Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation
Cerebrovascular events remain a serious complication in patients undergoing transcatheter aortic valve implantation with an incidence of 2–3% at 30 days. While expanding TAVI to younger low-risk patients, prevention of periprocedural strokes becomes even more important. Different cerebral embolic pr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.892956/full |
| _version_ | 1817992261568299008 |
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| author | Matthias Linder Moritz Seiffert Moritz Seiffert |
| author_facet | Matthias Linder Moritz Seiffert Moritz Seiffert |
| author_sort | Matthias Linder |
| collection | DOAJ |
| description | Cerebrovascular events remain a serious complication in patients undergoing transcatheter aortic valve implantation with an incidence of 2–3% at 30 days. While expanding TAVI to younger low-risk patients, prevention of periprocedural strokes becomes even more important. Different cerebral embolic protection devices have been tested but a clear clinical benefit has not been demonstrated in randomized trials. Due to the multifactorial aetiology with different predisposing factors, stroke prevention should include procedural and periprocedural strategies. This article aims to summarize different approaches and discuss open questions. |
| first_indexed | 2024-04-14T01:23:08Z |
| format | Article |
| id | doaj.art-fd83db43f3294ad5bc132739be88782a |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-14T01:23:08Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-fd83db43f3294ad5bc132739be88782a2022-12-22T02:20:33ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-04-01910.3389/fcvm.2022.892956892956Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve ImplantationMatthias Linder0Moritz Seiffert1Moritz Seiffert2Department of Cardiology, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Cardiology, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyGerman Centre for Cardiovascular Research (DZHK), Partner Site Hamburg/Lübeck/Kiel, Hamburg, GermanyCerebrovascular events remain a serious complication in patients undergoing transcatheter aortic valve implantation with an incidence of 2–3% at 30 days. While expanding TAVI to younger low-risk patients, prevention of periprocedural strokes becomes even more important. Different cerebral embolic protection devices have been tested but a clear clinical benefit has not been demonstrated in randomized trials. Due to the multifactorial aetiology with different predisposing factors, stroke prevention should include procedural and periprocedural strategies. This article aims to summarize different approaches and discuss open questions.https://www.frontiersin.org/articles/10.3389/fcvm.2022.892956/fullanticoagulationantithrombotic therapycerebrovascular embolic protectionstrokeTAVI |
| spellingShingle | Matthias Linder Moritz Seiffert Moritz Seiffert Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation Frontiers in Cardiovascular Medicine anticoagulation antithrombotic therapy cerebrovascular embolic protection stroke TAVI |
| title | Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation |
| title_full | Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation |
| title_fullStr | Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation |
| title_full_unstemmed | Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation |
| title_short | Periprocedural Strategies for Stroke Prevention in Patients Undergoing Transcatheter Aortic Valve Implantation |
| title_sort | periprocedural strategies for stroke prevention in patients undergoing transcatheter aortic valve implantation |
| topic | anticoagulation antithrombotic therapy cerebrovascular embolic protection stroke TAVI |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.892956/full |
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