{"meta":{"humanUrl":"https://ar.bookimed.com/clinics/country=dominican-republic/procedure=transcatheter-aortic-valve-implantation-tavi/best/","canonicalUrl":"https://ar.bookimed.com/clinics/country=dominican-republic/procedure=transcatheter-aortic-valve-implantation-tavi/best/","jsonUrl":"https://ar.bookimed.com/clinics/country=dominican-republic/procedure=transcatheter-aortic-valve-implantation-tavi/best/data.json","title":"Best clinics for زرع الصمام الأبهري عبر القثطار (TAVI) in جمهورية الدومنيكان — Ratings & Reviews | Bookimed","description":"2 top-rated clinics for زرع الصمام الأبهري عبر القثطار (TAVI) in جمهورية الدومنيكان. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for زرع الصمام الأبهري عبر القثطار (TAVI) in جمهورية الدومنيكان","locale":"ar","schemaVersion":"ClinicBestPageDataV1","snapshotId":"5cdc1332-b6cf30fc","contentVersion":"5cdc1332","generatedAt":"2026-11-13T01:33:29.645Z"},"filters":{"country":"dominican-republic","procedure":"transcatheter-aortic-valve-implantation-tavi","page":1},"pagination":{"page":1,"totalCount":2,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"جمهورية الدومنيكان","url":"/clinics/country=dominican-republic/"},{"name":"زرع الصمام الأبهري عبر القثطار (TAVI)","url":"/clinics/country=dominican-republic/procedure=transcatheter-aortic-valve-implantation-tavi/"},{"name":"Best","url":"/clinics/country=dominican-republic/procedure=transcatheter-aortic-valve-implantation-tavi/best/"}],"entities":[{"name":"جمهورية الدومنيكان","alias":"dominican-republic","type":"country","id":185},{"name":"زرع الصمام الأبهري عبر القثطار (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi","type":"procedure","id":724}],"clinics":{"clinics":[{"text":"<p>تقدم عيادات Heartline خدمات زراعة الصمام عبر القسطرة طفيفة التوغل دون قوائم انتظار. يؤكد الفريق الجراحي الحالات بسرعة، وغالباً في غضون 48 ساعة من المراجعة. يقود الدكتور ريكاردو خوسيه بيريلو بيسونو البرنامج بصفته رئيساً لجراحة القلب. وقد أكمل إقامته في مستشفى فيليسيو روشو في البرازيل، ويتمتع بخبرة واسعة في إجراءات القلب الهيكلية. تشمل باقات الرعاية الجراحة، والإقامة، وجميع وسائل النقل. يوفر المستشفى دعماً كاملاً في وحدة العناية المركزة لضمان تعافي آمن في بيئة خاصة.</p>","text_type":"mt_wow_description","best_texts":{"good_fit_for":"تغيير الصمام الأبهري عبر القسطرة (TAVI) شامل كلياً وبدون قائمة انتظار","why_its_ranked":"نهج القسطرة طفيف التوغل يغني عن جراحة القلب المفتوح. نسبة نجاح جراحي 100%. جراح يتمتع بخبرة في زراعة القلب والأكسجة الغشائية خارج الجسم (ECMO). 170 جراحة قلب سنوياً."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":55000,"price_to":55000,"currency":"USD","id":57016},"operation":{"id":724,"name":"زرع الصمام الأبهري عبر القثطار (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi"}}],"reviews":[],"clinic":{"id":8195,"alias":"heartline-clinics-ai","name":"Heartline Clinics","short_description":"<p>تعد عيادات Heartline برنامجاً خاصاً لجراحة القلب في سانتو دومينغو، جمهورية الدومينيكان. يتخصص المركز في جراحات القلب المعقدة. تشمل الإجراءات الرئيسية مجازة الشريان التاجي وإصلاح صمامات القلب. كما يقوم المركز بإجراء جراحات الأبهر وزراعة الصمامات عبر القسطرة. تدرب رئيس جراحة القلب، الدكتور بيريلو، في مستشفى فيليسيو روشو في البرازيل.</p><p>يجري الفريق الجراحي 170 عملية جراحية للقلب سنوياً. ويبلغون عن معدل نجاح بنسبة 100% في جميع الإجراءات. تتم مراجعة الحالات في غضون 24 إلى 48 ساعة لضمان رعاية سريعة. تتم الجراحة في مستشفى معتمد بالكامل مع دعم وحدة العناية المركزة على مدار 24 ساعة. يأتي معظم المرضى الدوليين من الولايات المتحدة وكندا والمملكة المتحدة.</p>","images":[{"base_url":"clinic/6a3d8550594e6","title":"واجهة Heartline Clinics الحديثة الزجاجية مع سيارة إسعاف متوقفة بالخارج"},{"base_url":"clinic/6a3d9df2738ed","title":"طبيب ببدلة رسمية مع سماعة طبية في منطقة الاستشارات في Heartline Clinics"},{"base_url":"clinic/6a4bdbda31a90","title":"جراح قلب في Heartline Clinics يجري جراحة قلب في غرفة عمليات حديثة"},{"base_url":"clinic/6a4bdd50e69cf","title":"غرفة علاج غسيل الكلى في Heartline Clinics بكراسي ومعدات حديثة"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتو دومينغو","id":2524,"alias":"santo-domingo"},"address":"Av. República de Colombia 71, Santo Domingo 10106, Dominican Republic"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2026},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>عيادة ديستيك لطب الأسنان هي مركز طبي خاص متعدد التخصصات في سانتو دومينغو، جمهورية الدومينيكان. تركز على علاجات الأسنان وجراحة الوجه والفكين للبالغين والأطفال. وتستقبل العيادة مرضى من أوروبا والولايات المتحدة وكندا وأمريكا اللاتينية وأستراليا.</p> <ul> <li>يقدم خمسة أطباء الرعاية في تخصصات طب الأسنان والجراحة.</li> <li>تستقبل العيادة مرضى من خلفيات دولية متنوعة ومن قارات متعددة.</li> <li>تقبل العيادة المرضى من الأطفال والبالغين لتلقي جميع الخدمات المذكورة.