{"id":168,"date":"2020-03-06T08:12:03","date_gmt":"2020-03-06T08:12:03","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/?p=168"},"modified":"2022-05-19T15:34:24","modified_gmt":"2022-05-19T15:34:24","slug":"la-tavi-tractament-estenosi-aortica","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/","title":{"rendered":"La TAVI, tractament m\u00ednimament invasiu de l’estenosi a\u00f2rtica greu"},"content":{"rendered":"

L’estenosi d’aorta<\/strong><\/a> \u00e9s una malaltia valvular<\/strong><\/a> produ\u00efda per la rigidesa i calcificaci\u00f3 de la v\u00e0lvula a\u00f2rtica<\/strong><\/a>. En aquests casos, la v\u00e0lvula a\u00f2rtica<\/strong> no s’obre de forma correcta, dificultant que la sang flueixi amb normalitat. Amb els anys, l’estenosi a\u00f2rtica pot fer-se severa, provocant s\u00edmptomes com: dispnea (ofec), dolor tor\u00e0cic o s\u00edncopes (p\u00e8rdues de coneixement). Per al tractament de l’estenosi a\u00f2rtica<\/a> greu<\/strong> hi ha dues opcions: la cirurgia i l’implant transcat\u00e9ter (TAVI o TAVR). La cirurgia sol ser el tractament d’elecci\u00f3, per\u00f2, certs pacients presenten un alt risc per a una operaci\u00f3 convencional a cor obert<\/a>. En aquests casos, la TAVI \u00e9s la millor alternativa<\/strong>.<\/p>\n

<\/p>\n

\n

ET POT INTERESSAR\u2026<\/h4>\n

–<\/em> Malalties valvulars<\/a><\/h4>\n

–<\/em> Estenosi a\u00f2rtica: Causes, diagn\u00f2stic i opcions de tractament<\/a><\/h4>\n<\/div>\n

Qu\u00e8 \u00e9s la Tavi? L’implant transcat\u00e9ter de v\u00e0lvula a\u00f2rtica<\/h2>\n

La t\u00e8cnica TAVI<\/strong> \u00e9s l’implant de manera no invasiva o m\u00ednimament invasiva d’una pr\u00f2tesi a\u00f2rtica per via transcat\u00e9ter<\/strong>. Com hem dit, \u00e9s la intervenci\u00f3 indicada per a aquells pacients que presenten una obstrucci\u00f3 severa de la v\u00e0lvula a\u00f2rtica<\/strong>, que pateixen s\u00edmptomes derivats i un alt risc per a la cirurgia convencional.<\/p>\n

\n

\"\"<\/a>“La TAVI est\u00e0 indicada en aquells pacients que presenten una obstrucci\u00f3 de la v\u00e0lvula a\u00f2rtica amb s\u00edmptomes derivats i que, a m\u00e9s, presenten un alt risc per a una operaci\u00f3 de tipus convencional a cor obert”<\/h4>\n

Dr. Manel Sabat\u00e9<\/a><\/p><\/blockquote>\n

En qu\u00e8 consisteix i quant dura la TAVI?<\/h2>\n

En l’actualitat, la TAVI<\/strong> es realitza mitjan\u00e7ant anest\u00e8sia local i sedaci\u00f3 conscient, sense necessitat d’anest\u00e8sia general. Per a la seva realitzaci\u00f3, es procedeix a la punci\u00f3 de, normalment, l’art\u00e8ria femoral i s’introdueix un cat\u00e8ter. Mitjan\u00e7ant el cat\u00e8ter es fa arribar una pr\u00f2tesi valvular<\/strong> sobre una malla met\u00e0l\u00b7lica (stent) que es col\u00b7loca sobre la\u00a0v\u00e0lvula esten\u00f2tica<\/strong><\/a>. Un cop col\u00b7locada, es comprova la seva funcionalitat i es retira el cat\u00e8ter.<\/p>\n

En general, el procediment d’implant de la pr\u00f2tesi valvular<\/strong>, des de la introducci\u00f3 del cat\u00e8ter fins a la seva col\u00b7locaci\u00f3 sobre la v\u00e0lvula malalta i retirada del cat\u00e8ter, t\u00e9 una durada d’uns 30 minuts i est\u00e0 guiat mitjan\u00e7ant ecografia transtor\u00e0cica.<\/p>\n

