TAVI Procedure at Fortis Hospitals, Mumbai
Transcatheter Aortic Valve Implantation or TAVI is a minimally invasive heart procedure to replace a diseased aortic valve (aortic stenosis) that fails to open properly with a new valve. The surgery, also called transcatheter aortic valve replacement (TAVR), may be an option for patients who are at intermediate or high risk of complications from standard valve replacement surgery.
The Cardiac Sciences Department at Fortis Hospitals, Mumbai, offers comprehensive cardiovascular care through by a highly experienced cardiac team. Well-equipped with advanced technology and latest medical devices, Fortis delivers a full-suite of complete cardiac care services, including TAVI procedure. Our doctors have years of experience in successfully performing advanced surgical procedures such as TAVI.
At Fortis, we believe that closely working with patients and their families is the key to providing exceptional healthcare. Our multi-disciplinary team of experts will discuss with you the appropriateness of TAVI, as well as the potential benefits and risks involved in the procedure. Using the newest generation devices, Fortis has been leading the nation in enjoying excellent outcomes with heart procedures, including TAVI.
- Our multi-disciplinary team includes:
- Interventional cardiologists
- Non-invasive cardiologists
- Cardiothoracic surgeons
- Cardiac imaging experts
- Well-trained nurses, clinical nutritionists, and other health professionals.
- The team is ably supported by an infectious disease specialist and cardiac rehabilitation.
What is TAVI?
TAVI or TAVR is a minimally invasive procedure that helps to repair a narrowed aortic valve. During a TAVI, an artificial valve made of natural tissue from the heart of either a pig or a cow is inserted into the heart (without removing the old, diseased aortic valve).
Who needs a TAVI?
A TAVI procedure may be recommended for people with aortic valve problems and who aren’t well enough to undergo open heart valve surgery. The procedure can help relieve the symptoms of aortic valve stenosis, a serious condition where the aortic valve cannot open and close properly. Aortic stenosis puts extra strain on the heart, causing chest pain, breathlessness, dizziness, fatigue, swollen ankles, and sometimes, blackouts. This condition can also lead to heart failure and sudden cardiac death. TAVI may also improve survival in people with severe symptoms.
How do you prepare for a TAVI?
At Fortis, our team of experts will evaluate your overall health before the procedure - including X-rays, CT scans, ECG, echo, angiogram and other tests to check your heart, lungs and aortic valve. Our medical team may also do a cardiac catheterisation to assess the arteries that supply blood to the heart.
You will also need to:
Tell your doctor about any medicines you are taking - you may need to stop taking certain medications as directed by your healthcare team.
Stop eating and drinking, usually at midnight before the procedure.
Quit smoking, if you still smoke.
What happens during a TAVI?
You will receive sedation or general anaesthesia during the TAVI procedure, which usually takes 1-2 hours and is performed by a specialised team that includes an interventional cardiologist, a cardiac surgeon, and a cardiac anaesthetist.
A balloon catheter is inserted into an artery either in your groin or through a tiny incision in your chest.
- Using advanced imaging techniques, the catheter is guided into your heart and positioned within the opening of the aortic valve.
- The balloon is then gently inflated to make room for the new valve placed in position.
- The new valve is expanded using the balloon - some valves expand by itself.
- The new valve (once it is correctly positioned) will be implanted over the existing valve.
- The balloon is deflated, and the balloon catheter is removed.
- The new valve (which now sits inside your damaged valve) begins to function immediately.
After the Procedure
After the procedure, you will be monitored for at least 24 hours in the intensive care unit. You may return home within about a week. Generally, it takes between 2-3 months for patients to fully recover.
After TAVI, you will have regular follow-up appointments with your healthcare team and may be advised to take certain medications. TAVI can be an effective option to relieve symptoms of aortic stenosis, improve overall health and quality of life.
At Fortis, our multi-disciplinary team will be there to support your recovery every step of the way.