Percutaneous Valvular Interventions
Percutaneous valvular interventions are a method of repairing or replacing the valves of the heart. They are performed in an operating room under general an aesthesia, and the procedure is done through a small incision. They are minimally invasive procedures performed to repair or replace the valves of the heart. They are also referred to as percutaneous valve interventions, percutaneous valve replacement surgeries and PVEs (percutaneous vascular endovascular surgery).
The goal of percutaneous valvular procedures is to improve heart function by replacing malfunctioning valves with new ones that have been custom-made using imaging and mapping technologies.
The most commonly performed percutaneous valvular procedures include mitral valve repair, mitral valve replacement, aortic valve replacement, and pulmonary artery reconstruction.
Aortic valve disease (stenosis or regurgitation)
Aortic valve stenosis is the most common type of heart valve disease. This disease is a condition in which the aortic valve between the left ventricle and aorta of your heart doesn’t close properly or is damaged. The aortic valve opens to allow blood to flow from the left ventricle into the aorta, the large artery that carries blood to the body.
Aortic valve replacement involves replacing one or two leaflets with synthetic materials while still using your body’s natural biomechanics from within rather than from the outside-in, thus eliminating any risk associated with traditional surgical approaches. These include bypass surgery or heart transplantation due to donor tissue rejection issues related specifically to immunosuppression caused by medications taken throughout the recovery period post-surgery. To know more about Aortic valve disease and its related queries, contact Hriyaan Heart Beat Cardiac Care – the most competent heart care hospital!
Mitral valve disease (stenosis or regurgitation)
Mitral valve disease is another common condition in which your mitral valve doesn’t work properly. In this condition, called mitral stenosis, there’s no opening at all between your left atrium and left ventricle—it becomes hard for blood to get through because it can’t squeeze through easily enough when they’re opened wide open like it should be during normal activity!
We at Hriyaan Heart Beat Cardiac Care perform percutaneous valvular interventions when there is a narrowing of the mitral valve, which can lead to heart failure. In this procedure, a small balloon is passed through the femoral artery in the groin to open the narrowed aortic valve. The balloon pushes excess tissue aside, widening the opening of the aortic valve. This allows blood to flow more freely from your heart into your aorta. It usually takes about an hour to do this procedure. Afterwards, you’ll spend some time in the intensive care unit at our health care center while our doctors monitor your condition and adjust medications as needed before going home or returning to work after 2-3 days if necessary.
The cost of percutaneous valvular interventions varies depending on what type you need to be done and where it’s done (inpatient vs outpatient).
Balloon Mitral Valvulotomy
Balloon mitral valvulotomy (BMV) is a procedure that stretches the mitral valve to enlarge the opening and improve blood flow. It is one type of PVE in which a device known as a “balloon” is used to open up an area in a person’s heart so that doctors can place stents into it. The stents hold open the area where they were placed until they heal over time. The balloon is inflated in the heart with a small catheter or hollow tube. This causes pressure on the prosthetic ring as it expands within your heart so that it can expand further into its natural position along with your heart muscle.
BMV has been used at our cardiac care center in patients with severe stenosis of more than 50%. It’s considered safe when used on healthy tissue and tissues without an inflammatory response because it doesn’t cause any harm to them. However, there are some risks associated with BMV, including bleeding at the site of surgery (which usually occurs after placement), infection at the site of surgery (this happens less often), or stroke.
Balloon valvuloplasty
Balloon valvuloplasty is a procedure that stretches the mitral valve to enlarge the opening and improve blood flow. It is performed at our cardiac hospital to treat mitral stenosis, a condition where the valve is narrowed and restricts blood flow.
- Balloon valvuloplasty is a minimally invasive procedure performed through a small incision in the groin. The catheter is inserted into the femoral vein and guided into position with the aid of fluoroscopy. A balloon placed at the tip of this catheter is inflated, stretching and dilating your heart’s main artery as well as its two smaller veins (which carry oxygenated blood away from it).
Aortic Valvulotomy
Aortic valve disease is the most common type of heart valve disease. It causes poor blood flow and can result in aneurysms, strokes and other serious health problems. The most common symptoms are:
- Shortness of breath at rest or after exercise (dyspnea)
- Palpitations (heartbeat feels irregular)
Aortic stenosis is narrowing or closing off one or both sides of your heart’s main artery, which supplies blood to all parts of your body, including your lungs and kidneys. If left untreated, it can lead to severe complications, including heart failure or even sudden death if left untreated for too long – sometimes called “heart attacks” because they happen suddenly with no warning signs before them.
Percutaneous Aortic Valve Replacement
Percutaneous aortic valve replacement (TAVR) is a minimally invasive procedure that uses catheters to access the heart and insert an artificial valve. The procedure can be performed transapically or in transfemoral approaches. Percutaneous aortic valve replacement is performed to replace a diseased or damaged aortic valve with an artificial one through a catheter without open-heart surgery. During this procedure, a specially designed catheter with an artificial heart valve on it is threaded through an artery in your groin or chest and guided into place within your natural aortic valve, replacing it.
