Transcatheter Aortic Valve Replacement (TAVR or TAVI)

    • Purpose: Treats severe aortic stenosis by replacing the aortic valve without open-heart surgery.
    • Procedure: A new valve is delivered via catheter and expanded within the existing valve.

      Note: The information provided here applies to elective Transcatheter Aortic Valve Replacement (TAVR or TAVI) procedures without extraordinary circumstances. However, specifics may vary based on individual patient factors, such as the severity of aortic stenosis, the presence of other heart conditions, or any complications that might arise during the procedure. In some cases, the patient's overall health, the need for additional cardiac interventions, or the complexity of the valve replacement can also influence the procedure and recovery process.

      Inpatient/Outpatient
      TAVR is typically performed as an inpatient procedure. This approach allows for careful monitoring before, during, and after the procedure to ensure the new valve is functioning correctly and that the patient's heart condition is stable. Most patients will need to stay in the hospital for observation, typically for a few days, depending on their recovery and overall health.

      Hospital Stay Duration
      Patients undergoing TAVR usually stay in the hospital for 2 to 5 days. This stay allows for close monitoring of heart function and valve performance, as well as the management of any potential complications such as bleeding, stroke, or arrhythmias. In some cases, the hospital stay may be extended if additional care or monitoring is needed.

      Type of Anesthesia
      TAVR is typically performed under general anesthesia to ensure the patient remains comfortable and still during the procedure. In some cases, conscious sedation may be used, depending on the patient's condition and the preferences of the medical team.

      Travel After Procedure
      Patients are generally advised to avoid travel for at least a week after the procedure, especially if they underwent general anesthesia or experienced any complications. It’s crucial to follow the healthcare provider’s recommendations regarding travel and to ensure that the patient is stable before undertaking any long-distance or air travel.

      Pre-procedure Preparation
      Before the procedure, patients are usually instructed to fast for several hours. They may also need to undergo a series of tests, including imaging studies and blood work, to ensure they are good candidates for TAVR. Adjustments to medications, especially blood thinners, may also be required under the guidance of the healthcare provider.

      Procedure Duration
      The TAVR procedure typically takes 1 to 2 hours to complete, though this can vary depending on the complexity of the case and the patient's specific condition.

      Recovery Time
      Most patients can begin to resume light activities within a week of the procedure, though full recovery may take several weeks. It's important to avoid strenuous activities during this period and to follow the healthcare provider’s instructions regarding activity levels and any necessary lifestyle changes.

      Estimated Cost
      The cost of TAVR can vary significantly depending on the hospital, geographic location, and the specifics of the patient’s condition. For accurate cost information, patients should contact their healthcare provider or hospital directly.

      Post-procedure Care
      After TAVR, post-procedure care includes close monitoring of the new valve and overall heart function, managing any discomfort, and observing for potential complications. Patients will need to attend follow-up appointments to ensure the valve is working properly and to discuss any further treatment or lifestyle adjustments. Long-term follow-up is crucial to monitor the patient's heart health and the performance of the valve.