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Doctors Replace Indigenous Valve, First of Its Kind in Rajasthan

  • 30-01-2019
  • Eternal Hospital, Jaipur
Doctors at a city-based hospital performed a Transcatheter Aortic Valve Replacement (TAVR), the procedure was the first in North India to be performed with Indian TAVR technology. This technology is the first ever indigenously designed and manufactured transcatheter heart valve and has recently been made commercially available. Tulsi, a 72-year-old from Goa, was diagnosed with aortic stenosis a few months back. Her daily life was hampered when she started having difficulties in walking, experienced shortness of breath and inability to do even light physical activities. These symptoms worsened and she became wheel-chair bound. Her family doctor detected that she was suffering from aortic stenosis that needed a valve replacement surgery and referred him Jaipur. “When she came here, her condition was acute which could not be treated with medications. Traditionally, open-heart surgery is the treatment for aortic stenosis but it is not suitable and recommended for high-risk patients including elders,” Dr Ravinder Singh Rao, Interventional Cardiologist and Director, TAVR Program at Eternal Hospital said. “Moreover, with other health conditions like rheumatoid arthritis and peripheral vascular disease, open-heart surgery was not an option. So we decided to perform this procedure using the Indian technology,” he added. Telling about the Indian technology, Dr Rao said, “The Indian TAVR technology has been backed by ample clinical data. As one of the Principal Investigators of the clinical trials for this technology, I can say that it has led to improved and positive patient outcomes. The technology is associated with zero new pacemaker implantation rates post procedure and faster recovery. The valve is effective in relieving the patient’s symptoms and reducing the death and hospitalization from aortic stenosis.” THE REPLACEMENT Doctors conducted a CT scan and angiography to determine the accurate size of the valve to be replaced. After that, a new valve was replaced over the diseased valve through the femoral artery. “In addition, we used a special expandable tube to replace the valve which allowed us to deliver the valve even in smaller size vessel,” said Dr Rao. THE TREATMENT Transcatheter Aortic Valve Replacement (TAVR) technique has been presented as a treatment modality for patients who are unwilling to undergo an open-heart surgery or at a risk for open heart surgery. This minimally invasive procedure involves placement of a new valve over the patient’s diseased valve via a catheter inserted through the femoral artery (large artery in groin).