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OVERVIEW

TAVR: A Minimally Invasive Solution for Aortic Stenosis

TAVR is a revolutionary treatment aimed at improving heart function and quality of life for patients with severe aortic stenosis. This advanced procedure replaces a diseased aortic valve with a new, artificial one without the need for open-heart surgery. It significantly reduces recovery time and associated risks compared to conventional methods, ensuring patients can return to their daily lives sooner. DivinHeal connects you with leading cardiac centers globally, specializing in cutting-edge TAVR procedures and comprehensive post-procedure care.

PROCEDURE

Transcatheter Aortic Valve Replacement (TAVR) involves several key steps. First, the patient undergoes thorough pre-procedure imaging, including CT scans, to precisely measure the aortic valve and surrounding structures and plan the best access route. On the day of the procedure, the patient receives anesthesia (local with sedation or general). A small incision is made, typically in the groin, to access the femoral artery. A catheter, a thin, flexible tube, is then inserted into the artery and carefully guided through the blood vessels up to the heart. The replacement valve, which is specially designed to be collapsible, is compressed onto the tip of this catheter. Once the catheter reaches the diseased aortic valve, the new valve is precisely positioned. Using fluoroscopic imaging and often echocardiography guidance, the interventional cardiologist ensures correct placement. The new valve is then expanded (either balloon-expandable or self-expanding designs), pushing the old, calcified valve leaflets aside and securing itself in place. The catheter is then withdrawn, and the access site is closed. The new valve immediately begins to function, restoring proper blood flow from the heart.

BENEFITS

Benefits of TAVR

  • Minimally Invasive

    TAVR avoids open-heart surgery, meaning smaller incisions, less trauma, and no need for a heart-lung machine in most cases.

  • Faster Recovery

    Patients typically experience a quicker recovery time and shorter hospital stays compared to traditional surgical aortic valve replacement (SAVR), often returning home within a few days.

  • Reduced Pain & Scarring

    The minimally invasive nature results in less post-operative pain and smaller, less noticeable scars.

  • Improved Quality of Life

    Effective treatment for aortic stenosis alleviates symptoms like shortness of breath and chest pain, leading to improved heart function and a better quality of life.

  • Option for High-Risk Patients

    TAVR provides a vital treatment option for elderly patients or those with multiple co-morbidities who are considered high-risk for conventional open-heart surgery.

  • High Success Rate

    With experienced cardiac teams and advanced technology, TAVR boasts a high success rate in restoring proper aortic valve function.

RECOVERY

TAVR Recovery Time and Tips

  • Immediate Post-Procedure

    After TAVR, patients are typically monitored closely in the intensive care unit (ICU) for a day, then transferred to a regular hospital room. Most patients can walk within 24-48 hours.

  • Hospital Stay

    The average hospital stay for TAVR is significantly shorter than open-heart surgery, usually ranging from 2 to 5 days, depending on the patient's overall health and any existing conditions.

  • Home Recovery (1-2 Weeks)

    Upon discharge, patients are advised to avoid heavy lifting or strenuous activities for the first week or two. Most individuals can resume light daily activities within this period. Follow-up appointments and medication adherence are crucial.

  • Full Recovery & Long-Term Wellness

    While many patients feel significantly better very quickly, a full recovery and adaptation to an improved quality of life can take several weeks. DivinHeal’s care coordination extends to guiding you on cardiac rehabilitation programs, healthy lifestyle modifications, and ongoing monitoring with your local physician to ensure long-term heart health.

  • Important Tips for Recovery

    • Medication Adherence: Take all prescribed medications, especially blood thinners, as directed.
    • Monitor Symptoms: Report any unusual symptoms like chest pain, fever, or swelling immediately.
    • Gradual Activity: Slowly increase your activity level as advised by your doctor.
    • Healthy Lifestyle: Adopt a heart-healthy diet, maintain a healthy weight, and avoid smoking.
    • Emotional Support: Seek support from family, friends, or counseling services as needed during your recovery.

WHAT WE TREAT

Conditions Treated by TAVR

  • Severe Aortic Valve Stenosis

    TAVR is primarily used to treat severe symptomatic aortic valve stenosis, a condition where the aortic valve narrows, restricting blood flow from the heart to the rest of the body. This can lead to symptoms like chest pain, shortness of breath, and fainting.

  • High-Risk Surgical Patients

    It is an ideal option for patients considered at intermediate or high risk for traditional open-heart surgical aortic valve replacement (SAVR) due to age, co-existing medical conditions, or other factors.

  • Failing Bioprosthetic Aortic Valves (Valve-in-Valve)

    TAVR can also be performed as a "valve-in-valve" procedure to replace a previously implanted surgical bioprosthetic aortic valve that has degenerated.

