Transcatheter Aortic Valve Implantation (TAVI)

Transcatheter aortic valve replacement (TAVR), also known as Transcatheter Aortic Valve Implantation (TAVI), is a minimally invasive procedure designed to replace a damaged or narrowed aortic valve by deploying a catheter through the blood vessels.

What is the TAVR Procedure?

As the term ‘transcatheter’ implies, this less invasive surgical procedure utilizes a specialized catheter (a thin, hollow tube) to replace the old, damaged valve. Unlike conventional open-heart surgery, TAVR does not necessitate surgically opening the chest. The TAVI procedure can be performed through small openings without causing harm to chest bones or other organs.

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Benefits of Transcatheter Aortic Valve Replacement (TAVR)

TAVI has emerged as a beneficial option for high-risk heart patients. Some major advantages of TAVI over conventional Surgical AVR include:

• Minimal blood loss
• Safest possible procedure for people with a previous heart surgery
• Faster recovery (3-4 days of hospital stay)
• Better quality of life post-surgery

Steps for TAVR Procedure

Major Steps Involved in the TAVI Procedure:

• A specialist administers local or general anesthesia, as per the surgeon’s instructions.
• The surgeon inserts a catheter into the artery through a small incision made either in the groin or under the collarbone, carrying a balloon on its tip.
• Once the catheter reaches the damaged valve, the balloon is gently inflated to make room for the new tissue valve, similar to stenting.
• The new valve is placed inside the damaged valve.
• The balloon is deflated, and the catheter is gently pulled out.

Who is the Right Candidate for Transcatheter Aortic Valve Replacement (TAVR)?

TAVR is typically reserved for individuals whose bodies are too weak to undergo open-heart surgery, particularly those over 70 years old. Other cases where TAVR is a suitable alternative include:

• Patients with a history of heart surgery
• Patients with coronary artery disease
• Patients with cerebrovascular and peripheral arterial disease
• Patients at risk of kidney failure
• Patients with chronic respiratory disorders
• Patients with a severely calcified aorta

Risks Associated with TAVR

While TAVI is generally considered safe and effective, there are some risks to be aware of, including:

Valve Leaks: In rare cases, if the new valve is not adequately sized or fully expanded, there could be blood leaks around the valve.

Harm to Kidneys: Contrast dye used in the procedure for imaging can potentially harm the kidneys.

Vessel Damage: Passing catheters through arteries can cause damage, usually repairable.

Increased Risk of Stroke: There is an increased risk of stroke during or after the procedure.

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Dr. Rajneesh Malhotra

Specialist:        Cardiac Surgeon/Thoracic Surgeon
Experience:     23+ years of experience
Hospital:          Max Hospital Saket

About Doctor:

• Currently associated as Director – Cardio Thoracic & Vascular Surgery at Max Super Speciality Hospital, Saket.
• Carries 25 years of rich experience in cardiac surgery.
• Expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD’s).

Dr. Ganesh K. Mani

Specialist:    Cardiac Surgeon
Experience: 37+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Presently working as the Chairman of Cardio Thoracic and Vascular Surgery at Max Smart Super Specialty Saket City Hospital, New Delhi.
• Prior to joining Max Smart Super Specialty Saket City Hospital & Saket City Hospital, he was associated with Indraprastha Apollo Hospital and Pushpanjali Crosslay Hospital.
• Performed over 18000 Cardiac Surgeries and has achieved zero mortality in more than 500 consecutive surgeries and has also pioneered Beating Heart Coronary Artery Bypass.

Dr. Rahul Mehrotra

Specialist:     Cardiologist
Experience:  20+years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Rahul Mehrotra is a reputed Cardiologist in Gurgaon with over 20+ years of experience.He currently practices at Max Super Speciality Hospital, Saket in Saket(Delhi).
• Dr. Rahul Mehrotra holds membership of Cardiological Society of India (CSI), American Society of Echocardiography and Indian Academy of Echocardiography.
• Dr. Rahul Mehrotra has pursued his DNB – Cardiology from Diploma National Board, MD – Medicine from Dr. Sampurnanand Medical College, Jodhpur, MBBS from Dr. Sampurnanand Medical College and Jodhpur in 1998.

Dr. C P Roy

Specialist:    Cardiologist
Experience: 32+ years of experience
Hospital:      Max Hospital Saket

About Doctor:

• Dr. C P Roy is currently working at Max Super Speciality Hospital, Saket in Saket(Delhi).
• He was Head of Department of Medical Education (Cardiology) and Senior Consultant, Cardiology. He was also Incharge of training DNB Cardiology and PGDCC (Postgraduate Diploma in Clinical Cardiology).
• He is a highly skilled Cardiologist and Aortic Valve Surgeon in Delhi.

