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If you or your loved one has been diagnosed with severe aortic stenosis, you may have heard about a revolutionary, less invasive procedure called TAVI – Transcatheter Aortic Valve Implantation. As a leading interventional cardiologist, Dr. Harikrishnan Cardio offers this life-saving procedure to patients who may not be ideal candidates for traditional open-heart surgery. But how do you know if you’re eligible for TAVI?
In this comprehensive guide, we break down everything you need to know about TAVI, eligibility criteria, and how Dr. Harikrishnan and his expert team evaluate and treat patients using the latest cardiology innovations..
What Is TAVI?
TAVI, also known as TAVR (Transcatheter Aortic Valve Replacement), is a minimally invasive procedure designed to replace a narrowed aortic valve that fails to open properly—a condition known as aortic stenosis. Unlike open-heart surgery, TAVI does not require opening the chest. Instead, the new valve is inserted via a catheter, usually through a small incision in the groin or chest.
TAVI is especially beneficial for:
- Older patients
- Patients with multiple health risks
- Individuals who are not ideal candidates for conventional surgery
Why Is TAVI Preferred Over Open-Heart Surgery for Some Patients?
For many patients, TAVI offers several advantages, including:
- Shorter hospital stay
- Faster recovery
- Reduced risk of infection
- No need for general anesthesia in some cases
- Less pain and minimal scarring
However, it’s not suitable for everyone. Determining TAVI eligibility is a critical step that involves a thorough evaluation by a qualified heart specialist like Dr. Harikrishnan.
Who Is Eligible for TAVI?
Eligibility for TAVI depends on several clinical, anatomical, and health-related factors. Here’s what cardiologists look at when assessing a patient:
1. Severity of Aortic Stenosis
Patients with severe symptomatic aortic stenosis—characterized by shortness of breath, chest pain, or fainting—are typically considered for TAVI. Imaging tests like echocardiograms help confirm the severity of the condition.
2. Surgical Risk Profile
TAVI is most commonly recommended for:
- High-risk or intermediate-risk patients for open-heart surgery
- Elderly patients with frailty
- Patients with previous cardiac surgeries
- Those with underlying conditions such as kidney disease, lung disease, or liver problems
Cardiac surgeons use scoring systems such as the STS (Society of Thoracic Surgeons) Score or EuroSCORE to determine the surgical risk level.
3. Age and Life Expectancy
Although initially approved for older adults, TAVI is now an option even for younger, low-risk patients under certain conditions. However, the long-term durability of TAVI valves is still under study compared to surgical valves, which is why age and life expectancy play a crucial role.
4. Anatomical Suitability
Not all valve or heart anatomies are compatible with the TAVI device. A CT scan is performed to evaluate:
- The size and shape of the aortic valve
- The diameter of the access arteries (femoral, subclavian, etc.)
- The condition of the aorta
If anatomical challenges are found, Dr. Harikrishnan may explore alternate access routes or advise on other procedures.
5. Other Health Conditions
Patients with active infections, bleeding disorders, or those who recently had a stroke may not be eligible for TAVI. A complete health evaluation is necessary before confirming eligibility.
Evaluation Process at Dr. Harikrishnan Cardio
At Dr. Harikrishnan Cardio, patient care begins with a detailed evaluation. Here’s what you can expect:
1. Comprehensive Consultation
The process begins with a one-on-one consultation with Dr. Harikrishnan, where your symptoms, medical history, and concerns are discussed in detail.
2. Diagnostic Testing
Tests like:
- Echocardiogram
- CT Angiogram
- Cardiac catheterization
- Blood tests
are done to assess the condition of your heart and overall health.
3. Multidisciplinary Team Assessment
A heart team comprising a cardiologist, cardiac surgeon, anesthesiologist, and imaging specialist will work together to determine if TAVI is the best option for you.
Benefits of Choosing Dr. Harikrishnan for TAVI
Choosing the right specialist can significantly impact your outcome. Here’s why patients trust Dr. Harikrishnan:
- Extensive experience in performing successful TAVI procedures
- State-of-the-art cardiac facilities
- Personalized treatment plans
- Post-procedure care and follow-up
- Transparent communication with patients and families
Patients consistently report quicker recovery, minimal complications, and improved quality of life after undergoing TAVI with Dr. Harikrishnan.
Post-TAVI Expectations: What Happens After the Procedure?
Most patients are discharged within 2–4 days and resume daily activities within a week. Regular follow-ups are crucial to monitor heart function and the new valve’s performance. Dr. Harikrishnan provides a customized post-care plan, including:
- Medications to prevent clotting
- Diet and lifestyle modifications
- Scheduled echo and ECG reviews
FAQs About TAVI Eligibility
Q: Is TAVI painful?
No, it is minimally invasive and often performed under local anesthesia with sedation.
Q: Can I drive after TAVI?
Yes, but usually after 1-2 weeks depending on your recovery. Always follow your doctor’s guidance.
Q: How long does a TAVI valve last?
Studies show durability of 10-15 years, but long-term data is still being collected, especially for younger patients.
Final Thoughts: Consult a Specialist Before You Decide
TAVI is a life-changing procedure, but it’s not a one-size-fits-all solution. If you or your loved one is experiencing symptoms of aortic stenosis or has been advised to consider valve replacement, it’s time to talk to an expert.Dr. Harikrishnan provides world-class cardiac care tailored to each patient’s unique needs. Book your consultation today and take a proactive step towards a healthier heart.
