Transcatheter Aortic Valve Replacement (TAVR), also known as Transcatheter Aortic Valve Implantation (TAVI), has revolutionized the cardiology field since its inception. It offers a remarkable solution for treating calcified aortic stenosis without open-heart surgery. This cutting-edge technology has transformed one of the most intricate procedures into a minimally-invasive approach.
Read on to learn more.
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What Is Transcatheter Aortic Valve Replacement (TAVR)?
TAVR, or Transcatheter Aortic Valve Replacement, is a minimally-invasive surgical procedure that allows a cardiologist to treat severe calcified aortic stenosis. Although TAVR is a relatively new procedure, it has revolutionized the treatment of non-rheumatic AS and offers a ray of hope for rheumatic AS in the future. The technology is now serving as a replacement for the standard aortic valve replacement surgery.
Why Is Transcatheter Aortic Valve Replacement (TAVR) Done?
TAVR is done for the following reasons:
- Severe aortic stenosis that causes signs and symptoms.
- A biological tissue aortic valve isn’t working as well as it should.
- Another health condition, such as lung or kidney disease, makes open-heart valve replacement surgery too risky.
- Asymptomatic patient with severe aortic stenosis and LVEF less than 50.
- Asymptomatic patient with severely high gradient aortic stenosis and lacks exercise tolerance or reduced systematic blood pressure with exercise.
What Are The Benefits Of Transcatheter Aortic Valve Replacement (TAVR)?
New technology comes with several benefits. Some of the benefits of TAVR or Transcatheter Aortic Valve Replacement are:
- Minimal blood loss
- The safest possible procedure for people with a previous heart surgery
- Faster recovery (3-4 days of hospital stay)
- Better quality of life post-surgery
- Minimally invasive
- Reduced risk of infections
What Are The Risks Of Transcatheter Aortic Valve Replacement (TAVR)?
Although TAVR has proven to be a boon for high-risk heart patients, just like any other surgery, it comes with its own risks. The risks of TAVR are rare but not zero. Some of them are:
- Bleeding
- Blood vessel complications
- Problems with the replacement valve, such as the valve slipping out of place or leaking (regurgitation), leading to second TAVR or open heart surgery
- Formation of blood clots leading to stroke or heart attack
- Heart rhythm problems (arrhythmias) and the need for a pacemaker
- Kidney disease
- Heart attack
- Infection
- Death
What Disease Is Treated By Transcatheter Aortic Valve Replacement?
TAVR treats a type of valvular heart disease called aortic valve stenosis. The disease occurs when the valve between the lower left heart chamber and the body’s main artery (aorta) narrows and doesn’t open fully. The narrowing of the valve starts blocking the blood flow from the heart to the aorta and the rest of the body.
A congenitally abnormal valve with superimposed calcification can cause aortic stenosis. While the bicuspid aortic valve is the most common cause of aortic stenosis in patients in developed countries, rheumatic valve disease is the most common cause in developing countries.
Transcatheter Aortic Valve Replacement Cost In India
The Transcatheter Aortic Valve Replacement Cost In India is much cheaper compared to countries like the USA, Canada, Singapore, and many European countries. While the cost of the treatment is affordable in India, the medical standards match that of top-developed countries. The Transcatheter Aortic Valve Replacement Cost In India is between $6000-$8000.
Transcatheter Aortic Valve Replacement (TAVR) Surgery Cost In Chennai: $5500 – $7500
Transcatheter Aortic Valve Replacement (TAVR) Procedure Cost In Hyderabad: $6500 – $7800
Transcatheter Aortic Valve Replacement (TAVR) Cost In Delhi: $6000-$7700.
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Top 10 Transcatheter Aortic Valve Replacement Hospitals In India
Discover the leading hospitals in India known for their expertise in treating various conditions. Explore the top-notch medical facilities and advanced therapies these hospitals offer to provide the best care for patients with heart diseases. In these hospitals, the Transcatheter Aortic Valve Replacement cost in India is almost 3-5 times less than in Western countries.
GoMedii has compiled a list of top Transcatheter Aortic Valve Replacement hospitals in India for you to get cost-effective, hassle-free treatment.
