Evidence-Based Approach for Procedures

AHI only performs indicated cases, avoiding unnecessary procedures and ensuring the best treatment plan for each patient.

Advanced Facility with Skilled Operators

Benefit from the vast experience of our interventional procedure operators, who are highly skilled in delivering optimal patient outcomes.

Comprehensive Care by Surgery Experts

In case of complications requiring surgical intervention, our world-class surgical standby provides an added layer of safety for patients.

Transcatheter Aortic Valve Replacement  in Mumbai at AHI

Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure and does not require opening the chest or stopping the heart, which means less pain, a shorter recovery time, and a lower risk of complications compared to traditional Open-Heart Surgery. TAVR has been shown to be an effective treatment option for patients with severe Aortic Stenosis who are at high risk for complications from Open-Heart Surgery. TAVR can improve symptoms such as chest pain, shortness of breath, and fatigue, and improve overall quality of life. TAVR may be an alternative treatment option for patients who are considered too high risk for Open-Heart Surgery due to age, medical conditions, or other factors.

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How to Prepare for this Procedure

A Coronary Angiogram and CT Aortogram are needed before planning for TAVR (Transcatheter Aortic Valve Replacement). Various measurements are done including the aortic annulus size, the height of coronary artery origins from aortic annulus, and the femoral artery size. These are needed to plan the surgery. The patient needs to be admitted to the hospital on the previous day. Fasting is needed for 5 hours before the procedure. The procedure is performed under mild sedation.

The procedure requires the insertion of a sheath through both groins. The catheters are passed via groin sheaths to heart chambers. The aortic valve, mounted over a balloon, is passed over a stiff wire placed in the left ventricle and positioned and deployed at the aortic annulus. An Echocardiogram and Contrast Aortogram are done to make sure the valve is working properly. Wires and sheaths are removed at the end, leaving the stented aortic prosthetic valve in situ.

Minimal physical support will be required when the patient is bed-bound. A family member can provide the most needed emotional support during these times.

The doctor will discuss the dos and don’ts with the patient and relatives after the procedure. The patient stays in the ICU on the day of the procedure. Depending on the condition, the patient may be shifted to the ward and mobilised the next day. After 1 day in the ward, usually, the patient is discharged. The patient needs to take medicines regularly as advised by the doctor.

The valve is made of bovine pericardial tissue. Usually, the valve degenerates in 12 to 15 years’ time.

The first follow-up is usually after a month followed by every 6 months.

In 2011, I thought it was the end of my active life. But after my Angioplasty, I started running marathons!


Testimonial by Harshad
Harshad Sheth

Patient

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