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Bevan Exemplar Cohort 1 Projects

The Morriston Transcatheter Aortic Valve Implantation (TAVI)

Dave Smith, Alex Chase, Anwen Jenkins, Pankaj Kumar and Aprim Youhana

Abertawe Bro Morgannwg University Health Board and Edwards Lifesciences


  • Replacement of worn out heart valves without opening the chest and using heart lung bypass machine;
  • Uses local anaesthetic where possible;
  • Avoids Intensive Care Unit (ICU) bed usage.

This Project Supports Prudent Healthcare:

  • Multi-disciplinary co-production;
  • Minimises resource use;
  • Caring for those with great need;
  • Minimally invasive, quick recovery;
  • Regional delivery of care for Mid and South Wales.

Anticipated Benefits:

  • Excellent clinical outcomes using transformational technology;
  • Heart valve replacement under local anaesthetic;
  • Rapid recovery and return to improved quality of life for patients;
  • Minimising use of expensive and limited infrastructure resources;
  • Realising the combined skills of the multi disciplinary-team approach.

Clinical Results:

  • 37 patients treated, mean age 81 years;
  • 81% of cases under local anaesthetic;
  • 1 unplanned ICU admission;
  • 5 day median post-op length of stay;
  • No procedural deaths, all patients discharged.