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TAVR/TAVI SurgeryIn Kolkata

What is TAVR/ TAVI?

Transcatheter Aortic Valve Replacement (TAVR), also referred to as Transcatheter Aortic Valve Implantation (TAVI) is a minimally invasive cardiac procedure initiated for replacing aortic stenosis or narrowing of the aortic valve. In this surgical procedure, a catheter is inserted into the blood vessel through the groin expanding it to the heart. People who are vulnerable to high-risk traditional surgical procedures are usually treated with this advanced method to reduce the need for open heart surgery and to ensure safe, effective and fast healing time. If you have been recommended for TAVI surgery, book your appointment with best cardiac hospital in Kolkata at BM Birla Heart Research Hospital for expert and exceptional care. 

Benefits of TAVR/ TAVI 

TAVR/TAVI surgery offers several benefits, particularly to individuals who are considered to be at high risk for traditional surgery. Here are some key benefits: 

  • Minimal incisions and less trauma
  • Quicker healing and fewer hospital stays 
  • It is ideal for patients who are susceptible to high surgical risks, like the elderly and individuals with other health conditions.
  • Improved quality of life
  • Decreased postoperative pain and discomfort
  • Reduced risk of complications like infection and bleeding

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What conditions are Treated by TAVR/ TAVI?

One of the main reasons to undergo TAVR surgery is aortic stenosis, a narrowing of the aortic valve that obstructs blood flow from the heart to the body. This condition causes severe health problems such as heart failure, arrhythmias, and sudden cardiac death. The following are some other reasons which include: 

  • When the valve is significantly narrowed causing symptoms of heart dysfunction.
  • People who are at high risk for open-heart surgery due to age, or medical condition.
  • Individuals who experience symptoms that impact their overall quality of life and need immediate symptom relief. 
  • When medication and other less invasive treatment options are not effective. 
  • Treat other health conditions such as rheumatic heart disease or bicuspid aortic valve.

Cost of TAVR/ TAVI

In India, TAVR/TAVI procedures usually cost between INR 15 and 30 lakhs. Aortic stenosis severity, patient health, other medical needs, etc. are some of the factors that influence the total cost of the TAVR/TAVI treatment.

For this cutting-edge care, we at BM Birla Heart Hospital in Kolkata offer competitive pricing. The patient needs to come to the hospital for a comprehensive consultation to receive a customised cost estimate during which all of the particular medical requirements will be carefully assessed.

Risks and Complications of TAVR/TAVI Surgery

While TAVR/TAVI is a minimally invasive procedure, it does not involve complications, however, there is a possibility of experiencing the following complications:

  • Vascular Complications: It involves damage to blood vessels that may need additional clinical intervention.
  • Bleeding: Excessive bleeding is one of the complications that might need transfusions or further surgery.
  • Infection: Patients can experience the risk of infection at the catheter insertion area or within the heart after TAVR surgery.
  • Stroke: The risk of stroke is higher after TAVR surgery due to dislocated debris during the procedure. 
  • Arrhythmias: Irregular heartbeats are among other complications that may need pacemaker implantation.
  • Valve Complications: Problems with the implanted valve, like improper placement or function, can also be caused by TAVR surgery.

Pre-instructions for TAVR/TAVI Surgery

Proper preparation is key to the success of TAVR/TAVI surgery. Patients should follow these pre-instructions:

  • Medical Evaluation: Patients must follow the instructions for undergoing a thorough medical evaluation, including imaging tests such as echocardiogram, CT scan and blood work to monitor overall health and aptness for the procedure.
  • Medication Discussion: Patients should provide all the information related to their regular medications, supplements, and over-the-counter drugs to the surgeon as there might be a need for adjustment or stopping before the procedure.
  • Fasting: Patients must avoid eating or drinking for a particular period before the procedure, usually 6-8 hours.
  • Smoking Cessation: Quitting smoking before surgery should not be overlooked as advised by a surgeon to improve recovery and minimise the risk of complications.
  • Arrange Transportation: Patients are often asked to bring someone along so that they can drive the patient back home after surgery.

Post-instructions for TAVR/TAVI Surgery

Adherence to postoperative care instructions is crucial for optimum healing after TAVR surgery:

  • Monitoring: The patient might have to stay in the hospital for a few days for close monitoring of heart function and general health.
  • Rest and Activity: Surgeons recommend gradually increasing activity levels but strenuous activities and heavy lifting for the first few weeks should be avoided.
  • Medication Management: Patients must take prescribed medications as instructed, including blood thinners to stop clot formation around the new valve.
  • Wound Care: As per the surgeon’s instructions, it is crucial to keep the catheter insertion area clean and dry by following the surgical team's instructions to change dressings and care for the wound.
  • Follow-up Appointments: One should not miss any follow-up appointments to ensure healing and evaluate valve function.
  • Monitor Symptoms: Patients are asked to monitor the signs of complications, like fever, excessive bleeding, severe pain, or shortness of breath, and in case any of these are experienced, seeking assistance from your healthcare provider is crucial.

Recovery after TAVR/TAVI Surgery

Recovery after TAVR/TAVI surgery varies depending on the individual and the extent of the procedure. Here is what recovery looks like after TAVR surgery:

  • Patients might have to stay in the hospital for 2-5 days. Resting and close monitoring are required during this period.
  • In the first week after surgery, slowly returning to normal activities is encouraged. Pain and discomfort can be managed with medications.
  • Most patients can resume light activities and return to work, depending on their overall health within two to four weeks.
  • Full recovery might need several weeks to a few months. Regular follow-up appointments are required to track heart function and overall health.

Why Should You Choose BM Birla Heart Research Hospital for TAVR Surgery in Kolkata? 

BM Birla Heart Research Centre is a super speciality hospital with modern infrastructure and state-of-the-art technology in Kolkata. BM Birla Heart Research Centre is the only hospital offering valvular surgery in the entire Eastern India. With a 200+ bed capacity, cardiac care, atrial fibrillation services, cath labs, and modular OTs, BM Birla Heart Research Centre has made a mark with its singular focus on the treatment of a variety of ailments. Here are a few advantages of choosing BM Birla Heart Research Centre for TAVR Surgery in Kolkata:

  • Highly qualified and experienced experts
  • Cutting-edge technology and the latest medical equipment
  • Transparent pricing structure for cost-effective treatment. 
  • Patient-centric high-quality care for a high success rate

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FAQs

Is TAVR a Major Surgery?

TAVR is a minimally invasive cardiac procedure and is not considered to be a major surgery. It does not involve making large incisions like open-heart surgery to replace an aortic valve that is not functioning appropriately. It is one of the safest and most effective surgical procedures, however, there are certain risks like any other surgery but they can be managed after getting in touch with the healthcare provider. 

How Long Does the TAVR Procedure Last?

The Transcatheter Aortic Valve Replacement (TAVR) procedure usually lasts for around one to two hours. However, the total time in the hospital can be longer due to preparation and healing time. This minimally invasive procedure ensures quicker recovery compared to conventional open-heart surgery.

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