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.
Những ưu điểm chính bao gồm:
- 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
- Thời gian nằm viện ngắn hơn
- 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.
Các triệu chứng bao gồm:
- Tưc ngực
- Khó thở
- Mệt mỏi
- Hoa mắt
- Bất tỉnh
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
Đánh giá trước phẫu thuật
Before the procedure, doctors perform:
- Siêu âm tim
- Chụp mạch máu CT
- Các xét nghiệm máu
- Đánh giá chức năng tim
- Đánh giá rủi ro phẫu thuật
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.
Theo dõi sau thủ thuật
Patients are observed in ICU for monitoring before shifting to the ward.
Đa số bệnh nhân được xuất viện trong vòng 2-4 ngày.
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.
Vai trò của nó bao gồm:
- Pre-dilation before TAVI
- Giảm triệu chứng tạm thời
- 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?
Tham số | TAVI / TAVR | Surgical AVR (SAVR) | Phẫu thuật tim hở |
| Loại thủ tục | Dựa trên ống thông | Phẫu thuật | Phẫu thuật |
| Kích thước vết rạch | Tối thiểu / không có | Phẫu thuật cắt xương ức | Full open chest |
| sự xâm lược | Xâm lấn tối thiểu | Xâm lấn vừa phải | Có tính xâm lấn cao |
| Nam vien | 2–4 ngày | 5–7 ngày | 7–10 ngày |
| Thời gian hồi phục | 1 tầm 2 tuần | 4 tầm 6 tuần | 6 tầm 8 tuần |
| Phù hợp nhất cho | High / intermediate risk | Low–intermediate risk | Bệnh nhân trẻ tuổi, nguy cơ thấp |
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:
- Hẹp van động mạch chủ có triệu chứng nặng
- Tuổi cao
- Rủi ro phẫu thuật cao
- Existing heart disease
- Prior heart surgery
- Bệnh thận
- Bệnh phổi
- Mỏng manh
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:
- Type of valve used
- Tình trạng bệnh nhân
- Đường vào
- nằm viện ICU
- Điều tra
- Thời gian nằm viện
- Thuốc sau thủ thuật
Although the upfront cost may appear higher, faster recovery and shorter hospitalization often reduce overall expenses compared to open surgery.
Bệnh viện Apollo Indore cung cấp:
- Transparent cost counselling
- Hỗ trợ bảo hiểm
- Các tiện ích không dùng tiền mặt
- Hỗ trợ lập kế hoạch tài chính
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 giờ đầu tiên
- Giám sát ICU
- Blood pressure and heart rhythm checks
- Huy động sớm
24–48 giờ
- Đi bộ với sự hỗ trợ
- Diet progression
- Lập kế hoạch xả
1–2 tuần
Most patients resume light activities.
Theo dõi dài hạn
Việc theo dõi định kỳ bao gồm:
- Siêu âm tim
- Kiểm soát huyết áp
- Điều chỉnh thuốc
- 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:
- Bác sĩ tim mạch can thiệp
- Các chuyên gia về tim cấu trúc
- Bác sĩ phẫu thuật tim
- Bác sĩ gây mê tim mạch
- Advanced imaging specialists
The Heart Team evaluates every patient individually to plan the safest treatment strategy.
Advanced TAVI Facilities at Apollo Hospitals Indore
Bệnh viện Apollo Indore cung cấp:
- Advanced hybrid Cath lab
- Chương trình chuyên biệt về bệnh tim cấu trúc
- 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.
What is the difference between TAVI and 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.
Quy trình TAVR mất bao lâu?
Quy trình này thường mất từ 1 đến 2 giờ.
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?
Most patients recover within 1–2 weeks and resume normal activities quickly.
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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