Transcatheter Heart Valve; Alternative Approach to Conventional Open Heart Surgery
Transcatheter heart valve is a medical device used to repair
damaged heart valves for treatment of valvular heart disease (VHD). Transcatheter
aortic valve replacement (THVR) is approved by the United States Food and Drug
Administration (FDA) for regurgitation or symptomatic severe aortic stenosis,
and is recommended for those suffering from other chronic diseases and those
who undergo cardiac surgery. Transcatheter heart valve is minimally-invasive
procedure (surgery) for the treatment of heart diseases, a defective valve, or
the replacement of a diseased or damaged aorta valve with a new aorta valve.
An artificial valve may be used with a balloon syringe
attached to the end of a mechanical transducer or vascular catheter. The cost
of surgery depends on various factors such as the type of valve required, its
size, and the patient's general health and age. The first factor to consider
before performing the surgery involves the type of valves needed: open-heart
surgery, which includes a transvaginal balloon catheter, stent, or balloon
catheter, and closed-heart surgery, which includes a balloon syringe attached
to an end of a transvaginal or balloon catheter or stent. In open-heart
surgery, the balloon or catheter is placed through the vagina.
Once inserted, it expands to form a valve to prevent blood
from flowing backwards into the heart. For the balloon system, the transcatheter
heart valve is placed into the inferior vena cava, the common
collecting vessel that supplies blood to the heart. Another common condition
that requires the use of an artificial heart valve is severe aortic stenosis.
It may occur at the aortic valve as well as above and below this level. The
heart may weaken, causing chest pain, fatigue, and shortness of breath. This
pain typically intensifies when breathing exercises are performed. Surgery can
replace or repair the valve in severe cases.
The demand for transcatheter heart valve has increased due
to increasing prevalence of VHD and growing geriatric population around the
world. THVR has less postoperative complications than conventional procedures,
offers faster recovery time, and helps to reduce both mortality and morbidity
rate.
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