Transcatheter aortic valve implantation and cerebrovascular events: the current state of the art.
作者： Brian G. Hynes , Josep Rodés-Cabau
DOI: 10.1111/J.1749-6632.2012.06477.X
关键词: Cardiology 、 Adverse outcomes 、 Stenosis 、 Aortic valve replacement 、 Internal medicine 、 Transcatheter aortic 、 In patient 、 Medicine 、 Aortic valve 、 Stroke
摘要: Transcatheter aortic valve implantation (TAVI) has revolutionized the care of high-risk patients with severe calcific stenosis. Those considered at high or prohibitive risk major adverse outcomes open surgical replacement may now be offered an alternative less-invasive therapy. Despite rapid evolution and clinical application this new technology, recent studies have raised concerns about cerebrovascular event rates in undergoing TAVI. In review, we explore current data both relation to procedure-related silent ischemic events, as well clinically apparent stroke. The timing neurological events their prognostic implications are also examined. Finally, potential mechanisms TAVI-related injury described, addition efforts minimize occurrence.
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