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Transcatheter pulmonary valve replacement (TPVR), also known as percutaneous pulmonary valve implantation (PPVI), is the replacement of the pulmonary valve via catheterization through a vein. It is a significantly less invasive procedure in comparison to open heart surgery and is commonly used to treat conditions such as pulmonary atresia. [2] [3]
Transcatheter aortic valve replacement (TAVR) is the implantation of the aortic valve of the heart through the blood vessels without actual removal of the native valve (as opposed to the aortic valve replacement by open heart surgery, surgical aortic valve replacement, AVR).
Current methods for aortic valve replacement include open-heart surgery, minimally invasive cardiac surgery (MICS), surgical aortic valve replacement (SAVR) and percutaneous or transcatheter aortic valve replacement (TAVR; also PAVR, PAVI, TAVI). A cardiologist can evaluate whether a heart valve repair or valve replacement would be of benefit. [1]
Diagram of the human heart. Several adaptations of the Ross procedure have evolved, but the principle is essentially the same; to replace a diseased aortic valve with the person's own pulmonary valve (autograft), and replace the person's own pulmonary valve with a pulmonary valve from a cadaver (homograft) or a stentless xenograft.
Catheter replacement of the aortic valve (called trans-aortic valve replacement or implementation [TAVR or TAVI]) is a minimally invasive option for those suffering from aortic valve stenosis. TAVR is commonly performed by guiding a catheter from the groin to the narrowed valve via the aorta using realtime x-ray technology.
A wire is typically used to guide the balloon catheter from the access site to the aortic valve. [1] Different size balloons are used depending on the age of the patient. [1] In order for the balloon to remain in the proper position while it is being inflated in the aortic valve, blood flow through the valve needs to be temporarily reduced.
An artificial heart valve is a one-way valve implanted into a person's heart to replace a heart valve that is not functioning properly (valvular heart disease). Artificial heart valves can be separated into three broad classes: mechanical heart valves, bioprosthetic tissue valves and engineered tissue valves.
Wentworth grain size chart from United States Geological Survey Open-File Report 2006-1195: Note size typos; 33.1mm is 38.1 & .545mm is .594 Beach cobbles at Nash Point, South Wales Grain size (or particle size ) is the diameter of individual grains of sediment , or the lithified particles in clastic rocks .
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