Overview:

  • Transcatheter aortic valve replacement (TAVR) is a nonsurgical procedure to replace the aortic valve with a prosthetic one.
  • It is an alternative to open-heart surgery (surgical aortic valve replacement or SAVR).
  • TAVR is usually safer and has either similar or better outcomes than surgical aortic valve replacement (SAVR) , With a success rate of 98%.

Indications for TAVR:

  • Aortic stenosis - Degenerative aortic valve disease.

Pros and Cons of transcatheter aortic valve replacement:

Pros:

  • Less invasive - No wound scars.
  • Easier recovery - can return to normal work in two weeks to four weeks.
  • Shorter hospital stay - can be discharged from hospital day within 3-4 days post procedure.

Cons :

  • Rhythm abnormalities requiring pacemaker implantation – 8% cases.
  • Major procedure related complications like stroke, bleeding, ischemia in 3% of cases.
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