{"id":39386,"date":"2024-09-18T10:36:08","date_gmt":"2024-09-18T15:36:08","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/?p=39386"},"modified":"2024-09-19T09:55:34","modified_gmt":"2024-09-19T14:55:34","slug":"tavr-future","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2024\/09\/18\/tavr-future\/","title":{"rendered":"Doctor Q&#038;A: What Are The Future Advances In Transcatheter Aortic Valve Replacement (TAVR)?"},"content":{"rendered":"<p>In a little over a decade, the utility of <a href=\"https:\/\/www.heart-valve-surgery.com\/medtronic-tavr-procedure\">transcatheter aortic valve replacement (TAVR)<\/a> for the minimally-invasive treatment of severe aortic stenosis has exploded.\u00a0 The number of TAVR therapies has soared from 4,600 in 2012 to over 100,000 cases in 2023, according to reports.<\/p>\n<p>With the transformative progress TAVR has undergone in this short time, it\u2019s no surprise that we received a question about the future of TAVR from Michael, a member of our patient community, who asked, \u201cWhat advances do you foresee in the TAVR procedure in the next 15 years?\u201d We met with <a href=\"https:\/\/methodistphysicianpractices.com\/physicians\/profile\/Dr-R.-Brent-New-MD\">Dr. Brent New<\/a> at the Annual Meeting of The Society for Thoracic Surgeons to answer Michael&#8217;s question. Dr. New is the Chief of Cardiac Surgery at Methodist Healthcare in San Antonio, Texas, and gave some interesting insights into possible TAVR innovations coming in the future.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/M__oEjuH-tk?si=8eP_-tU_jlMyzr81\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<br \/>\n<!--more--><\/p>\n<h2>Key Learnings About Future TAVR Advances<\/h2>\n<p>Here are important insights shared by Dr. New during our interview:<\/p>\n<ul>\n<li><strong>There will likely be more advancements in valves than in the TAVR procedure. <\/strong>\u201cWe have excellent valves out right now that are working very well,\u201d said Dr. New. \u201cThey\u2019re lasting a long time and so forth.\u201d Dr. New believes, however, that rather than seeing innovations in the TAVR procedure, it\u2019s more likely innovations will be in valve capability and adding more valves over time. \u201cOriginally, TAVR started in patients who were older, sicker, weren\u2019t likely to live a long time, maybe couldn\u2019t have heart surgery or weren\u2019t candidates for heart surgery, but now we\u2019re using them in more and more patients,\u201d he said. \u201cWe believe it\u2019s safe to do so, but the reality is that all animal tissue valves will eventually fail.\u201d Although it may take a long time for the valve to fail, they are using them in younger patients that are expected to live a long time, and he believes these younger patients will likely need future procedures. In order to avoid this, the goal would be to develop a valve that is the same shape and size and can go inside the original TAVR valve. \u201cThey can\u2019t be exactly the same because there are some problems with potentially blocking blood flow to the heart.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-39388\" src=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/..\/Images\/tavr-future-advances.jpg\" alt=\"TAVR Future Advances\" width=\"650\" height=\"362\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>TAVR patients are getting discharged earlier. <\/strong> New said, \u201cI think the procedure is going to look very similar to what it is now. We keep patients overnight in the hospital, but we\u2019re starting to send some patients home the same day.\u201d According to Dr. New, the trend in earlier discharge will continue, but the real TAVR changes will come with newer valves and different nuances involving their shape.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/bicuspid-aortic-valve-diagram-heart.jpg\" alt=\"Bicuspid Aortic Valve\" width=\"650\" height=\"363\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>TAVR valve refinements also apply to bicuspid aortic valve patients. <\/strong> New said, \u201cWe\u2019re doing more and more TAVR in bicuspid patients. One of the self-expanding device valves we have for TAVR has been shown to be very safe and effective in bicuspid patients, at least in the early years, though we don\u2019t have long-term follow-up for this.\u201d Dr. New believes some of the newer valves will be tailored more toward bicuspid valve patients since they are younger and receive replacement valves earlier in life.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many thanks to Dr. New and the entire team at Methodist Healthcare!<\/h2>\n<p>On behalf of our entire HeartValveSurgery.com Community, many thanks to Dr. New for sharing some of the TAVR advancements we can expect to see in the future!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/medtronic-tavr-procedure\">Medtronic TAVR Procedure: What Should Patients Know?<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/medtronic-tavr-heart-team-finder\">TAVR Heart Team Finder<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/medtronic-evolut-low-risk-tavr-clinical-trial-results\/\">Clinical Trial Update: 4-Year Results for Low-Risk TAVR Clinical Trial<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":39392,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[],"class_list":["post-39386","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aortic-valve-replacement"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/39386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=39386"}],"version-history":[{"count":2,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/39386\/revisions"}],"predecessor-version":[{"id":39406,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/39386\/revisions\/39406"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/39392"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=39386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=39386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=39386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}