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Introduction

In the world of modern medicine, groundbreaking advancements have revolutionized the treatment of heart valve conditions. Transcatheter Aortic Valve Implantation (TAVI), also known as Transcatheter Aortic Valve Replacement (TAVR), and Transcatheter Mitral Valve Replacement (TMVR) are some of the cutting-edge procedures that have proven to be effective alternatives to traditional open-heart surgery. One of the leading figures in this field is Dr. Srinivas Prasad, whose Valve Clinic at Fortis Hospital, BG Road in Bangalore is providing patients with hope, health, and affordable care.


The Evolution of Heart Valve Treatments

In the past, treating severe heart valve diseases often required invasive open-heart surgeries, which came with significant risks and lengthy recovery periods. However, the emergence of TAVI and TMVR procedures has transformed the landscape of cardiac interventions. These minimally invasive procedures involve the insertion of a new valve through a catheter, which is guided to the heart, offering patients a safer and less traumatic experience.


Understanding TAVI and TMVR

  1. TAVI/TAVR (Transcatheter Aortic Valve Implantation/Replacement): TAVI or TAVR is a procedure designed to treat aortic valve stenosis, a condition where the aortic valve becomes narrowed, restricting blood flow from the heart to the rest of the body. During the procedure, a new valve is placed within the diseased valve, thereby restoring proper blood flow and reducing symptoms like shortness of breath and chest pain.

  2. TMVR (Transcatheter Mitral Valve Replacement): TMVR is used to address failed mitral tissue prosthetic valve , where the mitral valve does not close tightly, causing blood to flow backward into the heart or doesnot open adequately to allow blood to flow into left ventricle. The procedure involves the placement of a new valve to treat this valve dysfunction and improve the heart's overall function.

Meet Dr. Srinivas Prasad - The Pioneer

At the forefront of these groundbreaking heart valve treatments is Dr. Srinivas Prasad, a highly skilled and renowned interventional cardiologist. With a wealth of experience and a passion for providing the best possible care to his patients, Dr. Prasad has emerged as a pioneer in the field of TAVI and TMVR procedures. His expertise, combined with his dedication to innovation and patient-centric care, has earned him widespread recognition as a leading valve specialist.


Fortis Hospital, BG Road, Bangalore - A Center of Excellence

The Valve Clinic at Fortis Hospital in Bangalore is a center of excellence for heart valve treatments. Equipped with state-of-the-art technology and a team of experienced medical professionals, the clinic provides patients with a comprehensive range of cardiac care services. Dr. Srinivas Prasad ensures that each patient receives personalized attention and the most suitable treatment plan.

Dr. Prasad also practices at Apoorva Superspeciality Medical Centre at Jayanagar 4th T block, Bangalore in the evenings (5pm to 8pm)


Affordable Care for All

One of the most significant concerns for patients seeking medical treatments is the cost. Dr. Srinivas Prasad's Valve Clinic at Fortis Hospital, BG Road, addresses this concern by providing world-class heart valve treatments like TAVI at affordable price at Bangalore by giving good discount till this year end. The clinic is committed to making these life-saving procedures accessible to patients from all walks of life, without compromising on the quality of care.


Patient Success Stories

The success stories of patients treated at Dr. Srinivas Prasad's Valve Clinic are a testament to the clinic's dedication and expertise. Many patients have experienced a remarkable improvement in their quality of life following TAVI and TMVR procedures. Through these minimally invasive treatments, patients have found relief from symptoms and regained their ability to perform everyday activities with ease.


Conclusion

Dr. Srinivas Prasad's Valve Clinic at Fortis Hospital, Bangalore, stands as a beacon of hope for those suffering from heart valve conditions. With state-of-the-art treatments like TAVI and TMVR, combined with the compassionate care of a skilled medical team, patients can experience a new lease on life. Moreover, the clinic's commitment to affordability ensures that these groundbreaking procedures are accessible to everyone, giving patients the chance to reclaim their health and well-being.


