Treatment of aortic
stenosis varies depending on the severity of the condition, a
patient’s overall health, and other medical factors. If a patient is
determined to need valve replacement but cannot undergo surgery or is
considered high risk for surgery, TAVR (transcatheter aortic valve
replacement) may be recommended. TAVR is a new option for replacing a
defective aortic valve that does not require open-heart surgery.
At the Valve Clinic at Lankenau Medical Center, our goal is to make sure
that each patient with aortic valve disease receives an individualized
plan of care that offers the best-possible outcomes. A thorough
evaluation is performed to determine whether TAVR—or another
treatment—is best. A multidisciplinary team of heart specialists
participates in this important evaluation.
Lankenau Valve Clinic Evaluation for TAVR
Our TAVR evaluation process begins with an examination by two cardiac
surgeons and an interventional cardiologist (a cardiologist with special
training and skills in catheter-based heart procedures). At the
appointment, the physicians review all necessary studies, a patient’s
medical history and results of any recent tests, and perform a patient
history and physical evaluation. Specific cardiac testing is performed
before or during this diagnostic
evaluation. Upon completion of the initial evaluation, the
multidisciplinary Valve Clinic team meets to review the results of these
tests and to prepare a recommended treatment plan.
For TAVR to be recommended, the evaluation must confirm the following:
The patient has aortic stenosis that is severe in nature
and is causing symptoms.
The patient is not a candidate for surgical aortic valve
replacement or is at high risk for surgery and would be
expected to benefit from TAVR therapy.
The patient’s aortic valve and blood vessels are of
appropriate size for the TAVR procedure.
The technical aspects of the TAVR procedure can be
TAVR is not an appropriate treatment option for everyone. For example,
in some cases, other medical conditions may prevent a person from
experiencing the expected benefits of TAVR therapy, or the risks of the
procedure may outweigh the benefits. The Valve Clinic team will complete
a thorough evaluation of each patient, considering all medical and
personal factors prior to determining a proposed treatment plan.
For more information, call 1.866.CALL.MLH.