Transcatheter Aortic Valve Implantation Essay

It was established that the patient’s symptoms were due to an aortic regurgitation this was confirmed by echocardiogram. The use of the SOAPIER model is an effective means of providing rationale for a holistic clinical decision making. The findings and treatment options were discussed in a multidisciplinary meeting including Mr Jones and family. The family were informed that surgery was the safest treatment option. Complications that could happen with or without surgery were also explained ensuring that the patient had adequate understanding to make a valid choice about his treatment. Mr Jones agreed that a replacement of the aortic valve with a mechanical valve was necessary, thus it last for more than twenty years or more . Mr Jones

The concern regarding the use of anti-hypertensive medication as a treatment procedure for hypertension has mainly been centered on the optimal choice of these agents. The other factors include the side effects of these drugs on a hypertensive patient, especially coughing. While three categories of these drugs are linked with cough as a side effect, they have varying casual explanations though angiotensin-converting enzyme (ACE) inhibitors play a crucial role (Van Amburgh, 2011). The main objective for the use of anti-hypertensives in dialysis patients is to obtain and sustain an optimal blood pressure or lessen it by the least intrusive measures possible. While this is not

The device is needed when a person’s heart fails to operate correctly. A person needing an artificial heart would be extremely ill that is they would not be able to function like an everyday person. E.g. – walking.

A doctor may also suggest treatment later in a person’s life, if the disease worsens. If a cardiologist suggests medical treatment, two options include: Mitral Valve Repair or Mitral Valve Replacement. “If the patient chooses to have Mitral Valve Replacement, he or she should find a surgeon who satisfies three criteria; the surgeon should have a 90 percent or greater rate of successful repair, should have an extremely low rate of death from surgery (less than 1 percent) and should be proficient in operating with less invasive approaches, if your surgeon cannot provide these sorts of numbers, you need to move to another” (Gillinov 326). By reconnecting valve leaflets a surgeon can perform Mitral Valve Repair (mayoclinic.org). A surgeon can also remove excess tissue from the valve for a repair (mayoclinic.org). “The traditional approach to most aortic valve problems is to open the chest, remove the old valve, and sew in a new one” (Gillinov

This past Friday in the cardiac catheterization lab I began my day with continuing the work that I was previously assigned to do last week where I collected the data of patient's Cardiothoracic surgery. I continued to familiarize myself with the different types of Cardiothoracic surgery procedures, however, the specific reports I was working with, they are called TAVR report (Transcatheter Aortic Valve Replacement). I later learned and was explained to, the TAVR multiple procedures and its causes, which is aortic stenosis. As for the procedures, a valve needs to be placed in the heart and each procedure delivers it a different way. The three ways the valve can be placed in the heart is through the heart's femoral artery (the transfemoral approach),

Mitral valve replacement is surgical replacement of the mitral valve. Many mitral valves can be repaired, especially if they leak from wearing out. When the valve is too damaged to repair, the valve must be replaced. Valves damaged by rheumatic disease often must be replaced. An artificial (prosthetic) valve is used to do this. Three types of prosthetic valves are available:

There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <

Promising results have shown that the Angio-seal VCD has excellent efficacy and safety after routine catheterization and intervention. However, clear indications of use and risk of complications need to be evaluated and monitored.

For many patients, surgery is performed on the damaged valves. Surgery types differ for each individual depending upon which valves were affected, how severely they were infected, and if valves had previously been replaced artificially. Before surgery, patients must undergo a series of strenuous tests and careful assessments to be sure he or she qualifies for surgery. In a particular study, several patients were able to undergo valve replacement surgery.

even fatal to patients. When the malformations of the valve reach a critical point in

Aortic Stenosis is recognised as the most prevalent form of valvular heart disease in the ageing population. Increasing life expectancy has resulted in a significant increase in the number of older patients being referred for consideration of an aortic valve replacement. Although surgical aortic valve replacement (AVR), or open heart surgery, remains the best type of treatment for symptomatic severe aortic stenosis, other treatment options include: Transcatheter Aortic Valve Implantation (TAVI); balloon aortic valvuloplasty (BAV); medical therapy. Transcatheter Aortic Valve Implantation, also referred to as Transcatheter Aortic Valve Replacement, is one of the least invasive types of aortic valve replacement surgeries. TAVi is important to

Sometimes people who have problems with the valve that blood flows through as it leaves your heart have an increased risk of thoracic aortic aneurysm.

Surgery. If the aortic insufficiency becomes severe, you may need surgery to repair or replace the valve. Surgery is usually recommended if the left ventricle enlarges beyond a certain point. If aortic insufficiency occurs suddenly, surgery may be needed immediately.

His work led to the evolution of radiofrequency energy catheters, which use radiofrequency energy to heat the catheter tip and perform a more precise ablation than what was possible with direct current ablation. (UCSF.(2012). When cardiac ablation is performed the surgeon is targeting the diseased conductive tissue once this is done, this will assist in correcting atrial fibrillation within the heart. These surgeries can be either minimally invasive or require an open surgical approach. Cardiac ablation is achieved through a cardiac catheter this delivers radiofrequency energy or cryoenergy to the defective area this is considered to be a minimally invasive approach. The electrophysiologist will insert a catheter into the femoral vein/artery and threads it to the right or left atrium and ventricle. They will then test different areas of the heart to try and reproduce dysrhythmia upon doing this they will then ablate the area of the heart where the disturbance takes place. Another alternative would be an open surgery known as a sternotomy approach this is where a midline incision is made in the sternum of the chest. Cannulation of the superior and inferior vena cava will then take place for a cardiopulmonary bypass. The surgeon will occlude the ascending aorta and infuse cardioplegic solution into the coronary arteries. Once this is done a right and left atriotomy is performed and the targets are ablated. The atriotomies are closed, the aorta is unclamped, cardiopulmonary bypass is stopped, cannulas are removed, chest tubes will be inserted at this time and the surgical wound is closed. Upon completion of the surgery the patient is taken to the PACU and monitored for heart rhythm issues as well as, bleeding, infection, or any other complications from the procedure. ( Fuller, J. (2013).(p.922). There are

That is why a mechanical heart valve requires anticoagulation therapy due to the risk of bleeding. However, it can last up to 25 years. Bioprosthetic does not require anticoagulation do to the lower thrombotic risk but it does not last as long as the mechanical heart valve