PREPARATION

Preparation for TAVR typically involves a comprehensive medical evaluation to assess the patient's overall health and suitability for the procedure. This includes: 1. Detailed Medical History and Physical Exam: To understand existing conditions and medications. 2. Cardiac Imaging: Echocardiogram, CT scan, and often a cardiac catheterization to precisely evaluate the aortic valve, heart function, and plan the access route for the catheter. 3. Blood Tests: To check kidney function, blood count, and clotting factors. 4. Medication Review: Patients may need to stop certain medications, especially blood thinners, a few days before the procedure, as instructed by their doctor. 5. Fasting: Patients are usually required to fast for several hours before the procedure. 6. Discussions with Medical Team: Patients will meet with the cardiac team to understand the procedure, potential risks, and recovery process, providing an opportunity to ask questions. 7. Smoking Cessation: Patients are advised to stop smoking well in advance of the procedure to improve outcomes.

RISKS

While TAVR is a minimally invasive procedure with a high success rate, like any medical intervention, it carries potential risks and complications. These include: 1. Stroke: Though rare, there is a risk of stroke during or after the procedure. 2. Vascular Complications: Damage to blood vessels at the catheter insertion site (e.g., bleeding, dissection, pseudoaneurysm). 3. Kidney Injury: Temporary or, less commonly, permanent kidney damage. 4. Heart Block requiring Pacemaker: The new valve can sometimes interfere with the heart's electrical conduction system, necessitating a permanent pacemaker. 5. Aortic Regurgitation: Leakage around the new valve (paravalvular leak). 6. Infection: Infection at the access site or of the heart valve itself (endocarditis). 7. Bleeding: Internal or external bleeding. 8. Allergic Reaction: To contrast dye or medications used during the procedure. 9. Valve Migration or Embolization: The new valve rarely dislodges from its intended position. 10. Death: As with any major cardiac procedure, there is a very small risk of mortality.

JOURNEY

Your TAVR Journey with DivinHeal

  • Initial Consultation & Diagnosis

    Your journey begins with a thorough diagnostic evaluation, often including echocardiograms, CT scans, and other cardiac assessments, to confirm aortic stenosis and determine if TAVR is the most suitable treatment. DivinHeal facilitates virtual consultations with top cardiologists to review your case.

  • Personalized Treatment Planning

    A multidisciplinary heart team, including interventional cardiologists and cardiac surgeons, will develop a personalized treatment plan. We provide transparent access to renowned hospitals known for their high TAVR success rates and advanced facilities.

  • Seamless Travel & Hospital Admission

    DivinHeal handles all logistics, from visa assistance and flight bookings to airport transfers and comfortable accommodation. Upon arrival, our dedicated care coordinators ensure a smooth hospital admission process and guide you through pre-procedure preparations.

  • The TAVR Procedure

    The TAVR procedure is performed by highly skilled interventional cardiologists, typically lasting 1-2 hours. You'll receive continuous support from our team throughout your hospital stay, ensuring peace of mind.

  • Recovery & Post-Procedure Care

    Following TAVR, most patients experience a relatively quick recovery. We coordinate your follow-up appointments and provide guidance on post-procedure care, rehabilitation, and lifestyle adjustments to support a full and healthy recovery back home.

OUTCOMES

Expected outcomes include significant improvement in symptoms like shortness of breath and chest pain, enhanced heart function, and a much-improved quality of life. The long-term prognosis for patients undergoing TAVR (Transcatheter Aortic Valve Replacement) is generally excellent, allowing a return to daily activities and greater well-being.

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Dr. Abhinandan

Dr. Abhinandan

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Organ Transplant, Urology

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8+ Years

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Artemis Hospital

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Dr Amit Jassal

Principal Consultant - Anaesthesia

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15+ Years

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Artemis Hospital

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Dr. Amit Kumar Chaurasia

Dr. Amit Kumar Chaurasia

Chief Cath Lab & TAVI (Unit I), Director TAVI/TAVR and Structural Heart Disease and Senior Consultant Cardiology

Cardiology, Interventional Cardiology, TAVI / TAVR & Structural Heart Diseases

New Delhi

16+ Years

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1500

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Dr. Anil Kumar Kansal

Director

Cardiology

New Delhi

24+ Years

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1500

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Dr. Anil Vardani

Director & Head - Cardiac Sciences

Cardiology

New Delhi

23+ Years

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Apolo Delhi

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Dr. Aniruddha Vidyadhar Kulkarni

Director - Cardiac Sciences

Cardiology

New Delhi

21+ Years

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Apolo Delhi

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Dr. Bhushan Nariani

Dr. Bhushan Nariani

Chairman - Orthopaedics (Joint Diseases & Joint Replacement)

Orthopaedics, Joint Replacement, Robotic Surgery

New Delhi

25+ Years

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Dr. Bipin Kumar Dubey

Dr. Bipin Kumar Dubey

HOD - Cardiology

Cardiology

New Delhi

40+ Years

Experience

Max Hospital,Gurgaon

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1500

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Dr. B. S. Murthy

Dr. B. S. Murthy

Principal Director – Orthopedics, Joint Replacement and Arthroscopy Surgery

Orthopaedics & Joint Replacement, Arthroscopy & Sports Injury

New Delhi

21+ Years

Experience

Max Hospital,Gurgaon

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1500

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Dr. Dheeraj Dumir

Dr. Dheeraj Dumir

Senior Consultant, Cardiac Surgery

Cardiac Surgery

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