Matthew Sideman, MDGeneral Surgery Vascular Surgery
Steve Tsai, MDCardiology Internal Medicine Nuclear Cardiology
Tri Te, DOCardiology Internal Medicine
TAVR Treatment for Aortic Stenosis
If you have aortic stenosis, you’ve experienced its profound effects firsthand. Symptoms such as shortness of breath and chest pain are likely part of your daily life. If you’re not a candidate for traditional open valve replacement surgery, an advanced surgical option is available for patients with aortic stenosis. This surgery, a transcatheter aortic valve replacement, is more commonly called a TAVR procedure.
The South Texas Aortic Center is your comprehensive resource for cardiovascular care, including many heart valve repair and replacement therapies like TAVR. Our care begins at your first consultation. We guide you through the testing and diagnosis of your condition. We provide treatments that work best for you and review the status of your condition during follow-up appointments to get your heart functioning at the highest level.
Why TAVR May Be an Option for You
Our multidisciplinary team treats certain patients with critical aortic stenosis with TAVR. This valve replacement treatment uses a collapsible aortic heart valve in adult patients who can’t tolerate other surgical options.
The benefits of TAVR are significant:
- Shorter hospital stays, since most patients go home within 2 to 5 days
- Faster returns to normal activities, often less than a week
- Improved patient outcomes after surgery
- Improved quality of life for patients that previously had no options
During the TAVR ProcedureWe access your femoral artery in the groin through a needle or a small incision in the artery. Specialists pass a dilator and a sheath into one side of the artery and insert a small sheath with a pacemaker into the other side. They feed a wire through the artery toward your aortic valve.
After confirming the measurements of the valve, we perform a balloon valvuloplasty. Specialists use the pacemaker to speed up your heart rate to decrease the amount of blood being injected for several seconds. Then, they inflate the balloon and open the narrowed valve.
As your heart returns to a normal pace, we put a SAPIEN device in place. The device houses the valve and the balloon and passes through the valve into the correct location under X-ray guidance. We use the pacemaker again while inflating the balloon so we can secure the device. This process pushes your native valve into the heart’s wall to make room for the new valve.
The balloon is deflated and your heart returns to its normal pace. We use an electrocardiogram to check the valve’s placement and look for any leaks.