Transcatheter Aortic Valve Replacement (TAVR) – Portsmouth Regional Hospital

Transcatheter Aortic Valve Replacement (TAVR) – Portsmouth Regional Hospital


– My name’s Bob and I’m
from Sanford, Maine, and I’m 74-years-old. I couldn’t breathe at all. I mean, at night, I couldn’t
lay down in the bed. I had to sit up. Any pressure on my chest,
or anything like that, and I’d wake up right in
the middle of the night and I’d be gasping for air. You really don’t know if you’re gonna go, so, of course, I wanna be around so, I had that, you know,
that’s what I had done. – My name is Jonathan Bridges. I’m an Interventional Cardiologist here at Portsmouth Regional Hospital. TAVR is the Transaortic Valve Replacement. It’s the newest way to actually
replace the aortic stenosis. What we know is that 2% of the
population at the age of 65, will have severe aortic stenosis. 3% at the age of 75, and
over 4% at the age of 85. Aortic stenosis has no
definitive medical treatment. There is no medicine which
is going to relieve you of your symptoms, or delay the progression of this disease. It has a 50% mortality rate at two years, which is higher than any
cancer that we really know, so it’s not something that
we can just leave untreated. (light piano music) – The doctors, they all got together and they did all these tests on me, and then they got
together and they decided which way would be the best. So I was a candidate to have
it done and I’m glad I did ’cause it was not that invasive, I just in one day and out the next. – Primary cardiologists and
the primary care physician generally start to say
geez, I think that it’s time that we think about having
some type of procedure done. TAVR is a elective procedure
because aortic stenosis is kind of a slow, progressive disease. And generally what they’re
doing right now is, they’re referring ’em
to our valve clinic here at Portsmouth Regional Hospital. It’s a multi-disciplinary team. The three cardiothoracic
surgeons involved, there’s a couple of interventional
cardiologists involved, there’s also some noninvasive
cardiologists involved. And what we will do is we will bring them into the valve clinic, get to know them from our standpoint. We would then do some elaborate
testing a little bit more, just to get a feel of
what procedure is best for that patient. Decision on which way you
should have your valve replaced, is a very difficult decision. Here at Portsmouth, we think that we keep that community feel, we do the job of keeping
the primary care physician and the patient’s cardiologist,
along with their family, involved in that decision making. I think that that’s one
thing that separates us apart from Boston where the patients
sometimes say they go down and they feel like they’re a
number as opposed to a person. (light piano music) – [Jonathan] What we like about TAVR, is that it gives us a lower stroke rate, a lower 30-day mortality rate, a lower one-year mortality rate, there’s less bleeding complications, less risk of atrial fibrillation, and patients are leaving the hospital with a brand new valve
generally within 48 hours. – Really easy, I went
in and they took me in, and gave me a IV and you know, told me what’s going
on and when I woke up, it was all over. You know, somebody holding
your breath and all of a sudden ah, I can breathe you know. It was tremendous I could, you know. I felt like a brand new person. – I think having high
sophisticated care than locally is a great advantage for the patients because not to undergo the
stress of moving and traveling let’s say 50 or 60 miles away. The comfort and
convenience of a nurturing, and friendly environment close to home is definitely a huge
advantage over traveling. I think that’s what counts. I mean, I can talk to
the patient about drugs, I can talk to the patient about the sophistication
of post-operate care. The patient wants to be sure
that he doesn’t have pain and he can get out of bed
and do and drive the car in a couple days. You know, that is what the
huge advantage of TAVR is. The return to normal life so quickly, which for the patient
with a certain age like, say somebody in their 80s, there’s not too much life left
for them to be convalescing. They don’t want convalesce, they wanna go back to what
they were doing right away. – If I didn’t have it done, like I say, I was right on the verge, If I didn’t have it done, more than likely I wouldn’t be here. (soft piano music) I liked to have it done
because I want to be around for my grandchildren
to see ’em grow up a little. You know, and close to
my family and everything and I wanna do it for my family and me. So that’s why I say it saved my life. Portsmouth Regional Hospital really did the wonderful thing for me. (energetic orchestral music)

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