A Narrative Review on Periprocedural Stroke and Transcatheter Aortic Valve Replacement: Achilles' Heel

被引：0
|
作者：
Kodan, Parul [1 ]
Khurana, Sakshi [2 ]
Gulati, Amit [3 ]
Hooda, Amit [4 ,5 ]
机构：
[1] Yale Sch Publ Hlth, Dept Publ Hlth, New Haven, CT USA
[2] New York Presbyterian Hosp, Dept Radiol, New York, NY USA
[3] Mt Sinai Beth Israel, Div Cardiol, Dept Med, New York, NY USA
[4] Icahn Sch Med Mt Sinai, Dept Med, Div Cardiol, New York, NY USA
[5] Icahn Sch Med Mt Sinai, Dept Med, Div Cardiol, One Gustave L Levy Pl,Box 1030, New York, NY 10029 USA
来源：
HEART AND MIND | 2023年 / 7卷 / 03期
关键词：
Antiplatelet; antithrombotic; embolic protection device; embolization; stroke; transcatheter aortic valve replacement; CEREBROVASCULAR EVENTS; RISK; IMPLANTATION; OUTCOMES; STENOSIS; METAANALYSIS;
D O I：
10.4103/hm.HM-D-23-00027
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Transcatheter aortic valve replacement (TAVR) has become the treatment option for symptomatic severe aortic stenosis patients across all risk profiles. Despite remarkable advancements in technology and operator experience, the occurrence of periprocedural stroke remains a significant concern, predominantly attributed to thromboembolic events in the immediate postprocedural period. To optimize patient outcomes, various strategies have been developed to minimize the risk of stroke, encompassing comprehensive preprocedural planning, effective management of comorbidities, utilization of cerebral embolic protection devices, and tailored medical therapy. This comprehensive review summarizes the currently available strategies for mitigating periprocedural stroke post-TAVR and provides insights into future directions.
引用
收藏
页码：132 / 136
页数：5
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