What is Transcatheter Aortic Valve Replacement?
A Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive surgical procedure to replace an aortic heart valve. It’s needed once a patient becomes symptomatic with aortic stenosis—a valvular heart problem that causes congestive heart failure, and can lead to sudden death, or cardiac arrhythmia.
Previously, open heart surgery was the only method to replace diseased aortic valves but recent landmark studies have shown that a transcatheter-based approach, is not only safer, but preferable. TAVR is the fastest growing procedure in the structural heart disease space. Patients receiving new aortic valves see their life expectancy increase and experience dramatic improvement in their symptoms.
Patients with aortic stenosis and prosthetic valve dysfunction are taken care of using a multi-disciplinary approach, assuring quality care and great patient outcomes. Prior to consideration for aortic valve replacement, patients undergo a battery of tests including coronary angiography, CAT scan, and evaluation by the heart team. The heart team includes cardiologists, cardiothoracic surgeons, anesthesiologists, and radiologists. All of these procedures are done with a catheter-based approach. The average length of stay for these patients is approximately 2 days.
Dr. Kolski directs the structural heart program at St. Joseph Hospital—the busiest catheter-based heart valve program in Orange County. The outcomes at St. Joseph Hospital are in the top 10% nationally for length of stay and complications. He performs over 100 TAVR operations per year.
Who we treat
TAVR is required in patients who suffer from severe aortic stenosis as well as patients who are intermediate risk, high risk or not candidates for open heart surgery, are candidates for TAVR. The procedure is also an option for people who had their aortic valve replaced in the past, but need a new one because the replacement may no longer work well. The average age of a TAVR patient is 82. We’ll soon have data on lower risk patients and may be able to offer these therapies to lower risk younger patients, too.
Are you or someone you love a candidate for TAVR?
Additional Cardiology Services
Dr. Kolski is a highly skilled, nationally recognized cardiologist providing patients in Orange Country with world class heart care services
Dr. Kolski performs over 200 structural heart interventions a year and travels throughout the U.S., educating physicians on vascular techniques and Complex Higher-Risk (and Indicated) Patients. He directs the structural heart program at St. Joseph Hospital—the busiest catheter-based heart valve program in Orange County.
Procedures Since 2014
Complex Coronary Interventions
Limb Salvage Procedures