Your Guide to TAVI (Transcatheter Aortic Valve Implantation) – heart disease treatment



this film will show you what to expect if you are having a Tavi procedure hello my name is Keith Allison I'm 78 years old and I'm here for taffy procedure on my heart I got married when I was 28 and I have three children and six grandchildren at the moment I'm suffering with business and dizziness I'm hoping that this procedure was allow me to have a normal life where I can walk my dog without fear fear of something going wrong getting dizzy getting up too quickly out of the cure is the good were saying is fear my name is dr. Stephen Brecker I'm a consultant cardiologist at San George's Hospital keith has the condition of severe aortic stenosis which is giving him important symptoms of breathlessness and chest pain under normal circumstances he might have been a candidate for open-heart surgery which is the traditional treatment to replace an aortic valve in Keith's case however he's not an ideal candidate for surgery he's had some forms of surgery before and he's just not the best candidate for an open heart operation the less invasive options now are the best ones for him so we've chosen transcatheter aortic valve implantation for him as an alternative your heart valves ensure that your blood flows in the right direction if they become stiff or narrowed then your blood doesn't flow properly and there is strain on your heart a Tavi is a procedure used to replace a damaged a or tick valve a catheter thin flexible tube with a balloon at its tip is inserted into your artery usually in your groin or sometimes in your arm the catheter is passed up through your artery and into your heart and is positioned in the opening of the valve the balloon is then gently inflated which squashes your damaged valve and allows the new valve to be placed in position which improves your blood flow transcatheter aortic valve implantation can be undertaken either under general anaesthetic or under local anesthetic or conscious sedation the actual implant procedure usually takes less than an hour just getting started to do Keith's procedure there's a team of people as you can see and now we're going to get vascular access that means putting tubes into blood vessels and that's the first part of the procedure well the first step is to put a large tube into the blood vessel that's going to guide your equipment to the aortic valve a little bit further the second step is to make the autograph wider with a balloon the third step is deployment of the valve itself we're now 40 minutes into the procedure and we've successfully deployed the trans-canada valve it's almost exactly where we wanted it I was really very happy with the procedure first thing to say is that about 90% of patients do very well following this procedure with no complications at all these patients require quite a lot of care but in the days after the procedure and need to take blood thin tablets and other cardiac medications we're really hopeful and confident that this procedure is going to give Keith a lot more energy his breathlessness will be much improved and we think it will give him some additional years of life as well good morning mr. Allison my daughter how are you feeling this morning like I've not had an operation at all it was marvelous had the operation I knew nothing about it and I woke up without any pain or discomfort how's the breathing very good what do you think I should get out of well you have the procedure on Wednesday today is Friday I think you'll be able to go home Sunday one day good I'm really looking forward now to walking my dog I haven't been doing this for over a year so Wow heart disease is still the single biggest killer in the UK but for over 50 years we've tirelessly pioneered research that has helped transform the lives of people living with heart and circulatory conditions join our fight for every heartbeat in the UK every pound raised every minute of your time and every donation to our shops will help make a difference you

1 Comment

  1. My father has had a kidney transplant and is suffering from aortic stenosis and regurgitation. He has been called in for an angiogram as he is being considered for the TAVI procedure. My question is, are special arrangements made for kidney patients as the dye can be potentially harmful to the transplanted kidney?

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