Mayo Clinic's approach

Mayo Clinic care team

A team of doctors discusses care for people who may have transcatheter aortic valve replacement (TAVR).

Multidisciplinary team

At Mayo Clinic, cardiovascular disease specialists — such as interventional cardiologists and noninvasive cardiologists — work with cardiac surgeons, radiologists, anesthesiologists, nurses and others to provide coordinated, comprehensive care for people undergoing transcatheter aortic valve replacement (TAVR).

Individualized approach

Doctors at Mayo Clinic provide care for you as a whole person. Doctors take the time to get to know you and work with you to provide exactly the care you need. 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 Mayo Clinic Health System.

Comprehensive evaluation

At Mayo Clinic, people with aortic valve stenosis are thoroughly evaluated by a multidisciplinary team of specialists in heart valve disease to determine the most appropriate treatment. This important step helps doctors to determine if you might be a candidate for TAVR, or if heart valve surgery or another treatment may be more appropriate. TAVR is one of several treatment options available for aortic valve stenosis at Mayo Clinic.

Advanced technology

Mayo Clinic doctors have advanced imaging technology available to help them in planning and performing TAVR.

Research and innovation

Mayo Clinic researchers have been involved in many studies related to TAVR. They've compared death 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 death 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.

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 356 transcatheter aortic valve replacements (TAVRs) each year.

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. 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.

Nationally recognized expertise

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Phoenix/Scottsdale, Ariz., 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.

Mayo Clinic in Rochester, Minn., Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked as high performing for aortic valve replacement and transcatheter aortic valve replacement (TAVR) procedures by U.S. News & World Report. "High performing" is a designation given to the top 16 percent of TAVR programs across the nation (600+ programs). U.S News & World Report ranked hospitals for this procedure for the first time in 2020-2021.

The Adult Congenital Heart Association (ACHA) has designated the Adult Congenital Heart Disease (ACHD) Clinic at Mayo Clinic's campus in Rochester, Minnesota, as an ACHA ACHD Accredited Comprehensive Care Center.

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

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Aug. 07, 2020
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  2. What is heart valve disease? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hvd. Accessed Feb. 28, 2020.
  3. What is TAVR? American Heart Association. http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/What-is-TAVR_UCM_450827_Article.jsp#.VrUe2dj2aDY. Accessed Feb. 28, 2020.
  4. AskMayoExpert. Aortic valve stenosis (adult). Mayo Clinic; 2018.
  5. Nishimura RA, et al. 2017 AHA/ACC focused update of the 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 Clinical Practice Guidelines. Journal of American College of Cardiology. 2017; doi:10.1016/j.jacc.2017.03.011
  6. Otto CM. Medical management of symptomatic aortic stenosis. https://www.uptodate.com/contents/search. Accessed Feb. 28, 2020.
  7. Pani S, et al. Patient selection and outcomes of transfemoral transcatheter aortic valve replacement performed with monitored anesthesia care versus general anesthesia. Journal of Cardiothoracic and Vascular Anesthesia. 2017; doi:10.1053/j.jvca.2017.04.005.
  8. Dalby M, et al. Transcatheter aortic valve replacement: Complications. https://www.uptodate.com/contents/search. Accessed Feb. 28, 2020.
  9. Kolte D, et al. Outcomes following urgent/emergent transcatheter aortic valve replacement: Insights from the STS/ACC TVT registry. JACC: Cardiovascular Interventions. 2018; doi:10.1016/j.jcin.2018.03.002.
  10. Office of Patient Education. Transcatheter aortic valve replacement. Mayo Clinic; 2019.
  11. Phillips SD (expert opinion). Mayo Clinic, Rochester, Minn. Mar. 9, 2020.
  12. Arora S. Transcatheter aortic valve replacement: comprehensive review and present status. Texas Heart Institute Journal. 2017. doi:10.14503/THIJ-16-5852.
  13. Gleason TG, et al. 5-year outcomes of self-expanding transcatheter versus surgical aortic valve replacement in high-risk patients. Journal of the American College of Cardiology. 2018; doi:10.1016/j.jacc.2018.08.2146.
  14. Riggin EA. Allscripts EPSi. Mayo Clinic. Mar. 16, 2020..
  15. Brecker SJD, et al. Transcatheter aortic valve replacement: Periprocedural and postprocedural management. https://www.uptodate.com/contents/search. Accessed Feb. 28, 2020.
  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 Cardiology2016; doi: 10.1001/jamacardio.2016.2257. Accessed Mar. 23, 2020.
  17. Sardar P, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. Catheter Cardiovascular Interventions. 2017; doi:10.1002/ccd.27041.
  18. Cormican D, et al. TAVR procedural volumes and patient outcomes: Analysis of recent data. Journal of Cardiothoracic and Vascular Anesthesia. 2020; doi:10.1053/j.jvca.2019.04.016.

Transcatheter aortic valve replacement (TAVR)