Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Transcatheter Aortic Valve Implantation (TAVI)

Transcatheter Aortic Valve Implantation (TAVI)

Treatment Overview

Transcatheter aortic valve implantation (TAVI) is a procedure to implant a replacement aortic valve in the heart. It is also called transcatheter aortic valve replacement (TAVR). Your doctor will use a thin, flexible tube called a catheter to put in your new heart valve.

Your doctor will put the catheter into a blood vessel in your upper leg (groin) or chest. The doctor moves the catheter through the blood vessel and into your heart.

The replacement valve fits inside the catheter. The valve is made of tissue and metal. Your doctor will move the new valve into your damaged valve. It will expand and work in place of the old valve.

You may be asleep for the procedure, or you may get a sedative to help you relax. You won't feel pain when the catheter is put in the blood vessel.

You may stay in the hospital for up to a few days.

What To Expect

What To Expect

  • While you are in the hospital, your doctors and nurses will monitor you to check how the new valve is working.
  • You will receive information from the hospital about diet, activities, and medicine.
  • You will need to have regular checkups with your doctor.
  • Your doctor may suggest that you attend a cardiac rehab program. In cardiac rehab, a team of health professionals provides education and support to help you recover and prevent problems with your heart. Ask your doctor if rehab is right for you.
  • You may take aspirin or some other blood thinner to prevent blood clots. If you get a blood thinner, be sure you get instructions about how to take your medicine safely. Blood thinners can cause serious bleeding problems.
Why It Is Done

Why It Is Done

TAVI is done to treat narrowing (stenosis) of the aortic valve. This is the valve between your heart and the blood vessel (the aorta) that carries blood to your body. TAVI may also be done to place a new valve in an existing tissue replacement valve.

How Well It Works

How Well It Works

This procedure can help people who have aortic stenosis feel better and live longer.

But how well this procedure works depends on several things, such as other health problems that a person has. These include other heart problems. Doctors are still learning who might benefit the most from TAVI.

Because TAVI is a newer treatment, doctors don't yet know the long-term benefits or risks. They also don't know how long the valves will last. But research shows that they work well for at least 5 years. footnote 1, footnote 2

Risks

Risks

TAVI doesn't involve open-heart surgery. But the procedure does have serious risks. Some risks last just a short time. Others are long-term.

Risks include:

  • Heart block. This is a problem with the electrical system in the heart. It can cause a slow heart rate. If this happens, a person may need a permanent pacemaker.
  • Injury to the blood vessel used to put the catheter in the heart.
  • Serious bleeding problems.
  • Leaking around the valve.
  • Heart attack.
  • Stroke.
  • Death.
References

References

Citations

  1. Kapadia SR, et al. (2015). 5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER1): A randomised controlled trial. Lancet. Published online March 15, 2015. DOI: http://dx.doi.org/10.1016/S0140-6736(15)60290-2. Accessed March 25, 2015.
  2. Makkar RR, et al. (2020). Five-year outcomes of transcatheter or surgical aortic-valve replacement. New England Journal of Medicine, 382(9): 799–809. DOI: 10.1056/NEJMoa1910555. Accessed March 12, 2021.

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice [PDF] Language Assistance [PDF] Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details