Your guide to transcatheter aortic valve implantation (TAVI) 

Do you have a TAVI procedure coming up? Watch this video to find out what to expect.

What is an aortic valve replacement?

Transcript of Your guide to transcatheter aortic valve implantation (TAVI)

BRITISH HEART FOUNDATION THE ROAD AHEAD:YOUR GUIDE TO TAVI This film will show you what to expectif you are having a TAVI procedure. Hello, my name is Keith Allison. I'm 78 years old. I'm here for a TAVI procedureon my heart. KEITH, 78DOG WALKER I got married when I was 28. And I have three childrenand six grandchildren. At the moment, I'm suffering withbreathlessness and dizziness. I'm hoping that this procedurewill allow me to have a normal life where I can walk my dog without fear. Fear of something going wrong,getting dizzy, getting up too quickly. That is the worst thing, it's fear. CARDIAC CATHETER LABORATORIES My name is Dr Stephen Brecker. I'm a consultant cardiologistat St George's Hospital. Keith has the condition ofsevere aortic stenosis which is giving him important symptomsof breathlessness and chest pain. Under normal circumstances, he might have been a candidatefor open heart surgery, which is the traditional treatmentto replace an aortic valve. In Keith's case, however, he's notan ideal candidate for surgery. He's had some forms of surgery before and he's just not the best candidatefor an open heart operation. The less invasive options noware the best ones for him. We've chosen transcatheter aorticvalve implantation for him as an alternative. (narrator) Your heart valves ensure thatyour blood flows in the right direction. If they become stiff or narrowed, your blood doesn't flow properlyand there is strain on your heart. A TAVI is a procedure used toreplace a damaged aortic valve. A catheter, thin flexible tube,with a balloon at its tip is inserted into your artery, usually in your groinor sometimes in your arm. The catheter is passed up throughyour artery and into your heart, and is positioned inthe opening of the valve. The balloon is then gently inflated,which squashes your damaged valve and allows the new valveto be placed in position, which improves your blood flow. (Stephen) Transcatheter aortic valveimplantation can be undertaken either under general anaestheticor under local anaesthetic, or conscious sedation. The actual implant procedureusually takes less than an hour. Just getting startedto do Keith's procedure. There's a team of people,as you can see. Now we're going to getvascular access, putting tubes into blood vessels. That's the first part of the procedure. The first step is to put a large tubeinto the blood vessel that is going to guide your equipmentto the aortic valve. A little bit further. That's fine. The second step is to makethe aortic valve wider with a balloon. The third step isdeployment of the valve itself. We're now 40 minutes into the procedure and we've successfully deployedthe transcatheter valve. It's almost exactly where we wanted itand we're very happy with the procedure. First thing to sayis that about 90% of patients do very well following this procedurewith no complications at all. These patients require quite a lot ofcare in the days after the procedure and need to take blood thinning tabletsand other cardiac medications. We're really hopeful and confident that this procedure is going togive Keith a lot more energy. His breathlessness will be much improved and we think it will give himsome additional years of life as well. - Good morning, Mr Allison.- Good morning, Doctor. - How are you feeling?- Like I've not had an operation at all. It was marvellous. I had the operation,I knew nothing about it. I woke up withoutany pain or discomfort. - How's the breathing?- Very good. When do you think I shall get out? You had the procedure on Wednesday,today is Friday. I think you'll be able to go homeSunday or Monday. I'm really looking forward nowto walking my dog. I haven't been doing thisfor over a year. So he'll look forward to it as well. (narrator) Heart disease is stillthe single biggest killer in the UK. But for over 50 years,we've tirelessly pioneered research that has helped transform the lives of people with heartand circulatory conditions. Join our fight forevery heartbeat in the UK. Every pound raised,every minute of your time and every donation to our shopswill help make a difference. BHF THANKS ST GEORGE'S HOSPITALFOR HELP WITH THIS FILM FIGHT FOR EVERY HEARTBEATbhf.org.uk BRITISH HEART FOUNDATION

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