Jenavalve for Severe Aortic Regurgitation (AR): An elegant transcatheter solution (TAVI)

21 Visioni

  • Grazie! Condividilo con i tuoi amici!

    Non hai gradito questo video. Grazie per il feedback!

admin
Published
Watch this short video if you are a patient with aortic regurgitation (AR). This leaky valve can cause:

1. Breathlessness
2. Impairment of heat pump function and heart failure

Treatment options for severe AR:

1. Medical therapy- this does not fix the issue and will eventually fail
2. Transcatheter Aortic Valve Intervention- TAVI- this is not the stand of care yet in the UK, but a decent assessment by the NHS says it can be done if surgery is seen as higher risk.
3. Surgical aortic valve replacement -sAVR. This is the best treatment if:
-Other valve also need treatment
-The Aorta is dilated and needs replacing
-You are a low surgical risk

sAVR is invasive, and you will be on intensive care for a day or two, and in hospital for a week to 10 days. Recovery back to normal will be 2 months.

TAVI could almost be a day-case procedure whilst awake! But we need more long term data in AR. We have a lot of data for TAVI in Aortic Stenosis (AS), where the calcium in the valve holds the valve in position. in AR, there is no calcium, and thus, the TAVI valves are "oversized" to grip the fibrous ring of the aortic valve annulus.

This patient had had surgery in the past with a Bypass graft and repair of his mitral valve. At that time the AR was not significant. Over the years it became severe and he became breathless. He is in his over 75 now but very fit. He cycled over to see me the 1st time we met. BUT if we did not act now, the heart would suffer.

I used a Jenavalve- specifically designed for AR.
It worked very well, and he has no AR on repeat echo, and feels much better his wife has also noticed him increase in energy.
Categoria
Cardiology
Commenta per primo questo video.

Prossimo