The Morriston Transcatheter Aortic Valve Implantation (TAVI)

Dr Dave Smith

Prof Alex Chase

Mrs Anwen Jenkins

Mr Pankaj Kumar

Mr Aprim Youhana


Edwards Lifesciences


Abertawe Bro Morgannwg University Health Board

Summary

  • Replacement of worn out heart valves without opening the chest and using heart lung bypass machine;

  • Uses local anaesthetic where possible;

  • Avoids Intensive Care Unit (ICU) bed usage.



This Project Supports Prudent Healthcare

  • Multi-disciplinary co-production;

  • Minimises resource use;

  • Caring for those with great need;

  • Minimally invasive, quick recovery;

  • Regional delivery of care for Mid and South Wales.

Anticipated Benefits

  • Excellent clinical outcomes using transformational technology;

  • Heart valve replacement under local anaesthetic;

  • Rapid recovery and return to improved quality of life for patients;

  • Minimising use of expensive and limited infrastructure resources;

  • Realising the combined skills of the multi disciplinary-team approach.

Clinical Results

  • 37 patients treated, mean age 81 years;

  • 81% of cases under local anaesthetic;

  • 1 unplanned ICU admission;

  • 5 day median post-op length of stay;

  • No procedural deaths, all patients discharged.


Part of Cohort Bevan Exemplar Projects 2015-16