treatment

TAVI (Transcatheter Aortic Valve Implantation)

TAVI is a minimally invasive treatment used to treat patients with Severe Aortic Stenosis or occasionally Severe Aortic regurgitation in whom conventional surgical valve replacement is intermediate or high risk. In selected patients, there may be a preference for TAVI rather than conventional surgery based on other factors.

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What is TAVI?

Typically, TAVI will involve implantation of a new Aortic valve through the femoral artery (large artery in the groin). It is performed under deep sedation or general anaesthesia. Typically, a patient will require an in hospital stay of between 48 and 72hrs, occasionally longer. In advance of a TAVI procedure, specialised CT scanning (3D Xray) and a Coronary Angiogram are required.

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Why would you need TAVI?

You will most likely have had symptoms such as chest discomfort on exertion and/or breathlessness in combination with an Echo confirming Severe Aortic Stenosis. Dr Shand will have discussed the treatment options available and based on your baseline health status, co-existent medical conditions and heart anatomy made a recommendation for TAVI. Often these decisions are made in our multidisciplinary team environment to ensure that the best option is chosen for you based on consensus opinion.

Frequently asked questions

It is important to realise that untreated severe symptomatic aortic stenosis carries a poor prognosis – worse than many cancers. Of course like any interventional procedure there is a small risk of a major complication during or soon after the TAVI procedure. Risks vary in individual patients but in general there is an overall risk of between 5-10%. This includes but is not limited to a risk of permanent pacemaker implantation (to take over the electrical function of the heart), stroke, major bleeding, heart attack (myocardial infarction), kidney damage, valve embolism and rarely a risk to life.

A TAVI procedure typically takes 25-40minutes to complete.

You will remain in hospital with monitoring of your heart electrical function and general observation for approximately 48hrs. Following discharge Prof. Shand will arrange an Echo as an outpatient to assess the new valve and review you in clinic approximately 6-8 weeks following discharge. Ongoing surveillance of the new heart valve is required in the longer term.

Related Services

Registered Provider

VHI healthcare registered Cardiologist Dublin
Irish life registered cardiologist
Laya Healthcare registered provider

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