What is the TAVI / TAVR Procedure?
Transcatheter Aortic Valve Implantation (TAVI), also called Transcatheter Aortic Valve Replacement (TAVR), is an advanced minimally invasive procedure used to replace a diseased aortic valve without open heart surgery.
TAVI and TAVR are two terms for the same procedure. Instead of opening the chest and removing the damaged valve surgically, doctors insert a catheter through a blood vessel, usually in the groin, and place a new valve inside the old one.
This innovative heart valve implant procedure is transforming aortic stenosis treatment worldwide, especially for elderly patients and those considered high-risk for traditional surgery.
At Apollo Hospitals Indore, TAVI is part of a dedicated structural heart disease program designed to offer safer, faster, and more precise treatment for complex valve disorders.
Why Choose TAVI at Apollo Hospitals Indore?
Apollo Hospitals Indore offers advanced TAVI technology backed by a multidisciplinary cardiac team.
Keuntungan utama meliputi:
- Minimally invasive heart valve replacement without opening the chest
- Gold-standard treatment for severe aortic stenosis
- Ideal for elderly and high-risk cardiac patients
- Faster recovery compared to surgical valve replacement
- Reduced blood loss and lower infection risk
- Menginap di rumah sakit lebih pendek
- Advanced hybrid Cath lab for precision-guided valve implantation
- Dedicated Heart Team for personalized care
Apollo’s interventional cardiologists and cardiac surgeons work together to ensure the best outcomes for structural heart disease patients.
Aortic Valve Conditions Treated with TAVI / TAVR at Apollo Indore
Severe Aortic Stenosis — Primary Indication for TAVI
Aortic stenosis occurs when the aortic valve becomes narrow and stiff, restricting blood flow from the heart.
Gejalanya meliputi:
- Sakit dada
- Sesak napas
- Kelelahan
- Pusing
- Pingsan
TAVI is one of the most effective treatments for severe symptomatic aortic stenosis.
Calcific Aortic Valve Disease in High-Risk Patients
Age-related calcium build-up can severely damage the aortic valve. TAVI offers a safer alternative for elderly patients.
Structural Heart Disease — Complex Valve Conditions
Patients with complex valve disorders and multiple health issues often benefit from minimally invasive transcatheter valve replacement.
Bicuspid Aortic Valve Disease (Selected Cases)
Some patients born with two valve leaflets instead of three may qualify for TAVI after advanced imaging evaluation.
Degenerated Bioprosthetic Valves — Valve-in-Valve TAVI
TAVI can replace failing surgical bioprosthetic valves without repeating open-heart surgery.
Post Balloon Valvuloplasty Cases — Bridge to TAVI
Balloon valvuloplasty may temporarily improve symptoms before definitive TAVI treatment.
The TAVI / TAVR Procedure — Step by Step
Penilaian Pra-operasi
Before the procedure, doctors perform:
- Echocardiography
- CT angiografi
- Tes darah
- Penilaian fungsi jantung
- Evaluasi risiko bedah
This helps determine if the patient is suitable for TAVI.
Access Route Selection
Depending on the patient’s anatomy, the valve may be inserted through:
- Transfemoral (groin artery)
- Transapical (through the heart apex)
- Transaortic (through the chest artery)
The transfemoral route is the most common.
Catheter Advancement
A thin catheter carrying the artificial valve is guided to the heart under imaging.
Valve Deployment
The new valve is placed inside the diseased valve and expanded to restore blood flow.
Post-procedure Monitoring
Patients are observed in ICU for monitoring before shifting to the ward.
Sebagian besar pasien dipulangkan dalam waktu 2–4 hari.
What is Balloon Valvuloplasty and How Does it Relate to TAVI?
Balloon valvuloplasty is a procedure where a balloon is inflated inside the narrowed valve to widen it temporarily.
Perannya meliputi:
- Pre-dilation before TAVI
- Pereda gejala sementara
- Bridge to definitive valve replacement
- Emergency management in unstable patients
At Apollo Hospitals Indore, the Heart Team decides whether balloon valvuloplasty is necessary before TAVI.
TAVI vs TAVR vs Surgical Aortic Valve Replacement — Which is Right for You?
Parameter | TAVI / TAVR | Surgical AVR (SAVR) | Bedah Jantung Terbuka |
| Jenis Prosedur | Catheter-based | Bedah | Bedah |
| Ukuran Sayatan | Minimal / none | Sternotomi | Full open chest |
| Invasif | Minimal invasif | Cukup invasif | Sangat invasif |
| Menginap di Rumah Sakit | 2–4 hari | 5–7 hari | 7–10 hari |
| Waktu Pemulihan | 1 – 2 minggu | 4 – 6 minggu | 6 – 8 minggu |
| Cocok Untuk | High / intermediate risk | Low–intermediate risk | Younger, low-risk patients |
TAVI is especially beneficial for elderly patients and those who may not tolerate open surgery.
