The Morriston Transcatheter Aortic Valve Implantation (TAVI)

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