Tavi Heart Valve Replacement

ask100 | 07:47 Sat 24th Sep 2022 | Body & Soul

19 Answers

I am about to be given a new heart valve because of recent case of heart failure.
Because of my age (85) I am warned of the possibility of damage to my kidneys from the iodine dye used to trace the progress of the procedure. This naturally worries and concerns me.
Does any member have experience of this or have knowledge of it they would like to comment on?

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barry1010

Have you got any kind of kidney disease?

ask100

Question Author

Chronic kidney disease, which I understand is common because of my age.

barry1010

I can understand your worries. I know the doctors have to warn of the risks and side effects but I do sometimes long for the days when they took the 'doctor knows best' attitude and more or less made the decisions for us. After all, they (usually) do know best - they are the experts.
Whenever a doctor of any kind puts me in this position I always ask them how they would advise me to proceed if I were their dad. I usually get a straight answer.

I hope you can get the advice you need.

satprof

I also have CKD & was warned about this dye some years ago when I went for a exploratory heart catheterisation. The dye, in my case, didn’t seem to make the CKD any worse.

At the end of the day, there are many treatments for kidney disease that extend useful life considerably. Heart attacks, OTOH, tend to have a poor outcome.

ask100

Question Author

Thanks Barry1010 useful words that reassure me.
I do agree with your attitude.

Togo

If the doctors themselves didn't think that you were up to the operation, then they would not have offered it to you in the first place. They do not want a patient who is likely to be worse off than before the operation on their CVs or concience. They are legally bound to inform you af any risk involved and to state those risks on the consent forms. You know already what the likely outcome will be if the operation dores not go ahead.

P.S. Speaking from experience but not the same operation.

Sqad

This is minimal invasive surgery.....less traumatic than open heart surgery with less complications.

No, I have never had a Tavi procedure, yes I have had cardiac catheterisation and no, this is not my area of expertise.

Your kidney status, I assume, is no better or worse than any 85 year old with Aortic valve disease.

This is a commonly performed procedure with a good outcome with minimal complications.

Not to worry.......you will be fine.

ask100

Question Author

Thanks for all your sensible answers. Very reassuring.

Peter Pedant

After all, they (usually) do know best - they are the experts.

have the TAVI - you need it - these procedures are not like boxes of chocolates, with lots of choice. Your real choice is 1) I have given up - then dont have it OR 2) I have a few more years, then have it.

Peter Pedant

oops naughty me
looked it up
Ht failure + Ao stenosis = TAVI

no doubt about this: have the procedure

ask100

Question Author

Well after all your helpful answers and suggestions I have finally had my new TAVI implant valve inserted and I'm OK. Breathing better and went for my first walk in the park today. Not quite steady on my feet yet but on the way. After all I've been in hospital for over three weeks so need some recovery time.