Candidates for TAVR

Candidates for TAVR

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Depending on your overall health, you may not be able to undergo open-heart surgery for aortic stenosis. Carilion Clinic is proud to offer TAVR as an option for those patients who do not qualify for open-heart surgery due to high risk or being inoperable. Each patient will be assessed by our team of specialists, consisting of general cardiologists, interventional cardiologists, cardiothoracic surgeons, and cardiac anesthesiologists, prior to a treatment approach decision.

CHARACTERISTICS OF A TAVR CANDIDATE

TAVR patients may present with some of the following:

  • Severe, symptomatic native aortic valve stenosis
  • History of syncope
  • History of chest pain
  • Shortness of breath
  • Congestive heart failure
  • Old age (patients are generally in their 80s and 90s)
  • History of stroke
  • Reduced ejection fraction
  • History of afib
  • Prior open chest/heart surgery
  • Fatigue, slow gait
  • Peripheral vascular disease
  • Frailty
  • Heavily calcified aorta
  • Prior chest radiation
  • History of coronary artery disease
  • History of COPD
  • History of kidney insufficiency
  • Diabetes and hypertension

SCREENING AND PATIENT ASSESSMENT

Patients undergo a series of screening tests to determine eligibility, risk assessment, and accuracy of valve measurement. Tests may include:

  • Transesophageal echocardiography
  • Coronary angiography and right heart catheterization
  • Computed tomography (CT) scan of the aortic root and ilio-femoral arteries
  • Pulmonary function tests
  • Carotid ultrasound
  • Edmonton frailty testing
  • Five meter walk
  • Kansas City Cardiomyopathy Questionnaire

For more information or to find out if you're a candidate for TAVR, please email our Care Coordinator, Sheree Emore, N.P., at heartvalvecenter@carilionclinic.org or call 540-266-6520.