Should You Consider TAVR? Evaluating Eligibility, Benefits, and Risks

As heart disease remains a leading cause of death worldwide, medical advancements like Transcatheter Aortic Valve Replacement (TAVR) have revolutionised treatment options. For patients with severe aortic stenosis, TAVR offers a less invasive alternative to traditional aortic valve replacement surgeries. But is TAVR the right choice for you? This comprehensive guide will delve into the intricacies of the TAVR procedure, evaluating its eligibility criteria, benefits, risks, and costs. By the end, you’ll understand whether TAVR is a suitable option for your heart health needs.

What is TAVR?

TAVR, or Transcatheter Aortic Valve Replacement, is a minimally invasive procedure to replace a damaged aortic valve. Unlike traditional heart valve replacement surgeries that require open-heart surgery, TAVR involves threading a catheter through a blood vessel, usually starting from the leg, to reach the heart and deploy a new valve.

In TAVR surgery, a collapsible replacement valve is inserted via the catheter and expanded once in place, pushing the old valve’s leaflets aside and taking over its function. This innovative approach significantly reduces recovery times and minimises surgical risks, making it an attractive option for many patients with severe aortic stenosis.

TAVR represents a significant breakthrough in cardiac care, offering hope to patients who might not be candidates for traditional surgery.

-Dr (Col) Manjinder Singh Sandhu, Principal Director of Cardiology at Atrius

To understand what is aortic valve replacement and how TAVR fits into the broader spectrum of cardiac care, it’s crucial to recognize the advantages and disadvantages this procedure entails.

Advantages & Disadvantages

When considering TAVR, weighing the benefits against the potential drawbacks is essential.

Advantages:

1. Minimally Invasive: One of the most significant benefits of TAVR is its minimally invasive nature. Traditional aortic valve replacement surgeries require opening the chest and stopping the heart. In contrast, the TAVR procedure can be done through small incisions, reducing the physical trauma experienced by the patient.
2. Shorter Recovery Time: Patients undergoing TAVR typically experience a quicker recovery compared to those who undergo open-heart surgery. This aspect is particularly beneficial for elderly patients or those with other health conditions.
3. Reduced Hospital Stay: The TAVR surgery often results in a shorter hospital stay, allowing patients to return to their normal activities sooner.

Disadvantages:

1. Potential TAVR side effects: While TAVR is generally safe, potential side effects after TAVR surgery include bleeding, vascular complications, and issues related to the new valve itself.
2. Not Suitable for All Patients: Is TAVR a major surgery? Although less invasive, it is still a significant procedure and not suitable for all patients. Those with complex heart conditions may not be ideal candidates.
3. Risks in Elderly Patients: The risks of TAVR in elderly patients need careful consideration. While the procedure can be life-saving, it also carries risks such as stroke, kidney complications, and arrhythmias.

While TAVR offers numerous benefits, it’s crucial to understand the potential risks and have a detailed discussion with your cardiologist.

-Dr Sanjat Chiwane, Director of Cardiology at Atrius

Risks and Potential Complications

Understanding the TAVR procedure risks is vital for anyone considering this treatment. Like any medical procedure, TAVR is not without its risks.

1. TAVR Procedure Risks: These include vascular complications, bleeding, and issues with the new valve. TAVI procedure risks can also include stroke, heart attack, and infection.
2. Recovery Challenges: The TAVR recovery process, while shorter than traditional surgery, still requires careful monitoring. TAVR procedure recovery involves regular follow-ups and adherence to a cardiac rehabilitation plan.
3. Potential Complications: Complications such as paravalvular leak (where blood leaks around the new valve) can occur. However, advancements in TAVR technology continue to reduce these risks.
4. Life Expectancy: The life expectancy after TAVR procedure varies depending on the patient’s overall health and other underlying conditions.

Each patient’s journey with TAVR is unique, and understanding the potential risks helps in making an informed decision. 

–Dr Hemant Gandhi, Associate Director of Cardiology at Atrius

Cost

The cost of TAVR can be a significant consideration for many patients. Understanding the financial aspect is crucial for making an informed decision.

1. TAVR Procedure Cost: The TAVR procedure cost can vary widely based on geographic location, hospital, and the patient’s specific needs but usually falls around  15 to 30 lakh.
2. International Comparisons: For example, the TAVR surgery cost in India is generally lower compared to Western countries. However, the quality of care remains high, making India an attractive destination for medical tourism.
3. Detailed Breakdown: The TAVR surgery cost includes hospital stay, pre-procedure evaluations, the procedure itself, and post-operative care. It’s essential to get a detailed cost estimate from your healthcare provider.
4. Affordability and Insurance: Many insurance plans cover TAVR; however, out-of-pocket costs can still be substantial. Discussing with your insurer about the coverage of TAVR procedure costs in India or elsewhere is advisable.

Understanding the cost implications of TAVR helps in planning and making informed choices about your heart health.

-Dr Jagdeep Yadav, Intervention Specialist and Associate Director of Cardiology at Atrius

Eligibility Criteria for TAVR

Determining whether you are a good candidate for TAVR involves several criteria.

1. Success Rate: Patients often ask, what is the success rate of aortic valve replacement surgery? While success rates are high, individual outcomes can vary.
2. Age Considerations: Understanding what is the average age for heart valve replacement can help gauge suitability. TAVR is often recommended for older patients who are at higher risk with traditional surgery.
3. Qualification Criteria: Who qualifies for TAVR procedure? Eligibility typically includes patients with severe aortic stenosis who are considered high risk for open-heart surgery.
4. Detailed Criteria: The TAVR criteria also consider the patient’s overall health, presence of other medical conditions, and ability to recover from the procedure.
5. Ideal Candidates: Who is a good candidate for TAVR? Generally, patients who are symptomatic, have a reduced ejection fraction or have had previous cardiac surgeries may be considered.

Eligibility for TAVR is a nuanced decision that requires thorough evaluation and consultation with your cardiologist.

-Dr Ashish Gupta, Senior Consultant of Cardiology at Atrius

Atrius Cardiac Care

At Atrius, we pride ourselves on being one of the best heart hospitals in India. Our commitment to patient care and advanced medical technology sets us apart.

1. Expertise and Excellence: As the best heart hospital, Atrius is equipped with state-of-the-art facilities and a team of highly skilled cardiac specialists.
2. Renowned Specialists: We have some of the best cardiac surgeons in Delhi, ensuring top-notch care for all our patients.
3. Comprehensive Care: From initial consultation to post-procedure follow-ups, we offer a full spectrum of services, making us the best bypass surgery hospital in India.
4. Advanced Procedures: Our reputation as the best hospital for bypass surgery in India and our access to cutting-edge technology make us a preferred choice for many patients.
5. Expert Surgeons: With some of the best bypass surgeons in Delhi, our team is dedicated to providing the highest level of care and expertise.

Atrius Cardiac Care is committed to delivering world-class cardiac care with a patient-centred approach. 

-Dr Anurag Passi, Interventional Cardiologist and Senior Consultant of Cardiology at Atrius

If you or a loved one are considering TAVR or need more information about heart valve replacement, schedule a consultation with one of our experts today. At Atrius Cardiac Care, we’re here to guide you through every step of your heart health journey.

Take the first step towards a healthier heart. Contact Atrius Cardiac Care today for a comprehensive consultation.

For more information and to book your appointment, visit Atrius Cardiac Care or call us at
+91 9818520234. Your heart health is our priority.