Who is a Candidate for the TAVI Procedure in Indore?
You may be eligible for TAVI if you have:
- Stenosis aorta simtomatik berat
- Usia lanjut
- Risiko pembedahan tinggi
- Existing heart disease
- Prior heart surgery
- Penyakit ginjal
- Penyakit paru-paru
- Kelemahan
Patients who previously underwent balloon valvuloplasty may also be candidates.
TAVI Procedure Cost in Indore — What to Expect
The TAVI procedure cost depends on several factors:
- Jenis katup yang digunakan
- Kondisi pasien
- Rute akses
- Tinggal di ICU
- Investigasi
- Durasi rawat inap di rumah sakit
- Obat-obatan pasca prosedur
Although the upfront cost may appear higher, faster recovery and shorter hospitalization often reduce overall expenses compared to open surgery.
Apollo Hospitals Indore menawarkan:
- Transparent cost counselling
- Bantuan asuransi
- Cashless facilities
- Dukungan perencanaan keuangan
You can request a personalized TAVI cost estimate based on your medical condition.
Recovery After the TAVI / TAVR Procedure — What to Expect
Recovery after TAVI is significantly quicker than traditional surgery.
Typical recovery includes:
24 Jam Pertama
- Pemantauan ICU
- Blood pressure and heart rhythm checks
- Mobilisasi dini
24-48 Jam
- Walking with assistance
- Perkembangan diet
- Perencanaan pemulangan
1–2 Minggu
Most patients resume light activities.
Tindak Lanjut Jangka Panjang
Regular follow-up includes:
- Echocardiography
- Kontrol tekanan darah
- Penyesuaian obat
- Valve performance monitoring
Apollo’s cardiology team ensures long-term care after TAVI.
Meet Our TAVI / TAVR Specialists in Indore
Apollo Hospitals Indore has an experienced team of:
- Dokter spesialis jantung intervensional
- Structural heart specialists
- Ahli bedah jantung
- Cardiac anesthetists
- Advanced imaging specialists
The Heart Team evaluates every patient individually to plan the safest treatment strategy.
Advanced TAVI Facilities at Apollo Hospitals Indore
Apollo Hospitals Indore menyediakan:
- Advanced hybrid Cath lab
- Dedicated structural heart disease program
- High-end cardiac imaging
- Emergency cardiac ICU
- Real-time valve deployment technology
- Balloon valvuloplasty support
- Valve-in-valve replacement expertise
This complete ecosystem ensures safe and effective TAVI treatment.
Frequently Asked Questions — TAVI Procedure in Indore
What is the TAVI / TAVR procedure and who needs it?
It is a minimally invasive valve replacement procedure for patients with severe aortic stenosis, especially elderly or high-risk patients.
Apa perbedaan antara TAVI dan TAVR?
There is no difference. Both terms refer to the same procedure.
Is TAVI better than open heart valve replacement surgery?
For high-risk and elderly patients, TAVI often offers faster recovery and lower surgical risk.
Berapa lama prosedur TAVR berlangsung?
Prosedur ini biasanya memakan waktu 1–2 jam.
What is the TAVI procedure cost in Indore?
Costs vary depending on valve type, hospital stay, and patient condition.
Does insurance cover the TAVI procedure?
Many insurance plans cover TAVI. Apollo Hospitals provides insurance support.
What is recovery like after minimally invasive heart valve surgery?
Kebanyakan pasien pulih dalam 1–2 minggu dan segera kembali beraktivitas normal.
Which hospital in Indore offers TAVI procedure for aortic valve disease?
Apollo Hospitals Indore offers advanced TAVI with a dedicated structural heart disease team.
What are the risks of TAVI?
Possible risks include bleeding, stroke, infection, rhythm problems, and valve leakage, though these are carefully managed.
What is the role of balloon valvuloplasty before TAVI?
It may be used to temporarily open the narrowed valve or prepare it before valve implantation.
Can TAVI be done after previous valve replacement surgery?
Yes. Valve-in-valve TAVI is often used for failed bioprosthetic valves.
Is TAVI a permanent solution for aortic stenosis?
TAVI provides long-term relief and excellent durability, but lifelong cardiac follow-up is important.
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