TAVR has been shown to be feasible in our patients who are non-elective candidates for open-heart surgery because of their age or comorbidities. In general, these patients have good health status before surgery and a low risk of complications after TAVR.
We hope that you found this information helpful, and we encourage you to visit our doctors at Hriyaan Heart Beat Cardiac Care if you have any questions or concerns about a percutaneous valvular intervention.
Who must undertake Electrophysiology and why?
Electrophysiology must be undertaken by heart patients. At times, given heart disease is not apparent, and, in such cases, you must look out for the following symptoms.
Irregular heartbeats
This disorder is known as arrhythmia. The heart beats at an abnormal rate and keeps fluctuating way too often. The abnormality can be diagnosed using tachycardia. In case of irregular heartbeats, it is necessary to undergo Electrophysiology.
Fainting
Unexplained giddiness or fainting could be an indication of some cardiovascular disorders. It is, therefore, necessary to undergo an EP in this case.
Diagnosed with a cardiovascular disease
If you have been diagnosed with some cardiovascular disease, it is necessary for you to undertake an Electrophysiology test. The test will determine the severity of the diagnosed disease and will help determine the risk of cardiac arrest.
Cardiac ablation
Cardiac ablation is undertaken to correct heart rhythm problems. Electrophysiology can help by highlighting the spot of abnormality and making the procedure easier.
Cardiac Care is at the core of this test. It can eliminate any severe condition that the patient might have to suffer in the future.
Preparing for an Electrophysiology
Heart Care Centers often suggest their patients come prepared for the tests. There are a few set rules you must adhere to before undertaking the test.
You are often asked not to eat or drink anything 8-12 hours prior to the test. In case of any medications, make sure to ask the doctor if you are allowed to consume them the night before.
At the hospital, you will be provided with an IV line. Your blood pressure and heartbeats will be checked constantly. Furthermore, some electrodes will be attached to your chest to keep track of your heartbeats.
Getting started
During the procedure, you will be given general an aesthesia and will be put to sleep. Three or more tubes (catheters) will be placed on your heart, and the area will be numbed. The sensors on these catheters will send signals to the heart and will record the heart’s electrical activities.
Doctors take up various tests depending upon the severity of your condition.
Studying the heartbeats
This procedure is known as an Intracardiac electrogram. With the help of sensors, doctors can study heartbeats and their patterns. The electrical signals that move to the heart produce a response, and these responses are studied to identify the heartbeats.
Examining Arrhythmia
Arrhythmia can be examined by sending extra signals to your heart. In case of an abnormal or fluctuating response, doctors can prescribe the required treatment.
Using catalysts
Catalysts, in this case, are some medicines that are injected into the catheters. These medications then reach your heart, and your heart’s electrical response to them is studied.
Cardiac Mapping
This is the major step involved in the entire procedure. Cardiac mapping is done by expert Electrophysiologists. The map can reveal a lot about your heart and its conditions. Vulnerable locations are highlighted, which are further used for cardiac ablation.
Aftercare
The patient is kept under the doctor’s supervision for the next 4-5 hours. The anesthesia effect must calm down before the patient is sent back home. Your blood pressure and heart rates will be checked before you are discharged.
You will be advised to rest for the rest of the day. Some soreness could be experienced in the area where the catheters were inserted. Be sure to follow the diet prescribed by the doctor.
Risks associated with the test
Certain risks are associated with the test. You might experience some bleeding and soreness in the area that was incised. In some severe cases, patients might experience internal bleeding around the damaged area of the heart.
The heart’s electrical system can be damaged in extreme cases, especially when arrhythmia is examined. Catalysts can infect the tissues and can cause wearing and tearing. Blood clots and other strokes could lead to cardiac arrest.
It is, therefore, necessary to visit experts like Hriyaan Heart Beat Cardiac Care in order to receive flawless services and diagnoses.
Results
The given results can then determine your heart condition, according to which doctors will prescribe further treatments ad medications. In order to get quality treatment, be sure to contact us at Hriyaan Heart Beat Cardiac Care. We have an expert team that specializes in all cardiovascular disorders.
However dangerous the test might appear, it is necessary to undertake it in order to arrive at accurate conclusions. With expert help as provided at Hriyaan Heart Beat Cardiac Care, one can rest assured about the services.
Services
> ECG
> Stress Cardiology
> TMT
> Holter Monitoring
> Color Doppler
> Coronary & Radial Angiography
> Coronary Angioplasty
> Carotid Angioplasty
> Peripheral Angioplasty and Stenting
> Balloon Mitral Valvulotomy
> Aortic Valvulotomy
> Percutaneous Aortic Valve Replacement
> Percutaneous Aortic Aneurysm Repair by Stent Grafts
> Septal alcohol ablation in Hypertrophic Cardiomyopathy
> Electrophysiology studies
> Radio frequency ablation for supra ventricular and ventricular tachyarrhythmia
> Pacemaker implantation
> ICD and combo device implantation
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