TAVI Operation in Turkey | Transcatheter Aortic Valve Implantation

TAVI operation : What is it ?

First introduced in 2008 by Italian physicians and researchers from the Sorin Group, the sutureless aortic valve is a breakthrough in heart valve treatment. This innovative bioprosthesis offers a new approach to treating aortic stenosis, a narrowing of the heart's aortic valve.

Unlike traditional heart valve replacements that require a full chest incision, the sutureless valve offers a minimally invasive approach. This revolutionary design allows the valve to anchor securely in the aortic annulus without the need for sutures or extensive surgical manipulation.

The secret lies in the valve's ingenious casing - an expandable device that cleverly mimics the opening and closing of a parachute. This mechanism uses super-elastic components to ensure optimal positioning and function.

Previously, standard aortic valve replacement involved a meticulous suturing process to attach the valve to the annulus after removing calcium deposits. This often time-consuming and challenging step is eliminated with the sutureless valve. This simplification translates into shorter procedure times and potentially less surgical stress for the patient.

TAVI : Best solution fo narrowed aortic valve

TAVI, or Transcatheter Aortic Valve Implantation, is a less invasive procedure that treats aortic valve stenosis. This condition occurs when the aortic valve, responsible for blood flow out of the heart, becomes narrowed.

During TAVI, a catheter is inserted through a leg artery or, in some cases, the chest. This catheter is then guided with precision to your heart, carrying the replacement valve with it. A camera helps the doctor position the new valve accurately.

It's important to note that TAVI is typically performed by a specially trained cardiologist, rather than a heart surgeon.

Types of aortic valve

The first-line treatment for aortic valve stenosis is a salt-free diet, rest, and diuretics. However, in cases of severe aortic stenosis, valve replacement or surgical repair is the only treatment.

Until now, cardiologists have used two types of prosthetic heart valves:

• Mechanical valves, which are strong and durable but require the use of anticoagulants.
• Bioprosthetic valves, which are less strong and have limited durability, and do not require anticoagulants.

It is now possible to treat certain heart conditions, including narrowed aortic valves, surgically without opening the chest.

Preparation for TAVI operation

To ensure a smooth recovery after TAVI operation in Turkey, two key factors contribute to a successful outcome:

• Smoking cessation, as smoking increases the risk of respiratory distress, infection, and poor healing.
• Good blood test results: The patient's hemoglobin (red blood cell) level must be high.

If either of these conditions requires improvement, your cardiologist may recommend postponing the surgery, but only if it's not urgent. This allows you time to focus on quitting smoking or raising your hemoglobin levels, ultimately leading to a smoother recovery after your TAVI procedure.

Postoperative Complications of TAVI

While the TAVI procedure boasts a high success rate exceeding 95%, it's important to be aware of potential complications. These can be broadly categorized into two types:

• Around the access site: These are related to the insertion point for the catheter, such as bleeding or bruising.
• Unrelated to the access site: These can involve blood clots traveling to other parts of the body (embolism) or temporary dysfunction of organs other than the heart.

Serious complications are uncommon with TAVI. By discussing these possibilities with your doctor beforehand, you can feel more confident and prepared for a successful outcome.