Expertise and rankings

Team collaboration at Mayo Clinic

A team of doctors and other staff collaborate to provide care for people who may need transcatheter aortic valve replacement (TAVR).

Experience and expertise

Mayo Clinic cardiologists and cardiac surgeons have specialized training and extensive experience and expertise evaluating and treating people who may need transcatheter aortic valve replacement (TAVR).

Mayo doctors perform about 200 transcatheter aortic valve replacements (TAVRs) each year. Doctors at Mayo Clinic have performed more than 1,000 TAVR procedures since 2008.

Treatment expertise

Mayo doctors in the Valvular Heart Disease Clinic have extensive experience and expertise evaluating and treating people with aortic valve stenosis and other heart valve diseases. Cardiologists, cardiac surgeons and others work together to evaluate people with aortic valve stenosis and determine whether TAVR or another treatment is most appropriate.

In addition to transcatheter aortic valve replacement (TAVR), Mayo doctors have experience performing a wide range of cardiac catheterization procedures to treat various heart conditions.

Cardiac catheter procedures at Mayo Clinic

Mayo doctors have experience performing catheter procedures to treat many heart conditions.

Research and innovation

Mayo Clinic researchers have been involved in numerous pivotal studies related to TAVR. In studies, doctors compared mortality rates of heart valve surgery and TAVR in people with aortic valve stenosis who had a high or intermediate risk of complications from open-heart surgery. Researchers found that TAVR and open-heart surgery had similar mortality rates.

Doctors and researchers at Mayo Clinic are also involved in developing and testing advanced technology and techniques used to care for people with heart valve disease.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report. Mayo Clinic Children's Center in Rochester, Minn., is ranked among the Best Children's Hospitals for heart and heart surgery by U.S. News & World Report.

With Mayo Clinic's emphasis on collaborative care, specialists at each of the campuses — Minnesota, Arizona and Florida — interact very closely with colleagues at the other campuses and the Mayo Clinic Health System.

Learn more about Mayo Clinic's cardiac surgery and cardiovascular diseases departments' expertise and rankings.

Aug. 12, 2017
References
  1. Brecker SJD, et al. Transcatheter aortic valve replacement: Indications. http://www.uptodate.com/home. Accessed Aug. 16, 2016.
  2. What is heart valve disease? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hvd. Accessed Aug. 16, 2016.
  3. What is TAVR? American Heart Association. http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/What-is-TAVR_UCM_450827_Article.jsp#.VrUe2dj2aDY. Accessed Aug. 16, 2016.
  4. AskMayoExpert. Aortic valve stenosis (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  5. Nishimura RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. The Journal of Thoracic and Cardiovascular Surgery. 2014;148:e1.
  6. Gaasch WH. Indications for valve replacement in aortic stenosis in adults. http://www.uptodate.com/home. Accessed Aug. 16, 2016.
  7. Mack MJ, et al. Patient selection for transcatheter aortic valve replacement. Journal of the American College of Cardiology. 2013;62:S1.
  8. Gaasch WH, et al. Transcatheter aortic valve replacement: Outcomes and complications. http://www.uptodate.com/home. Accessed Aug. 16, 2016.
  9. Holmes DR, et al. Clinical outcomes at 1 year following transcatheter aortic valve replacement. JAMA. 2015;313:1019.
  10. Barbara Woodward Lips Patient Education Center. Transcatheter aortic valve replacement (TAVR). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  11. Barbara Woodward Lips Patient Education Center. Getting ready for heart surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2011.
  12. Agarwal S, et al. Transcatheter aortic valve replacement: Current perspectives and future implications. Heart. 2015;101:169.
  13. Mack MJ, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): A randomised controlled trial. The Lancet. 2015;385:2477.
  14. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Aug. 3, 2016.
  15. Brecker SJD, et al. Transcatheter aortic valve replacement: Periprocedural management. http://www.uptodate.com/home. Accessed Oct. 7, 2016.
  16. Reardon MJ, et al. Outcomes in the randomized CoreValve US pivotal high-risk trial in patients with a Society of Thoracic Surgeons risk score of 7% or less. JAMA Cardiology. In press. Accessed Aug. 23, 2016.
  17. Leon MB, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. The New England Journal of Medicine. 2016;374;1609.
  18. Bisesar BR. The NCDR STS/ACC TVT Registry. Mayo Clinic. Oct. 19, 2016.
  19. Greason KL (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 24, 2016.