| Literature DB >> 29588726 |
Florian Hecker1, Mani Arsalan1, Thomas Walther1.
Abstract
Transcatheter aortic valve replacement (TAVR) has become the default treatment option for high-risk patients with aortic stenosis and an alternative to surgical aortic valve replacement in intermediate-risk patients. There are, however, concerns regarding strokes during TAVR. Reported stroke rates vary strongly depending on the type of study, stroke definition, cohort and study period. Furthermore, stroke after TAVR occurs in three distinct phases: 1) early high-risk, directly procedure related; 2) elevated risk interval between day 2 and day 30; 3) late hazard interval. Each of these phases is caused by the different aetiologies of stroke. This review summarises the different aetiologies and potential strategies for managing stroke during TAVR.Entities:
Keywords: Transcatheter aortic valve replacement; antiplatelet; antithrombotic; embolic protection device; embolisation; transcatheter aortic valve implantation; transient ischaemic attack calcification
Year: 2017 PMID: 29588726 PMCID: PMC5808713 DOI: 10.15420/icr.2016:26:1
Source DB: PubMed Journal: Interv Cardiol ISSN: 1756-1485