TAVI is a procedure where in the aortic valve is percutaneously (with out surgery) placement done through a small puncture in the leg. An artificial valve is mounted on a small tube which is passed through the femoral artery in the groin and placed across the native valve. The valve is deployed in such a manner that the native valve is mechanically pushed a side and new valve is implanted, and is functional immediately.
This is a boon to the elderly population especially so in patients who have multiple co-morbidities; poor lung reserve, who are frail and who are having other associated conditions which preclude surgery and make surgery very high risk. This is a procedure which takes about an hour under local anaesthesia or short general anaesthesia and patient wakes up on the table soon after the procedure. Patient is kept in ICCU for a day and shifted to ward and discharge in a day or two.
A large number of valves have been implanted in United States and Europe and we have actively commenced this program in GKNM Hospital on 13.5.2016 This is a new facility available in GKNM Hospital on a routine basis. This procedure is done by Dr. R RAJPAL K. ABHAICHAND, MD, DM, FICPS, FCSI, Consultant, Cardiology.