Cataloged Procedures

Pre-Procedure Evaluation
Before the TAVI procedure, a thorough evaluation is conducted, including imaging studies like echocardiography, CT scans, and sometimes MRI. These assessments help determine the anatomy of the aortic valve and the patient’s overall health, including the size and shape of the blood vessels, which are crucial for determining the best approach for valve delivery.

Access Site Selection:
TAVI can be performed using several different access points, depending on the patient’s condition and anatomy. The most common access is through the femoral artery (transfemoral approach), but in some cases, the procedure may be performed through the subclavian artery, the jugular vein, or even via direct access to the heart (transapical approach).

Valve Delivery:
Once the access site is determined, a catheter is inserted into the artery and guided towards the aortic valve. A balloon-expandable or self-expanding valve is mounted on a catheter, and the catheter is carefully advanced to the site of the aortic valve. The prosthetic valve is positioned within the diseased valve, where it is deployed by inflating a balloon (for balloon-expandable valves) or by allowing the self-expanding valve to unfold. The new valve is then anchored in place, pushing the old, narrowed valve out of the way.

Post-Procedure Imaging and Monitoring:
Once the valve is implanted, imaging techniques such as echocardiography or fluoroscopy are used to confirm correct positioning and ensure the valve is functioning properly. The patient is monitored for any signs of complications, such as bleeding, infection, or valve dysfunction.

Advantages of TAVI

• Minimally Invasive: TAVI is a less invasive alternative to open-heart surgery. It does not require the chest to be opened or the heart to be stopped, which significantly reduces recovery time and complications.
• Faster Recovery: Patients typically recover much faster than with traditional surgery, with many being able to walk and resume light activities within a few days.
• Lower Risk for High-Risk Patients: TAVI has become a preferred option for patients who are at high surgical risk due to age, frailty, or other comorbidities.