TAVI/TVR/TMVR?

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What is TAVI/TVR/TMVR?

Here’s a detailed guide on TAVI (Transcatheter Aortic Valve Implantation), TVR (Transcatheter Valve Replacement), and TMVR (Transcatheter Mitral Valve Replacement), covering their types, symptoms, risk factors, causes, prevention, treatment, and procedures.

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  • TAVI (Transcatheter Aortic Valve Implantation): A minimally invasive procedure to replace a damaged aortic valve without open-heart surgery. It is also known as TAVR (Transcatheter Aortic Valve Replacement).
  • TVR (Transcatheter Valve Replacement): A general term for replacing any heart valve using a catheter-based procedure.
  • TMVR (Transcatheter Mitral Valve Replacement): A non-surgical alternative to replace a damaged mitral valve, commonly used for high-risk patients.

These procedures are ideal for patients who are not suitable for traditional open-heart surgery due to age, frailty, or other health risks.

Types of TAVI/TVR/TMVR

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Balloon-Expandable Valve Replacement

A collapsible valve is expanded using a balloon inside the damaged valve.

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Self-Expanding Valve Replacement

A flexible valve that expands on its own after placement.

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Valve-in-Valve Replacement

Used for patients who already have a previous valve replacement but need a new one.

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Percutaneous Mitral Valve Repair (MitraClip)

A catheter-based method to repair a leaking mitral valve instead of full replacement.

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Hybrid Approach

Combines catheter-based techniques with traditional surgery when necessary.

Symptoms Indicating the Need for TAVI/TVR/TMVR

These procedures are recommended for patients experiencing:

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Severe shortness of breath
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Chest pain (angina)
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Fatigue and dizziness
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Swelling in legs or feet (fluid retention)
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Heart palpitations or irregular heartbeat
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Fainting episodes (syncope)
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Heart murmur (abnormal heart sounds detected by a doctor)

Risk Factors of TAVI/TVR/TMVR

Although minimally invasive, these procedures still have potential risks, including:

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Causes Leading to TAVI/TVR/TMVR

These procedures are necessary when heart valves become too narrow (stenosis) or leaky (regurgitation) due to:

Aortic Stenosis – Severe narrowing of the aortic valve, restricting blood flow.

Mitral Valve Regurgitation – The mitral valve does not close properly, allowing blood to flow backward.

Congenital Heart Valve Defects – Some people are born with valve abnormalities.

Aging and Calcium Buildup – Valves stiffen over time, leading to dysfunction.

Rheumatic Heart Disease – Caused by untreated streptococcal infections.

Endocarditis – Infections damaging the heart valves.

How to Prevent the Need for TAVI/TVR/TMVR?

You can reduce the risk of valve disease through:

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Maintaining a healthy diet

(low in saturated fat and processed foods).

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Regular exercise

to keep the heart strong.

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Managing high blood pressure and cholesterol

to reduce heart strain.

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Avoiding smoking and excessive alcohol consumption.

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Treating strep throat infections to prevent rheumatic heart disease

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Seeking early treatment for infections

like strep throat to prevent rheumatic fever.

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Regular heart check-ups

to monitor valve function.

Treatment Options for Heart Valve Disease

Before recommending TAVI/TVR/TMVR, doctors may try:

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Medications

Blood thinners, beta-blockers, and diuretics to manage symptoms.

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Balloon Valvuloplasty

A balloon catheter is used to widen a narrowed valve (temporary relief for aortic stenosis).

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Lifestyle changes

Healthy diet, regular exercise, and stress management

If these treatments are ineffective, TAVI, TVR, or TMVR is considered.

Procedures Available for TAVI/TVR/TMVR

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Transfemoral Approach (Through the Leg Artery) – The catheter is inserted through the femoral artery in the groin.

Transapical Approach (Through the Chest) – A small incision is made in the chest to access the heart directly.

Transaortic Approach (Through the Aorta) – A small incision is made in the upper chest to access the aorta.

Percutaneous Mitral Valve Repair (MitraClip) – A clip is placed to fix a leaking mitral valve.

Valve-in-Valve Procedure – A new transcatheter valve is placed inside a failing bioprosthetic valve.

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Hospital Stay – Usually 2–5 days.

Full Recovery – Takes about 2–4 weeks (faster than open-heart surgery).

Blood Thinners – Some patients may need them to prevent clots.

Cardiac Rehabilitation – A supervised program for heart health improvement.

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Less invasive (no open-heart surgery)

Faster recovery time

Lower risk for elderly and high-risk patients

Effective in treating severe aortic and mitral valve diseases