Dr. Anupam Goel

Specialist:     Interventional Cardiologist
Experience:  23+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Anupam Goel got trained in cardiology from GB Pant Hospital, Delhi and King George Medical University, Lucknow.
• Dr. Anupam Goelworked in Kailash Heart Institute and Research Centre, Noida briefly as consultant and then joined Max Healthcare as Interventional Cardiologist.
• Dr. Anupam Goel is a gold medal recipient in graduation.

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Dr. V K Chopra

Specialist:     Interventional Cardiologist
Experience:  37+years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Chopra is a senior cardiologist with experience of 37+ years.
• He is one of the most experienced doctors in the field of preventive cardiology and management of patients with advanced heart disease.
• He has been trained from the reputed American College Of Cardiology.

Dr. Sanjeev Malhotra

Specialist:     Cardiac Surgeon
Experience:  15+ years of experience
Hospital:       Max Hospital Saket 

About Doctor:

• Dr. Sanjeev Malhotra is a cardiothoracic surgeon with over 15 years of experience in managing complex cardiovascular and thoracic surgeries. 
• Dr. Sanjeev Malhotra completed his Masters in General Surgery and subsequently received a Diplomate National Board of Examination (CTVS).
• Dr. Sanjeev Malhotra has done more than 2000 cardiac procedures including Mitral Valve repairs, total Arterial bypass, Thoracic surgeries and Minimally invasive surgeries.

Dr. Akhilesh Srivastava

Specialist:     Interventional Cardiologist
Experience: 19+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Akhilesh Srivastava is presently working as Senior Consultant of Non invasive Cardiology at Max Smart Super Specialty Hospital, Saket, New Delhi
• Dr. Akhilesh Srivastava specializes in Non Invasive cardiology and Preventive health checks
• Dr. Akhilesh Srivastava is a member of reputed organisations such as Delhi Medical Association, Cardiological society of India

Dr. Ashok K Gupta

Specialist:    Cardiac Surgeon
Experience: 30+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Ashok K Gupta is a renowned Cardiothoracic Surgeon practising successfully for more than 30+ years.
• Dr. Ashok K Gupta is adept in performing CABG, Beating Heart CABG, Total Atrial Bypass, and Complex CABG etc.
• Dr. Ashok K Gupta his career spanning nearly three decades.

Dr. Rahul Chandola

Specialist:     Cardiac Surgeon
Experience:  20+ years of experience
Hospital:       Max Hospital Saket  

About Doctor:

• Dr. Rahul Chandola is currently associated as Senior Consultant with the Department of Cardiothoracic Surgery at Max hospitals, New Delhi.
• Expertise lies in Heart Transplantation & Lung Transplantation and performed more than 100 successful heart transplants
• Interests are Adult and Pediatric – Heart Transplants, VADS and Artificial Heart, Off-pump single as well as double lung transplantations, Bilateral lung transplantations through midline sternotomies, Ex-vivo lung perfusion techniques for donor lung preservation, Ex Vivo Perfusion for donor’s hearts and ECMO

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Dr. Kulbhushan Singh Dagar

Specialist:    Cardiac Surgeon
Experience: 30+ years of experience overall
Hospital:      Max Hospital Saket

About Doctor:

• Principal Director, Chief Surgeon & Head – Neonatal & Congenital Heart Surgery.
• Dr. Kulbhushan S. Dagar has been in the field of cardiac surgery for over 30 years, of which the last decade and a half has been dedicated exclusively to the care of infants and children with congenital heart defects.
• An accomplished surgeon, he has operated upon the whole spectrum of Congenital Cardiac Defects in newborns and children, regardless of complexity.

Dr. Vinay Kumar Bahl

Specialist:    Cardiologist
Experience: 40+ years of experience overall
Hospital:       Max Hospital Saket

About Doctor:

• Principal Director – Cardiac Sciences
• Dr Vinay Kumar Bahl, former Dean and Chief of Cardio Thoracic Centre and Head of Cardiology at All India Institute of Medical Sciences (AIIMS), New Delhi, is a world-renowned name in the field of cardiology.
• He joined AIIMS in 1985 and brings over 40 years of experience and leadership in Cardiac Treatments at Max Hospitals.

Dr. S. K. Sinha

Specialist:    Cardiac Surgeon
Experience: 31+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr S K Sinha is one of the leading Cardiac Surgeon In India.
• Dr S K Sinha has experience of over 31+ years & has performed more than 10,000 cases .
• Dr S K Sinha completed his MBBS from AFMC,Pune & his MS from Patna University.Following which he did his Mch from the famed PGIMER,Chandigerh.

Dr. Mohan Bhargava

Speciality:          Cardiologist 
Experience:       35+ Years Experience
Hospital:            Max Hospital Saket 

About doctor:

• Dr. Mohan Bhargava is a Cardiologist of high acclaim with experience of over 35 years.
• He deals with cases of Coronary and Endovascular Interventions.
• He has been engaged in teaching for 18 years and is a Guide and Examiner of DNB, and FNB (Interventional cardiology).

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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
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Max Hospital Saket Delhi

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.