
==References==
{{Reflist}}


==See Also==
==External links==
* [[Cardiology]]
* [https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-surgery/transcatheter-aortic-valve-replacement-tavr American Heart Association: Transcatheter Aortic Valve Replacement (TAVR)]
* [[Cardiac Surgery]]
* [[Aortic Stenosis]]
* [[Minimally Invasive Surgery]]


[[Category:Cardiology]]
[[Category:Cardiac surgery]]
[[Category:Cardiac Surgery]]
[[Category:Interventional cardiology]]
[[Category:Medical Procedures]]
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File:TAVRprocedure.jpg
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Latest revision as of 22:02, 16 February 2025

Minimally invasive procedure to replace a narrowed aortic valve



Illustration of a TAVR procedure.

Transcatheter aortic valve replacement (TAVR), also known as transcatheter aortic valve implantation (TAVI), is a minimally invasive procedure to replace a narrowed aortic valve that fails to open properly (aortic valve stenosis). TAVR is an option for patients who are considered to be at intermediate or high risk for open-heart surgery.

Procedure[edit]

TAVR involves inserting a catheter through the femoral artery in the groin or through a small incision in the chest. The catheter is guided to the heart, where a replacement valve is deployed. The new valve is typically made from animal tissue and is mounted on a balloon-expandable or self-expanding stent. Once in place, the new valve takes over the function of regulating blood flow from the heart to the aorta.

Indications[edit]

TAVR is primarily indicated for patients with severe aortic stenosis who are at increased risk for complications from traditional open-heart surgery. It is also considered for patients who are not candidates for surgery due to other medical conditions. The decision to perform TAVR is based on a comprehensive evaluation by a heart team, including cardiologists and cardiac surgeons.

Benefits and Risks[edit]

The benefits of TAVR include a shorter recovery time compared to open-heart surgery, reduced hospital stay, and improved quality of life. However, TAVR carries risks such as bleeding, vascular complications, stroke, and the need for a permanent pacemaker. Long-term durability of the valve is also a consideration.

History[edit]

The first successful TAVR procedure was performed in 2002 by French cardiologist Alain Cribier. Since then, the procedure has evolved significantly, with improvements in valve design and delivery systems. TAVR has become a widely accepted treatment for aortic stenosis, with numerous clinical trials demonstrating its safety and efficacy.

Related pages[edit]

References[edit]

<references group="" responsive="1"></references>


External links[edit]