Transcatheter Aortic Valve Implantation (TAVI) In Small Island Nation- Maldives, Leading Cardiac Care to A Higher Standard

Authors

  • Kaushal Kishore Tiwari Department of Cardiothoracic and Vascular Surgery, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Mohamed Shafiu Department of Cardiothoracic and Vascular Surgery, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Murari Barakoti Department of Cardiology, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Ashish Kumar Nema Department of Cardiology, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Athul Suresh Kumar Department of Cardiothoracic and Vascular Surgery, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Dusooma Abdul Razzag Department of Anesthesia, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Diwas Manandhar Department of Anesthesia, ADK Hospital Pvt. Ltd., Male, Republic of Maldives
  • Satish Sai Department of Cardiology, Apollo Hospital Group, Chennai, India

DOI:

https://doi.org/10.3126/jnhls.v3i1.63620

Keywords:

Aortic stenosis, Transcatheter Aortic Valve Implantation, Small Island Nation.

Abstract

Background: Surgical aortic valve replacement is still considered the preferred treatment option for patients with severe aortic valve stenosis, and it is known to improve the survival of the patients. However, about 30-50% of patients are not operated on due to several reasons including old age, high risk and other comorbidities. Transcatheter Aortic Valve Implantation (TAVI) is emerging as an alternative treatment option for elderly patients with high surgical risk.

Methods: In our study, four patients have undergone TAVI from February 2022 till May 2023 using Medtronic Transcatheter Aortic Valve, Core valve Evolut R (Medtronic Inc., Minneapolis, MN, USA) bioprosthesis.

Results: All the patients were discharged early. Follow-up Echocardiography showed decreased transaortic gradient with improved quality of life.

Conclusion: We conclude, implementation and use of this emerging technology in small Island Nations like Maldives would help to treat many patients, mostly elderly and high-risk as well as patients with intermediate risk requiring aortic valve surgery with less morbidity and comparable mortality in comparison to SAVR.

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Published

2024-06-10

How to Cite

Tiwari, K. K., Shafiu, M., Barakoti, M., Nema, A. K., Kumar, A. S., Razzag, D. A., Manandhar, D., & Sai, S. (2024). Transcatheter Aortic Valve Implantation (TAVI) In Small Island Nation- Maldives, Leading Cardiac Care to A Higher Standard. Journal of National Heart and Lung Society Nepal, 3(1), 1–6. https://doi.org/10.3126/jnhls.v3i1.63620

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Section

Original Research Articles