Overview

Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure to replace a narrowed aortic valve that fails to open properly (aortic valve stenosis). Transcatheter aortic valve replacement is sometimes called transcatheter aortic valve implantation (TAVI).

TAVR is usually reserved for people who can't undergo open-heart surgery or for people for whom surgery presents too many risks.

TAVR can relieve the signs and symptoms of aortic valve stenosis and may improve survival in people who can't undergo surgery or have a high risk of surgical complications.

Mayo Clinic's approach

Aug. 31, 2016
References
  1. Brecker SJD, et al. Transcatheter aortic valve replacement: Indications and periprocedural management. http://www.uptodate.com/home. Accessed Jan. 29, 2016.
  2. What is heart valve disease? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hvd. Accessed Feb. 2, 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 Jan. 29, 2016.
  4. AskMayoExpert. Aortic valve stenosis (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
  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 Jan. 29, 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 Feb. 3, 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. About your heart-catheter procedures. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2009.
  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. Feb. 9, 2016.