The Hospital For Transcatheter Aortic Valve Replacement In India Are:
- Fortis Hospital, NOIDA
- Max Super Specialty Hospital, Saket, Delhi
- Yashoda Super Specialty Hospital, Hyderabad
- BLK-Max Super Specialty Hospital, Delhi
- Medanta – The Medicity, Gurugram
- Fortis Escorts Heart Institute, Delhi
- Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Manipal Hospitals, Old Airport Road, Bangalore
- Apollo Hospitals, Chennai
- Indraprastha Apollo Hospitals, Delhi
What Tests Are Done Before Transcatheter Aortic Valve Replacement (TAVR)?
To help your healthcare provider assess your condition and determine the best treatment, you may need the following screening tests:
- A physical examination
- Blood tests
- A chest X-ray (CXR)
- An electrocardiogram (ECG)
- An echocardiogram of the chest
- A transoesophageal echocardiogram (TOE)
- An angiogram
- A CT Scan
How To Prepare for Transcatheter Aortic Valve Replacement (TAVR)?
TAVR is a significant surgery with many pre-surgery tests and diet control. Your medical practitioner may plan a specific diet chart for you to follow weeks before surgery. They may also ask you to stop consuming certain medicines and prescribe them to better prepare your body for surgery.
Based on your treatment plan, your doctor will provide instructions on preparing for transcatheter aortic valve replacement (TAVR). Some of them are:
- Bring your medications, personal care items, comfortable and loose clothes, etc. with you on the day of the surgery
- Avoid wearing contact lenses, dentures, eyeglasses, jewelry, and nail polish on the day of the surgery.
- Do not eat or drink after midnight on the day of the surgery.
Your healthcare provider will give you more detailed instructions to follow before the treatment.
Who Should Not Consider Transcatheter Aortic Valve Replacement (TAVR)?
Persons with the following complications should avoid TAVR surgery:
- Heart attack within the last month.
- Congenital heart defects or similar problems like congenital bicuspid valve.
- Hemydynamic or respiratory instability requiring ionitropic support and mechanical ventilation within 30 days of diagnosis.
- Severe weakening of certain parts of your heart.
- Other heart valve problems like mitral regurgitation.
- Hypertrophic obstructive cardiomyopathy
- Severe left ventricular dysfunction
- Severe pulmonary hypertension
- Intra-cardiac mass
- Recent stroke or transient ischemic attack (TIA).
- Severe kidney disease.
FAQs On Transcatheter Aortic Valve Replacement Cost In India
How long does transcatheter aortic valve replacement last?
The TAVR valve is a biological tissue valve crafted from cow or pig heart tissue. As the procedure is relatively recent, the durability of a replaced TAVR valve remains uncertain. Research indicates that the valve may last up to 10 years.
What is the cost of TAVR in India?
The Transcatheter Aortic Valve Implantation Cost In India is between $6000-$8000.
Transcatheter Aortic Valve Replacement (TAVR) Surgery Cost In Chennai: $5500 – $7500
Transcatheter Aortic Valve Replacement (TAVR) Procedure Cost In Hyderabad: $6500 – $7800
Transcatheter Aortic Valve Replacement (TAVR) Cost In Delhi: $6000-$7700.
Which is better – TAVR or Open-heart surgery?
Both procedures have their specifications that depend from person to person. The following table will give you a brief idea about the same.
| Factors | TAVR | Open-heart Surgery |
| Suitability | Suitable for people who are both at risk or low-risk for open-surgery
Not suitable for people with defects in the structure or anatomy of their heart valves |
Suitable for patients with complex or extensive cardiovascular issues, highly narrowed blood vessels or require multiple valve replacements |
| Hospitalization / Recovery | 2-3 days | 10 days |
| Scars | Scar is small and not visible to the outside world | Leaves scars which can only be removed via cosmetic surgery |
| Pain | Mild pain and minimal discomfort | High level of discomfort and pain |
| Rehabilitation | Person can get back to their normal life after 10 days | Takes months for a person to get back to their normal life |
| Mortality rate | Lower | Higher |
The above article has been proofread by our in-house health expert Dr Alok Pandey, physician (MBBS).
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