TY - JOUR
T1 - Analysis of Neurologic Complications After Surgical Versus Transcatheter Aortic Valve Replacement
AU - Krishnan, Sundar
AU - Sharma, Archit
AU - Subramani, Sudhakar
AU - Arora, Lovkesh
AU - Mohananey, Divyanshu
AU - Villablanca, Pedro
AU - Ramakrishna, Harish
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2019/11
Y1 - 2019/11
N2 - Ove the last decade, transcatheter aortic valve replacement (TAVR) has emerged as the recommended approach over surgical aortic valve replacement (SAVR) for many patients with aortic stenosis. While initial trials demonstrated a higher incidence of stroke with TAVR compared to SAVR, the incidence of stroke appears to have improved over time. With the increasing number of patients expected to undergo TAVR in the coming decades, it is important to review the incidence and etiology of stroke after SAVR and TAVR. Alterations in surgical technique for SAVR, and embolic protections devices for TAVR, have failed to demonstrate a clinically significant reduction in the incidence of post-procedural stroke. However, the definitions and assessment methods used for assessing stroke and neurological events varies among studies.
AB - Ove the last decade, transcatheter aortic valve replacement (TAVR) has emerged as the recommended approach over surgical aortic valve replacement (SAVR) for many patients with aortic stenosis. While initial trials demonstrated a higher incidence of stroke with TAVR compared to SAVR, the incidence of stroke appears to have improved over time. With the increasing number of patients expected to undergo TAVR in the coming decades, it is important to review the incidence and etiology of stroke after SAVR and TAVR. Alterations in surgical technique for SAVR, and embolic protections devices for TAVR, have failed to demonstrate a clinically significant reduction in the incidence of post-procedural stroke. However, the definitions and assessment methods used for assessing stroke and neurological events varies among studies.
KW - SAVR
KW - TAVR
KW - aortic valve replacement
KW - cerebrovascular accident
KW - stroke
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U2 - 10.1053/j.jvca.2018.11.011
DO - 10.1053/j.jvca.2018.11.011
M3 - Review article
C2 - 30595485
AN - SCOPUS:85059086820
SN - 1053-0770
VL - 33
SP - 3182
EP - 3195
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
IS - 11
ER -