Transcatheter Aortic Valve Replacement (TAVR)
The Jeffrey M. Carlton Heart & Vascular Institute is one of a select
number of sites in the nation to treat patients with the recently FDA-approved
Edwards SAPIEN transcatheter aortic heart valve and
Medtronic Evolut™ R.. This revolutionary treatment option provides an important therapy for
patients with severe aortic valve stenosis who are not candidates for
conventional valve replacement surgery.
What is Transcatheter Aortic Valve Replacement (TAVR)?
As the only center in Orange County to offer Transcatheter Aortic Valve
Replacement (TAVR), the
Nancy & Bill Thompson Heart Valve Center is pleased to offer a definitive treatment option to patients who would
have otherwise been denied treatment.
During the TAVR procedure, Hoag’s
experienced multidisciplinary team delivers a collapsible artificial valve into the heart through a catheter.
Utilizing advanced imaging technology, this thin-flexible tube is inserted
into the body through the groin, or a small incision between the ribs.
The artifical heart valve is then inserted across the patient’s
own aortic valve where it almost immediately goes to work.
Video Illustrations of the TAVR Procedure
Percutaneous Trans-Femoral Approach
Percutaneous Trans-Femoral Approachusing Sapien Valve
Recent clinical trial studies have shown a 69 percent survival rate for
patients that received the FDA-approved Edwards SAPIEN transcatheter aortic
heart valve versus just a 50 percent survival for patients that received
an alternative treatment.
Who is a Candidate for TAVR?
Not all patients are a candidate for transcatheter aortic valve replacement.
In most cases, TAVR is used for patients who are considered high surgical
risk or inoperable. Although conventional aortic valve replacement surgery
is still considered the “gold standard,” with excellent outcomes
that have been proven over long periods of follow-up, TAVR is an excellent
new option for patients who would have otherwise been considered high
surgical risk or denied treatment.
Why Choose Hoag for Valve Replacement Surgery?
In patients with severe
aortic stenosis, there are multiple techniques that can be used to replace the aortic valve.
The decision to perform a specific type of surgery is highly complex,
and involves a complete evaluation of the patient by an experienced cardiac
team in order to determine which method will have the best outcome for
each individual patient.
At Hoag Heart Valve Center, our
expert cardiac team is well-versed in the full array of heart valve surgical options, and can
offer the best option for each patient.
In addition, Hoag’s highly skilled surgical team has access to the new
Bob & Marjie Bennett Advanced Cardiovascular Surgery Suite (Hybrid CVOR). The first operating room of its kind in Orange County,
Hoag’s Hybrid CVOR enables advanced diagnostic imaging and surgical
procedures to be performed simultaneously in the same room.
By combining first-rate imaging capabilities within an advanced operating
suite, Hoag’s world-renowned cardiac surgeons and cardiologists
now have unprecedented flexibility in real time to do what’s best
for the patient. This results in safer treatment, shorter hospital stays,
faster recoveries and improved outcomes.
Determining if TAVR is Right for You?
The valvular heart disease experts at the
Nancy & Bill Thompson Heart Valve Center continue to lead the way in progressive patient-centered care. To determine
if you are a candidate for transcatheter aortic valve replacement, speak
with your cardiologist, or contact us to schedule an appointment at
877-833-9739 or email HVI@hoag.org.