</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3926,"alias":"dystec-dental-clinic","name":"Dystec Dental Clinic","short_description":"<p>عيادة ديستيك لطب الأسنان هي مركز طبي خاص متعدد التخصصات في سانتو دومينغو، جمهورية الدومينيكان. تركز على علاجات الأسنان وجراحة الوجه والفكين للبالغين والأطفال. وتستقبل العيادة مرضى من أوروبا والولايات المتحدة وكندا وأمريكا اللاتينية وأستراليا.</p> <ul> <li>يقدم خمسة أطباء الرعاية في تخصصات طب الأسنان والجراحة.</li> <li>تستقبل العيادة مرضى من خلفيات دولية متنوعة ومن قارات متعددة.</li> <li>تقبل العيادة المرضى من الأطفال والبالغين لتلقي جميع الخدمات المذكورة.</li> </ul>","images":[{"base_url":"clinic/64d38a59b4911","title":"منطقة الاستقبال في عيادة ديستيك لطب الأسنان بديكور داخلي أبيض عصري"},{"base_url":"clinic/64d3879cbc900","title":"منطقة الاستقبال في عيادة ديستك لطب الأسنان بديكور حديث ونباتات داخلية"},{"base_url":"clinic/64d38a49d9fef","title":"غرفة استشارة أسنان مع كرسي حديث في عيادة Dystec Dental Clinic"},{"base_url":"clinic/64d38a3d250b0","title":"غرفة علاج أسنان بمعدات حديثة في عيادة Dystec Dental Clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتو دومينغو","id":2524,"alias":"santo-domingo"},"address":"C. Juan de Morfa 90, Santo Domingo 10309, Dominican Republic"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5,"year_foundation":2020},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":56},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"ألبانيا","alias":"albania","iso_code":"AL"},{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"اليابان","alias":"japan","iso_code":"JP"},{"name":"بولندا","alias":"poland","iso_code":"PL"},{"name":"تايلاند","alias":"thailand","iso_code":"TH"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"جمهورية الدومنيكان","alias":"dominican-republic","iso_code":"DO"},{"name":"رومانيا","alias":"romania","iso_code":"RO"},{"name":"سويسرا","alias":"switzerland","iso_code":"CH"},{"name":"كوريا الجنوبية","alias":"republic-of-korea","iso_code":"KR"},{"name":"ليتوانيا","alias":"lithuania","iso_code":"LT"}],"cities":[{"name":"سانتو دومينغو","alias":"santo-domingo"}],"operations":[{"name":"استبدال صمام القلب","alias":"heart-valve-replacement"},{"name":"عملية القلب المفتوح","alias":"open-heart-surgery"},{"name":"جراحة فتح مجرى جانبي للشريان التاجي","alias":"coronary-artery-bypass-grafting"},{"name":"زرع الصمام الأبهري عبر القثطار (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi"},{"name":"جراحة تمدد الأوعية الدموية الأبهري","alias":"aortic-aneurysm-surgery"},{"name":"استبدال الصمام الأبهري","alias":"replacement-of-the-aortic-valve"},{"name":"استبدال الصمام الأورطي للأطفال","alias":"pediatric-aortic-valve-replacement"},{"name":"استبدال الصمام التاجي للأطفال","alias":"pediatric-mitral-valve-replacement"},{"name":"جراحة عيب الحاجز البطيني (VSD)","alias":"ventricular-septal-defect-surgery"},{"name":"جراحة عيوب الحاجز التداخلية","alias":"interventricular-septal-defect-surgery"},{"name":"جراحة مجازة الشريان التاجي","alias":"coronary-bypass-surgery"}],"diagnostics":[{"name":"استشارة جراح القلب عبر الإنترنت","alias":"online-consultation-with-heart-surgeon"}],"illnesses":[{"name":"هبوط الصمام التاجي","alias":"mitral-valve-prolapse"},{"name":"قصور الصمام الأبهري","alias":"aortic-valve-insufficiency"}],"illnessKinds":[{"name":"جراحة القلب","alias":"heart-surgery"}],"illness_kinds":[{"name":"جراحة القلب","alias":"heart-surgery"}]},"popularSearches":[{"name":"الترددات اللاسلكية","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"استبدال صمام القلب","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"تثبيت جهاز تنظيم ضربات القلب","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"عملية القلب المفتوح","alias":"open-heart-surgery","type":"operation","id":663},{"name":"الدعامة التاجية","alias":"coronary-stenting","type":"operation","id":554},{"name":"تخطيط الصدى","alias":"u.s.","type":"diagnostic","id":37},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"فحص دم شامل","alias":"total-blood","type":"diagnostic","id":83},{"name":"التشاور مع طبيب القلب","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"تخطيط كهربية القلب","alias":"ecg","type":"diagnostic","id":21},{"name":"هبوط الصمام التاجي","alias":"mitral-valve-prolapse","type":"illness","id":3224},{"name":"قصور الصمام الأبهري","alias":"aortic-valve-insufficiency","type":"illness","id":3225},{"name":"متلازمة ضغط الشريان الأورطي المساريقي","alias":"aorto-mesenteric-artery-compression-syndrome","type":"illness","id":3459}],"operationPrices":{"operation_prices":{"2":{"operation":{"name":"استبدال صمام القلب","alias":"heart-valve-replacement","use_for_listing":true},"country_price":{"US":{"amount":120000,"max_amount":175000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":25000,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":25000,"max_amount":42000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":44400,"max_amount":49900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DO":{"amount":60000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true,"DO":true},"description":"<p style=\";text-align:right;direction:rtl\">تستبدل هذه الجراحة صمامات القلب التالفة ، وتحسن تدفق الدم ووظيفة القلب لحياة أكثر صحة.