TAVI stands for Transcatheter Aortic Valve Implantation. This is an interventional method same like angioplasty. In this method a crimped valve is put in the aortic position through a small puncture in the groin without major surgery or incisions on the chest.
However you need to know about TAVI. This method is performed in the Cath Lab. But this method depends upon the patient who is undergoing this surgery. After that the doctor will give you an anaesthesia. But this can make you feel asleep completely or partially.
Also you can be awake as some types anaesthesia will help you to relax and bear pain. Moreover your heart will continue beating during the whole process. But you need to know that this is completely different from the normal open heart surgery. As in it the heart will stop pumping. And you will be placed on a heart and lung blood machine.
Read about a Cardiologist Dr. Nitin Tiwari who performs TAVI in Nagpur
This is a story of Cardiologist from Nagpur Named Dr. Nitin Tiwari. Moreover he is the first Cardiologist in Nagpur who has been trained the TAVI surgery from the Klinikum Oldenburg, Germany under Dr. Elsasser. However Tiwari has performed 8 TAVI’s till now. These surgeries took place in Nagpur’s Wockhardt Hospital.
He said that Nagpur is a good place to conduct TAVIs. Hence further no patients should go outside Nagpur for these surgeries. Though the cost of surgery is very high, with more acceptance it is bound to come down. He had a special team with him who helped him in this process.
Read a story about a 62 year old women who undergone TAVI
This is again the story of Nagpur, where a 62 year old women underwent the TAVI surgery. Her name is Kusum Gauram from Satna, Madhya Pradesh. She came to Dr. Nitin Tiwari at the Wockhardt Hospital in Nagpur. As she started to face lot of problems in her breathing.
Kusum Gauram had problems like shortness of breath, difficulty in lying down, palpitations and chest discomfort. After undergoing some sort of tests it was came to know that she has severe aortic stenosis with decreased pumping of heart and heart failure.
Also she has recurrent breathlessness. Which further resulted in installment of invasive ventilator and she had irregular heartbeats for which injections were given. Further the lady started to have low blood pressure now and then. The doctors say that she survived 5 times from the death.
Dr. Nitin Tiwari further seeing the reports of 2D Echo and CT scan concluded that the women requires a urgent TAVI. Then the surgery started on August 29, 2020. However Tiwari and his team were successful in the surgery.
Even the women responded well for it. Her parameters improved immediately and her pumping of heart also improved from 25 % to 42 % in 2 days. Tiwari thanked his team.
The included Mrs. K. Sujatha, (Centre Head, Wockhardt Hospitals), Dr. Maulik, Dr. Awantika Jaiswal, Dr. Jayaprasanna, Dr. Atul Somani, Dr. Kunal Balpande, Mr. H. Munde, Mr. Raut, Dr. Devendra, Mr. Amit Mukherjee, Mr. Mohit.
Aortic stenosis (AS)
This is one of the most common degenerative valvular heart disease. Which is currently faced by the whole world. Studies sat that it affects about 2 % of people who are over 65 years of age. Also who have symptoms, without repair the chance of death at five years is about 50 % and at 10 years is about 90%.
You should know that the survival chance of a AS affected patient is very low after 1 heart failure. The least chance is that the patient will survive only for 1.5-2 years at maximum. Also there are many incidents in which sudden cardiac death has been seen at maximum.
AS ranging around 34 % when compared to asymptomatic severe AS 1 %. Hence symptomatic severe AS patients are prone to develop sudden cardiac arrest during hospital stay awaiting aortic valve replacement and are also difficult to revive. So TAVI is one of the best method for AS.