Year: 2024 | Month: March | Volume: 14 | Issue: 3 | Pages: 184-192
DOI: https://doi.org/10.52403/ijhsr.20240327
Aortic Valve Makeover: Understanding TAVI's Advancements and Outcomes
Dr. Jenab Hojefa Badodiyawala1, Arpita Meher2, Narendra Nath Ravi2, Sakina2, Dr. Bipin Chandra Aditya Dasari3
1Department of Medicine, David Tvildiani Medical University, Tbilisi, Georgia
2Department of Medicine, Tbilisi State Medical University, Tbilisi, Georgia
3Interventional Cardiologist, Apollo Hospital, Chennai, India
Corresponding Author: Dr. Jenab Hojefa Badodiyawala
ABSTRACT
Transcatheter aortic valve implantation has transformed the therapeutic landscape for symptomatic aortic stenosis by providing a less invasive option for high-risk or inoperable patients. TAVI began as Dr. Alain Criber's innovative notion in 1989, and its history has been distinguished by constant innovation, transforming it into the current gold standard. This detailed narrative analysis delves into TAVI's effectiveness, safety profile, and technical improvements by meticulously reviewing clinical trials, landmark papers, and developing techniques. The procedure's effectiveness is dependent on proper patient selection, anatomical compatibility, and interdisciplinary teamwork. Recent advances in valve technology, device innovation, and procedural approaches have expanded TAVI's application while dramatically reducing complications, and improving short- and medium-term results. Despite tremendous advances, problems remain, requiring greater investigation into patient-specific designs and tissue usage. As the scope of TAVI develops, future concerns will include individualized valve selection, cost-effectiveness studies, and research into next-generation transcatheter heart valves. The developing narrative surrounding TAVI emphasizes its transformational impact on a wide range of patient demographics and portrays it as a cornerstone in the care of aortic valve disease.
Key words: Transcatheter Aortic Valve Intervention (TAVI), Aortic Stenosis, Interventional Cardiology, Minimally Invasive Valve Surgery