</p>"},"100":{"operation":{"name":"جراحة أمراض القلب الصمامية المكتسبة","alias":"surgery-for-acquired-heart-defects","use_for_listing":false},"country_price":{"US":{"amount":85000,"max_amount":155000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":18300,"max_amount":21500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":15000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":28000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DO":{"amount":18000,"max_amount":31000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true,"DO":true},"description":"<p style=\";text-align:right;direction:rtl\">يقوم هذا الإجراء بإصلاح أو استبدال صمامات القلب التالفة ، وتحسين تدفق الدم وصحة المريض.</p>"},"193":{"operation":{"name":"الجراحة التجميلية لصمام القلب","alias":"plastic-surgery-for-cardiac-valve","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":95000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":12000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":13500,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true},"description":"<p style=\";text-align:right;direction:rtl\">تعدل العملية صمامات القلب لتحسين تدفق الدم ، باستخدام تقنيات طفيفة التوغل للتعافي السريع.</p>"},"724":{"operation":{"name":"زرع الصمام الأبهري عبر القثطار (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi","use_for_listing":true},"country_price":{"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":20500,"max_amount":26400,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":31000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":30000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DO":{"amount":28000,"max_amount":40000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":false,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"DO":true,"LT":true,"RO":true},"description":"<p style=\";text-align:right;direction:rtl\">يستبدل الإجراء صمام القلب الفاشل باستخدام قسطرة ، مما يقلل من وقت الغزو والتعافي.</p>"},"795":{"operation":{"name":"استبدال الصمام الأبهري","alias":"replacement-of-the-aortic-valve","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":150000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":13300,"max_amount":23300,"currency":"USD","clinic_count":11,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":25000,"max_amount":38000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":33500,"max_amount":39000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DO":{"amount":22000,"max_amount":33000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true,"DO":true},"description":"<p style=\";text-align:right;direction:rtl\">تستبدل العملية صمام قلب معطل بصمام صحي ، مما يعزز تدفق الدم ووظيفة القلب.</p>"},"1304":{"operation":{"name":"استبدال الصمام التاجي للأطفال","alias":"pediatric-mitral-valve-replacement","use_for_listing":true},"country_price":{"US":{"amount":140000,"max_amount":220000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":27000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":44700,"max_amount":55000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DO":{"amount":22000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true,"DO":true},"description":"<p style=\";text-align:right;direction:rtl\">تهدف العملية التي تستهدف صحة القلب إلى استبدال الصمام التاجي المعيب للطفل ، وتحسين تدفق الدم.</p>"},"1305":{"operation":{"name":"استبدال الصمام الأورطي للأطفال","alias":"pediatric-aortic-valve-replacement","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":190000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":38000,"max_amount":55000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DO":{"amount":22000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false,"DO":true},"description":"<p style=\";text-align:right;direction:rtl\">تحل هذه العملية محل صمام قلب الطفل التالف ، مما يحسن تدفق الدم ووظيفة القلب بشكل عام.</p>"},"1306":{"operation":{"name":"رأب الصمام","alias":"valvuloplasty","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":90000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8000,"max_amount":15000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16500,"max_amount":24500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false},"description":"<p style=\";text-align:right;direction:rtl\">هذا العلاج يصلح صمامات القلب ، ويعزز تدفق الدم. إنها طفيفة التوغل وأقل خطورة وتنطوي على تعافي أسرع.