TAVI · Catheter-Based Aortic Valve Replacement

With a narrowed aortic valve (aortic valve stenosis), the heart has to pump against an increased resistance. TAVI stands for transcatheter aortic valve implantation. A new valve is introduced via a catheter and deployed in the heart while it keeps beating.

An open operation on the chest is not necessary.

TAVI comes into consideration with a severe aortic valve stenosis, above all when an open-heart operation would mean an elevated risk. This often concerns older people and patients with comorbidities.

Typical complaints of a narrowed aortic valve are breathlessness, dizziness, chest pressure and declining capacity. If a severe stenosis is left untreated, it can damage the heart permanently.

The decision for a TAVI is made jointly by a heart team of cardiology and cardiac surgery, tailored individually to you.

The new valve is usually introduced via the artery in the groin and advanced to the heart. There it is positioned precisely within the old, narrowed valve and deployed.

The new valve takes over its function immediately. The procedure usually takes one to two hours and is carried out in a specialised centre.

Many patients are noticeably more resilient again within a few days of the procedure and can leave the clinic quickly.

After a TAVI we accompany you closely. Regular checks with echocardiography verify that the new valve is working faultlessly.

We adjust your medication and answer your questions. Your cardiologist remains your dependable point of contact, from the assessment through the procedure to long-term care.

What is a TAVI?

TAVI (transcatheter aortic valve implantation) is a catheter-based procedure in which a new aortic valve is inserted without the chest having to be opened. The new valve is advanced to the heart via a thin catheter, usually through the femoral artery, and deployed there.

Who is a TAVI suitable for?

A TAVI comes into consideration for you if you have a narrowed aortic valve (aortic stenosis). You benefit particularly if an open surgical procedure would mean an elevated risk for you, for example because of your age or comorbidities.

Does my chest have to be opened for it?

No. TAVI is a minimally invasive procedure and requires no opening of the chest and no heart-lung machine. Access is via a small incision, usually at the groin.

How long does the procedure take?

The procedure itself usually takes about one to two hours. Often only a local anaesthetic with mild sedation is needed, so that you can stay awake.

How quickly do I recover after a TAVI?

Since no large incision in the chest is needed, you usually recover considerably faster than after an open operation. Many patients are mobile again within a few days and can leave the hospital.

How is it decided whether a TAVI is right for me?

With us, this decision is always made jointly by an interdisciplinary heart team of cardiology and cardiac surgery. This way we ensure the method chosen for you is the one that best fits your situation medically.

What happens after the procedure?

After the TAVI we accompany you closely with regular checks to verify the function of your new valve. You receive from us a clear plan for the follow-up and the necessary medication.