 <\/p>\n

Beneficis de la TAVI<\/h2>\n

La realitzaci\u00f3 del TAVI<\/strong> requereix de tecnologia avan\u00e7ada, una sala d’hemodin\u00e0mica<\/strong> preparada i un equip multidisciplinari expert. Amb tot aix\u00f2 es pot garantir un alt percentatge d’\u00e8xit. Els beneficis de la TAVI<\/strong> estan relacionats, sobretot, amb la menor invasivitat de la mateixa. Aquest tipus d’intervenci\u00f3 \u00e9s molt menys agressiva per al pacient que la cirurgia convencional i comporta la conseg\u00fcent reducci\u00f3 de el temps d’hospitalitzaci\u00f3 i de recuperaci\u00f3. En aquest sentit, els pacients poden ser donats d’alta a les 24\/48 hores de la intervenci\u00f3<\/strong> i, habitualment, poden realitzar vida normal a el cap d’una setmana.<\/p>\n

\n

\"\"<\/a><\/h4>\n

“Indubtablement, el gran avantatge d’aquesta t\u00e8cnica \u00e9s la r\u00e0pida recuperaci\u00f3 dels pacients. La majoria dels pacients poden anar-se’n a casa en 24 – 48 hores “<\/h4>\n

Dr. Manel Sabat\u00e9<\/a><\/p><\/blockquote>\n

Possibles complicacions de la TAVI<\/h2>\n

En centres amb l’experi\u00e8ncia del nostre, les complicacions de la TAVI<\/strong> s\u00f3n molt escasses. Nom\u00e9s en un 10% de casos pot presentar-se la necessitat d’implantar un marcapassos. Les complicacions severes o greus, en canvi, es presenten encara menys freq\u00fcentment, concretament en menys d’un 1% dels procediments.<\/p>\n

\n
\n

VOL CONTACTAR\u00a0AMB EL DR. MANEL SABAT\u00c9?<\/span><\/h1>\n

DEMANAR CITA PRESENCIAL<\/a> |\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

L’estenosi d’aorta \u00e9s una malaltia valvular produ\u00efda per la rigidesa i calcificaci\u00f3 de la v\u00e0lvula a\u00f2rtica. En aquests casos, la v\u00e0lvula a\u00f2rtica no s’obre de forma correcta, dificultant que la sang flueixi amb normalitat. Amb els anys, l’estenosi a\u00f2rtica pot fer-se severa, provocant s\u00edmptomes com: dispnea (ofec), dolor tor\u00e0cic o s\u00edncopes (p\u00e8rdues de coneixement). Per […]<\/p>\n","protected":false},"author":2,"featured_media":174,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[142,91],"tags":[148,149,25,150,151,143,144,152,155,27,154,156,153],"yoast_head":"\nLa TAVI, tractament m\u00ednimament invasiu de l'estenosi a\u00f2rtica greu<\/title>\n<meta name=\"description\" content=\"Davant d'una estenosi a\u00f3rtica, la cirurgia sol ser el tractament d'elecci\u00f3, tot i aix\u00ed, en alguns casos, la TAVI \u00e9s la millor alternativa...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La TAVI, tractament m\u00ednimament invasiu de l'estenosi a\u00f2rtica greu\" \/>\n<meta property=\"og:description\" content=\"Davant d'una estenosi a\u00f3rtica, la cirurgia sol ser el tractament d'elecci\u00f3, tot i aix\u00ed, en alguns casos, la TAVI \u00e9s la millor alternativa...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Cardiolog\u00eda y Cirug\u00eda Vascular\" \/>\n<meta property=\"article:published_time\" content=\"2020-03-06T08:12:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-19T15:34:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/wp-content\/uploads\/sites\/13\/2020\/03\/\u00bfQu\u00e9-es-la-T\u00c9CNICA-TAVI-La-opci\u00f3n-menos-invasiva-ante-obstrucci\u00f3n-de-la-v\u00e1lvula-a\u00f3rtica.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/\",\"name\":\"La TAVI, tractament m\u00ednimament invasiu de l'estenosi a\u00f2rtica greu\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/#website\"},\"datePublished\":\"2020-03-06T08:12:03+00:00\",\"dateModified\":\"2022-05-19T15:34:24+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"description\":\"Davant d'una estenosi a\u00f3rtica, la cirurgia sol ser el tractament d'elecci\u00f3, tot i aix\u00ed, en alguns casos, la TAVI \u00e9s la millor alternativa...\",\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/ca\/la-tavi-tractament-estenosi-aortica\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"La TAVI, tractament m\u00ednimament invasiu de l’estenosi a\u00f2rtica greu\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/cardiologia\/\",\"name\":\"Blog de Cardiolog\u00eda y Cirug\u00eda Vascular\",\"description\":\"Este es el blog de cardiolog\u00eda y cirug\u00eda vascular barnacl\u00ednic+. 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