</p>"},"1768":{"operation":{"name":"إصلاح الصمام التاجي","alias":"mitral-valve-repair","use_for_listing":true},"country_price":{"US":{"amount":60000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":17200,"max_amount":21000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":17000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":28000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false}},"1769":{"operation":{"name":"استبدال الصمام التاجي","alias":"mitral-valve-replacement","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":140000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":18200,"max_amount":20000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":32000,"max_amount":44000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":3049}},"direction":{"id":23,"name":"جراحة القلب","alias":"heart-surgery"},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local_sedation","general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated transfemoral TAVI; older patients may need longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any major complication within 30 days (vascular, bleeding, pacemaker, kidney injury, stroke); stroke about 2-3%, death 1-3%."},"contraindications":["Active endocarditis or other active systemic infection","Left ventricular or aortic thrombus","Life expectancy under about 1 year or limited benefit","Unsuitable aortic annulus size or anatomy for available valves","Unsuitable vascular access with no feasible alternative route","Severe untreated coronary disease or other conditions needing surgery (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Uncomplicated transfemoral TAVI with minimalist approach; longer if conduction disturbance, bleeding or vascular complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity such as walking sooner; strenuous exercise after access-site healing and cardiology clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Symptom improvement and functional recovery are often noticeable within weeks; valve function is assessed by echocardiography at about 1 month."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"After discharge, once access site, rhythm and echocardiogram are checked and the cardiologist gives clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Access-site check; may be done by phone or locally."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Clinical review with echocardiography and ECG."}},{"purpose":"result_review","requirement":"routine","after":{"min":365,"max":365,"unit":"days","qualifier":"Annual valve function review with echocardiography."}}],"indications":["Symptomatic severe aortic stenosis; intermediate, high or prohibitive surgical risk","Severe aortic stenosis favored for transcatheter treatment by heart team","Degenerated bioprosthetic aortic valve (valve-in-valve) in selected patients"],"main_risks":["Stroke or transient ischemic attack","Vascular access complications and bleeding","Conduction disturbances requiring permanent pacemaker","Paravalvular leak","Acute kidney injury","Coronary obstruction, annular rupture (rare)","Valve thrombosis or later structural valve deterioration","Death (low but real periprocedural risk)","Endocarditis"],"pain":"Usually mild to moderate; groin access-site soreness and bruising for several days, managed with simple analgesics.","preparation":["Heart-team evaluation","Echocardiography, ECG and blood tests","Gated CT angiography of aorta, annulus and iliofemoral vessels","Coronary angiography as needed","Dental and infection screening","Fasting before the procedure as instructed","Review of medications by the care team","Informed consent"],"recovery_timeline":[{"phase":"Day 0–1","description":"Bed rest for a few hours after the procedure, rhythm monitoring, early mobilization.","restrictions":["Keep the access leg straight initially"]},{"phase":"Days 2–7","description":"Discharge in uncomplicated cases, walking, access-site care, monitoring for bleeding or rhythm problems.","restrictions":["No heavy lifting","No driving until cleared"]},{"phase":"Weeks 2–6","description":"Gradual return to normal activity; 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":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=transkateternaa-implantacia-aortalnogo-klapana-tavi/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"تركيا","alias":"turkey","iso_code":"TR"},{"id":34,"name":"إسبانيا","alias":"spain","iso_code":"ES"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-12T04:00:10.647Z","activeCountries":["DO","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}