Transcatheter Aortic Valve Replacement (TAVR / TAVI)
TAVR is a revolutionary percutaneous procedure that replaces a calcified, narrowed aortic valve using a expandable valve catheter inserted through the femoral artery without open-heart surgery.
TAVR / TAVI — transcatheter aortic valve replacement
Clinical Overview & Disease Information
TAVR is a revolutionary percutaneous procedure that replaces a calcified, narrowed aortic valve using a expandable valve catheter inserted through the femoral artery without open-heart surgery.
Signs & Symptoms
- • Mild shortness of breath when walking uphill
- • Exertional fatigue and dizziness
- • Classic Triad: Angina chest pain, Syncope (fainting), and Dyspnea
- • Heart murmur detected on auscultation
- • Severe breathlessness climbing one flight of stairs
- • Sudden fainting / loss of consciousness during exertion
- • Acute pulmonary edema with gasping for air
Causes & Risk Factors
Primary Causes & Etiology
- Age-related senile calcific aortic stenosis
- Congenital bicuspid aortic valve degeneration
- Rheumatic heart disease valve scarring
Who is at Higher Risk?
- Elderly adults over 70 years
- Patients with prior open-heart surgery
- High-risk surgical candidates with frail health
Diagnostic Evaluation & Testing
| Diagnostic Test | Clinical Purpose / What It Shows |
|---|---|
| Multi-Slice ECG-Gated TAVR CT Angiogram | Measures aortic annulus dimensions, sinus of valsalva, and femoral access vessel diameter |
| Transesophageal Echocardiogram (TEE) | Measures mean transvalvular pressure gradient (>40 mmHg) and aortic valve area (<1.0 cm2) |
Comprehensive Treatment Options
Transfemoral TAVR / TAVI Percutaneous Implantation
Catheter-based insertion of Balloon-Expandable (SAPIEN) or Self-Expanding (Evolut) prosthetic valve under conscious sedation.
Surgical Aortic Valve Replacement (SAVR)
Open-heart surgical removal of calcified aortic valve and replacement with mechanical or biological valve prosthesis.
Advanced Medical Technologies Available in Partner Hospitals
Possible Complications If Untreated
Recovery Timeline, Diet & Lifestyle Care
Recovery Timeline
| Procedure / Stage | Expected Recovery Duration |
|---|---|
| Procedure & Cath Lab Recovery | 2 to 4 hours |
| Step-Down Cardiac Ward Walking | 24 hours |
| Hospital Discharge Home | 48 to 72 hours |
| Full Active Driving & Normal Routine | 2 weeks |
Recommended Post-Treatment Diet
- Low sodium heart healthy diet
- Adequate hydration
- High protein recovery foods
Essential Lifestyle Changes
- Daily walking
- Avoid heavy lifting > 5kg for 2 weeks
- Keep groin catheter site clean and dry
Prevention & Long-Term Health
Frequently Asked Questions
How long does a TAVR valve prosthesis last?
TAVR tissue valves demonstrate excellent durability lasting 10 to 15+ years.
Is TAVR performed under general anesthesia?
Most TAVR procedures are now performed under local anesthesia with light conscious sedation.
Top Recommended Specialists Available
Dr. Mukesh Kumar Gupta
Head - Critical Care (Unit III) & Heart & Lung Transplant
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Dr. Biswarup Purkayastha
Consultant – Heart & Lung Transplant and Vascular Surgery
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Dr. Sameer Mehrotra
Unit Chief - Interventional Cardiology & Electrophysiology
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Dr. Mukesh Kumar Gupta
Head - Critical Care (Unit III) & Heart & Lung Transplant Team
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Dr. Rajesh Misra
Chairperson - Department of Anaesthesia & Perioperative Medicine
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Dr. Shubhra Shri Gupta
Principal Consultant - Neonatology & Incharge - Pediatric Cardiac Critical Care
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Global Cost Comparison Matrix
| Procedure | USA (Avg) | India (ISG) | Turkey (Avg) | Thailand (Avg) |
|---|---|---|---|---|
| TAVR / TAVI — transcatheter aortic valve replacement | $85,000 | $18,500 | $25,000 | $28,000 |
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Get Free Treatment EstimateCommonly Prescribed Medications
- Aspirin 75mg once daily
- Clopidogrel 75mg once daily (for 3-6 months)
- Atorvastatin 40mg
International Patient Guide
- Valid Passport & Medical Visa
- ECHO & TAVR CT Angiogram CDs
- Cardiologist Referral