By Adam Pick on November 8, 2018
I received a ton of GREAT questions for our recent Ask Adam Anything: Facebook LIVE Sessions at the Heart Valve Summit. One of the questions that I didn’t have time to answer came in from Shripad who asked, “Hi Adam – In the transcatheter aortic valve replacement procedure (TAVR), what happens to the debris of the old diseased aortic valve which is crushed by the balloon catheter? If the debris cannot be removed, can tiny particles of the debris cause stroke or heart attack? Thanks!”
Before answering Shripad’s question, I thought it would be helpful to show how a TAVR is implanted. As you can see in this video animation, a TAVR device is positioned inside a stenotic aortic valve and then expanded using a balloon. During that expansion, the new aortic valve essentially “smushes” the old valve out of the way. That is why Shripad’s question is so interesting. What happens to the defective leaflets and/or calcium deposits that caused the aortic valve disease?
Dr. Craig Smith Says…
Now that we understand how a TAVR works and why aortic valve debris may occur, let’s answer this very important question.
By Adam Pick on August 9, 2018
In case you missed it… The INSPIRIS RESILIA heart valve is now available in the United States. This is an important development for patients who require a more resilient tissue valve for the replacement of their native or prosthetic aortic valve.^
This revolutionary aortic valve (pictured below) is the first in a new class of so-called resilient heart valves introduced by Edwards Lifesciences. It has a new tissue that is better at blocking calcium and a first of its kind expandable valve frame designed for potential future valve-in-valve procedures.*^ And it is built on the proven Carpentier-Edwards PERIMOUNT valve design – which has helped over one million patients worldwide.
By Adam Pick on May 10, 2018
On January 10, 2017…
I received a phone call from Harolyn, an aortic stenosis patient, from Springfield, Missouri. Like so many patients I speak with, Harolyn was a bit nervous, a bit concerned and a bit apprehensive about the possibility of heart valve surgery in her life. So you know, Harolyn was no stranger to disease. She already had 3 bouts with cancer that required radiation and chemotherapy.
As we spoke, I did my best to calm her fears and educate Harolyn about potential treatment options. The more we spoke, the more I learned that Harolyn was her own best advocate. She had already spent time on HeartValveSurgery.com – educating herself about aortic stenosis and the minimally invasive therapies that might treat her narrow aortic valve.
Harolyn, TAVR Patient, with Dr. Brown & Dr. Mack
By Adam Pick on April 16, 2018
We’ve learned together that there are several different approaches for surgeons and cardiologists to treat heart valve disease. There are open heart techniques and there are transcatehter approaches for heart valve replacement and repair. Specific to this spectrum of approaches, I received a great question from Dennis about minimally-invasive access through the ribs.
Dennis asked me, “Hi Adam, Does aortic valve replacement – through the rib cage – have any advantages or disadvantages versus open heart and/or TAVR? Thanks. Dennis”
By Adam Pick on March 21, 2018
His passion was hockey. His diagnosis was severe heart valve disease. His fear… Never playing hockey again.
This is Alan’s story…
Many thanks to Alan Steinberg for meeting with me to share his triumph of getting back on the ice after heart valve surgery. I loved hearing his story and I loved his inspirational attitude toward the procedure and his remarkable recovery.