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follow-up echocardiography.","restrictions":["Avoid strenuous exertion until cleared"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated transfemoral TAVI; cardiac rehabilitation, if used, is longer."},"result_longevity":"Durability data extend to roughly 5–10 years with generally acceptable valve function; long-term durability depends on valve type and patient factors, and is still being studied.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Repeat valve intervention or reintervention (e.g. valve-in-valve, surgery) within about 5 years; early reintervention under 1-2%."},"scars":"Transfemoral access leaves only a tiny puncture site in the groin, with minimal scarring; surgical cutdown, if needed, leaves a small incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single procedure."},"stages":[{"code":"valve_implantation","label":"Transcatheter valve implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Single-stage transfemoral TAVI."},"success":{"metric":"Survival at 1 year after TAVI","value":92,"unit":"percent","horizon":"1 year","population":"Adults with symptomatic severe aortic stenosis, intermediate surgical risk, transfemoral TAVI","evidence_status":"proven"},"techniques":[{"name":"Transfemoral TAVI with balloon-expandable valve","suits_whom":"Most patients with suitable femoral vessels and aortic annulus anatomy.","recovery":"Discharge usually within 1–3 days."},{"name":"Transfemoral TAVI with self-expanding valve","suits_whom":"Patients with suitable anatomy, including some with small annulus or elevated risk of annular injury.","recovery":"Similar recovery; pacemaker need may be somewhat higher."},{"name":"Alternative access (transaxillary, transcarotid, transapical)","suits_whom":"Patients with unsuitable femoral vessels.","recovery":"Often longer recovery than transfemoral."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Procedure time for uncomplicated transfemoral TAVI; excludes preparation and recovery."},"initial_assessment_documents":["Recent transthoracic echocardiogram report","CT angiography report of aorta and femoral arteries","Coronary angiogram report","Recent ECG","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage procedure; stay about 7-10 days including pre-procedure tests, 1-3 nights in hospital and discharge checks. Later reviews done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always 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is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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