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Percutaneous Valvular Interventions

Percutaneous Aortic Valve Replacement

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Percutaneous Aortic Valve Replacement Procedures

Overview

At Artemis Cardiac Centre, we seamlessly strive to provide the finest treatments and services to ensure the best possible care for your heart. Our experts specialize in a wide gamut of leading-edge medical techniques and procedures like Percutaneous Aortic Valve Replacement. Our experts will guide you, every step of the way, for a hassle-free experience backed by quality and precision

Our team strictly adheres to personalized treatment plans because we believe that every individual has unique medical requirements. Throughout your journey from treatment to recovery, we ensure your medical needs are being catered to with a robust approach.

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Percutaneous Aortic Valve Replacement

What is Percutaneous Aortic Valve Replacement ?

Percutaneous Aortic Valve Replacement

Also known as Transcatheter Aortic Valve Replacement (TAVR), percutaneous aortic valve replacement is a Minimally Invasive procedure that is widely recommended for patients with a defective aortic valve that has been damaged beyond repair. The procedure is usually performed when other non-invasive treatments have failed to give enough relief from the symptoms.

The aortic valve is the major valve from where oxygenated blood leaves the heart. If it is not functioning optimally, it can disrupt the flow of blood to different areas of the body and put increased pressure on the heart. Percutaneous aortic valve replacement helps to address the problem by allowing doctors to replace the dysfunctional valve with a new, prosthetic valve. It is a comparatively new technique, however, it is widely recommended due to its amazing results.

Why does one need Percutaneous Aortic Valve Replacement?

Percutaneous Aortic Valve Replacement procedure is the standard treatment method used for the management of aortic stenosis. The procedure is used for patients with moderate to severe stenosis, who have stopped responding to conservative treatments.

Time Taken For Procedure

Percutaneous Aortic Valve Replacement is broadly classified and based on the technique that is used:

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Procedure Time

It can take around an hour to 90 minutes

Hospital Stay

Most patients are discharged within 2 to 3 days

Recovery Period

Most patients return to work within a span of 2 weeks, however, complete recovery may take longer

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Symptoms

You may be recommended to go for angioplasty if you are experiencing any of the following symptoms linked to coronary artery disease, which are not responding to medication and lifestyle modifications:

Advantages of Percutaneous Aortic Valve Replacement

Various Advantages of Percutaneous Aortic Valve Replacement are:

About Percutaneous Aortic Valve Replacement Procedure

Preparation

  • The process starts with your consultation. The general health of the patient is assessed by evaluating the medical history and analyzing the symptoms. Based on these, a series of tests may be recommended to determine the best course of treatment.
  • You will be informed about the treatment and what it involves. You will also be briefed about the pros and cons, along with what to expect.
  • If you are taking any medicines currently, It is important to inform your doctor as you might need to make some changes in the dosage or stop taking these for the time being.
  • It is important to make sure that your doctor is well aware if you have any allergies or if you suspect that you are pregnant.
  • You need to fast for a few hours before the procedure to make sure that you do not vomit or feel nauseated

What does the procedure involve?

  • The procedure is performed under the influence of general anaesthesia to make sure that you do not feel any pain or discomfort.
  • An IV line will be started to give fluids and medication and an ECG monitor will be connected, using electrode patches, to your chest.
  • The surgical site is prepared and doctors make a tiny incision to introduce the sheath. This is done for hassle-free introduction of the catheter, which is a thin flexible tube fitted with a balloon on one of its ends.
  • The catheter is slowly moved towards the affected valve using a guidewire and detailed visualization offered by a surgical camera.
  • Once the catheter is in the right position, the balloon is inflated to pave the way for the implantation of the prosthetic valve. Once this is done, the balloon may be again inflated to adjust the position of the new valve.
  • Doctors then assess the working of the new valve and once this is done, the equipment is removed and the incision is closed.

What follows the procedure?

  • After the procedure, the patient will be taken to the recovery area and shifted to their room after gaining consciousness.
  • You will be asked to lie still for some time, to alleviate the risks of bleeding
  • You may experience mild chest pain and soreness that can be managed with the prescribed pain medication. If the problem persists, you need to inform your doctor.
  • It is important to adhere to the set of guidelines recommended by your doctor related to your medication, food, and daily activities.
  • You will be required to come for regular follow-ups in order to help your doctors track your prognosis better.

Frequently Asked Questions

Q -Is Percutaneous Aortic Valve Replacement a painful procedure?

Percutaneous Aortic Valve Replacement is done under the influence of anesthesia and as such you will not feel any pain. Mild soreness and discomfort may be experienced after you gain consciousness and these can be managed with prescribed pain medication.

Q - How long does the prosthetic valve last after Percutaneous Aortic Valve Replacement?

A prosthetic valve lasts for around 10 to 15 years in the majority of the cases. These tend to last longer in older people as compared to younger ones. 

Q - Does Percutaneous Aortic Valve Replacement need to be repeated?

Yes, in some cases Percutaneous Aortic Valve Replacement may be repeated, if there is a complication related to the prosthetic valve.

Q - How long does it take to recover after Percutaneous Aortic Valve Replacement?

Most people undergoing Percutaneous Aortic Valve Replacement see improvement within 4 to 8 weeks, and are able to return to normal activities. 

Q - Who is the best candidate for Percutaneous Aortic Valve Replacement?

People with severe aortic stenosis, who have stopped responding to conservative treatments, are best candidates for Percutaneous Aortic Valve Replacement. However, some pre-operative assessments may be needed to make sure there are no contradictions. 

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