In western countries, TAVI has now become the most common go-to cardiac operation when it comes to minimally invasive surgical procedures for valve replacement. With almost 95% success rate, TAVI is considered to be the gold standard treatment for older and frail patients suffering from aortic stenosis, who are otherwise advised against undergoing open heart surgery due to the high risks involved. The advanced technology of TAVI or Transcatheter Aortic Valve Replacement has given hope of a new life to these geriatric population suffering from vascular disease.
The heart has four valves – mitral valve and tricuspid valve control blood flow from the atria to the ventricles, while aortic valve and pulmonary valve control blood flow out of the ventricles. In short, the basic function of valves is to allow seamless flow of blood through the heart. Previously when any of those valves were dysfunctional, an open heart surgery used to be performed to replace them. Now with TAVI procedure, the valves can be substituted without opening the heart. This procedure is done through the leg artery via groin, where a catheter is passed all the way to the heart. By insertion of a prosthetic catheter through the circulatory system, the old valve is replaced with the new valve, which immediately starts working to regulate blood flow.
Open heart surgery is very risky for people over 50 years of age, who can’t undergo the rigors of this operation. With overall technological advancement across the world, the mortality rate is decreasing quickly and people are living longer these days, especially in western countries. As older people are more prone to succumbing to such cardiovascular disorders, they are also at risk when open-heart surgery is performed on them. The most common symptoms patients of aortic stenosis face are chest pains, extreme breathlessness if they exert themselves, and possible fainting spells. After going through complete pre-surgery check-ups including CT scan, X-Ray and blood test, the expert physicians recommend TAVI, which has now been proven to be one of the most cutting-edge surgical treatments by medical communities across the world. Although TAVI remains relatively expensive and only a few people can afford it, its benefits are incomparable.
“TAVI is safe and more effective than open heart surgery as there is no blood loss; much less risk of infection and fast recovery is possible. In India, close to 200 surgeries have been done so far, whereas in eastern India hardly 1-2 have been done till now.
At RBH, we offer the most cutting-edge and reliable technology to perform this surgery along with complete post-surgical care. TAVI is undoubtedly more suitable for most of the patients suffering from aortic-stenosis’’.
Following points to be kept in mind while patients choose to go for TAVI procedure:
- Always opt for a renowned physician who has hands-on knowledge and expertise in TAVI surgery
- Verify the credibility of the hospital and its entire infrastructure
- Go through a proper pre-operative risk evaluation
- Check your comorbidities
- Follow your post-surgery routine and therapy religiously. Go for regular check-ups as recommended by your doctor
Over the years, TAVI has definitely emerged to be a life-saving surgery to numerous elderly patients across the world. RBH with its highly skilled doctors, world-class infrastructure, and extensive successful implementation of their research; is finally offering this progressive surgical technique for a much better quality of life.
A Coronary Angioplasty is one of the most common types of treatment for the heart and is a life saving procedure. The risk of routine Angioplasty is 0.5 % (1 in 200).
No. Angioplasty is done under local anaesthesia with very little or no pain. Patients are completely awake and may even watch the procedure on screen
Angioplasty is done in the Cardiac Catheterization Laboratory (Cath Lab). It is a minimally invasive procedure done under local anaesthesia by inserting a catheter (thin tube) through a small puncture in a leg or arm artery. Some dye (contrast) is injected into the catheter so that the arteries can be seen on the X-Ray screen. This helps in showing where the narrowing in the arteries are and how severe they are. Watching on the special X-Ray screen, a thin wire is then passed inside the artery through the blocked segment. This is followed by insertion of a tiny balloon at a spot where the artery is narrowed to help widen the artery. The final step involves permanent placement of a small wire mesh tube called the stent, to fully open the artery and reduce the risk of it narrowing again.
The procedure can take anything between 30 min to 60 min (or even longer if multiple narrowing are present). Patient typically spends 2 days in the hospital.
Like all organs in the body, the heart needs a constant supply of blood. This is supplied by two large blood vessels called the left and right coronary arteries.
Over time, these arteries can become narrowed and hardened by the build-up of fatty deposits called plaques. This process is known as atherosclerosis, People with atherosclerosis of the coronary arteries are said to have coronary heart disease.
After a heart attack, you will need to see your doctor regularly for check-ups to see how your heart is doing. Most people who don’t have chest pain or discomfort or other problems can safely return to their normal activities within a few weeks. Depending upon your condition, the doctor may recommend it.Lifestyle changes such as quitting smoke, changing the diet, or increasing your physical activity. Medications to lower your cholesterol or blood pressure and help reduce the heart’s workload.
- Don’t smoke and avoid passive smoke
- Treat high blood pressure
- Eat food that is low in saturated fats, trans-fat, cholesterol and salt
Contact your doctor for advice as soon as possible if you experience any of the following problems:
- Severe or increasing pain in or around the wound
- Extreme Shortness of breath
- Swelling around the wound
- Any pus coming out from the wound