If you or a loved one is facing heart valve issues, consider exploring the Valve Clinic and the transformative treatments offered by Dr. Srinivas Prasad at Fortis Hospital, Bangalore. Remember, a healthier heart awaits with advanced and compassionate care.

  • Dr. Srinivasa Prasad B V
  • Jun 28, 2023

TMVR stands for Transcatheter Mitral Valve Replacement. It is a minimally invasive procedure used to replace a malfunctioning or diseased mitral valve in the heart. The mitral valve is responsible for regulating blood flow between the left atrium and the left ventricle.

In a TMVR procedure, a catheter is inserted through a small incision in the patient's leg or chest and guided to the heart. A prosthetic valve, typically made of biocompatible materials, is then deployed within the native mitral valve. This new valve takes over the function of regulating blood flow.

TMVR is often performed on patients who are considered high-risk or ineligible for traditional open-heart surgery due to various reasons, such as advanced age, significant comorbidities, or previous heart surgeries. By avoiding open-heart surgery, TMVR offers a less invasive option for valve replacement, which can lead to shorter hospital stays, reduced recovery times, and potentially fewer complications. Who can undergo TMVR?


The eligibility criteria for undergoing Transcatheter Mitral Valve Replacement (TMVR) can vary depending on several factors, including the specific patient's condition, the severity of the mitral valve disease, and the expertise and resources available at the healthcare facility. Generally, TMVR is considered for individuals who meet the following criteria:

  1. Failed Surgical bioprosthetic Mitral valve who are high risk for redo-surgery (valve-in-valve TMVR)

  2. Failed surgical mitral valve repair with mitral ring (Valve-in-Ring TMVR)

  3. Severe degenerative mitral valve disease with dense mitral annular calcification (Valve-in-MAC)

It's important to note that each case is evaluated on an individual basis, and the final decision regarding suitability for TMVR is made by the medical team in consultation with the patient.


  • Dr. Srinivasa Prasad B V
  • Jun 28, 2023

MitraClip and TMVR (Transcatheter Mitral Valve Replacement) are both minimally invasive procedures used to treat mitral valve disease, but they have some key differences:

  1. Purpose and Approach:

    • MitraClip: MitraClip is a specific device used for a procedure called transcatheter mitral valve repair (TMVr). It is designed to treat mitral regurgitation, a condition where the mitral valve fails to close properly, causing blood to leak backward into the left atrium. MitraClip is deployed to grasp and clip together the leaflets of the mitral valve, reducing the amount of regurgitation.

    • TMVR: TMVR refers to the broader category of procedures that involve replacing the mitral valve entirely. It is used in cases where the valve is severely diseased or damaged and repair with MitraClip is not feasible. TMVR involves deploying a prosthetic valve inside the native mitral valve, taking over its function.


  1. Valve Repair vs. Valve Replacement:

    • MitraClip: MitraClip is primarily used for mitral valve repair. It allows the existing valve to be partially repaired by clipping the leaflets together to reduce regurgitation. The procedure aims to improve the function of the patient's own mitral valve without completely replacing it.

    • TMVR: TMVR involves replacing the malfunctioning or diseased mitral valve with a prosthetic valve. It completely replaces the native valve and assumes its role in regulating blood flow. TMVR is used when the mitral valve is severely damaged or if repair is not possible with MitraClip or other repair techniques.


  1. Eligibility and Patient Selection:

    • MitraClip: MitraClip is suitable for patients with mitral regurgitation who may not be ideal candidates for open-heart surgery. It is often considered for individuals with moderate to severe regurgitation and significant symptoms.

    • TMVR: TMVR is typically considered for patients with severe mitral valve disease, including both mitral regurgitation and mitral stenosis, who are at high surgical risk or ineligible for open-heart surgery. TMVR is an alternative to valve replacement surgery.


In summary, MitraClip is a specific device used for transcatheter mitral valve repair (TMVr), aimed at repairing the patient's own mitral valve. TMVR, on the other hand, involves replacing the native mitral valve entirely with a prosthetic valve. The choice between MitraClip and TMVR depends on the specific condition of the mitral valve and the patient's individual circumstances.

©2020 by Dr. Srinivasa Prasad. 

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