Stroke associated with surgical and transcatheter treatment of aortic stenosis: a comprehensive review
Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2011-11, Vol.58 (21), p.2143-2150 |
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| container_title | Journal of the American College of Cardiology |
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| creator | Daneault, Benoit Kirtane, Ajay J Kodali, Susheel K Williams, Mathew R Genereux, Philippe Reiss, George R Smith, Craig R Moses, Jeffrey W Leon, Martin B |
| description | Stroke is a potential complication of treating patients with aortic stenosis via surgical aortic valve replacement (AVR), transcatheter aortic valve replacement (TAVR), and balloon aortic valvuloplasty. Because there are limited and heterogeneous data on the incidence, risk factors, and outcomes of stroke among patients being treated for aortic stenosis, we performed a comprehensive review of the literature. The risk of stroke after AVR in the general population is approximately 1.5%, and the risk is increased (to approximately 2% to 4%) in older and higher-risk patients. Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04). |
| doi_str_mv | 10.1016/j.jacc.2011.08.024 |
| format | Article |
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Strokes were reported in 1.5% to 6% of patients treated with TAVR, and in the only randomized trial of AVR versus TAVR, there was an increased risk of 30-day strokes (minor and major strokes and transient ischemic attacks) with TAVR (5.5% vs. 2.4%, p = 0.04).</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2011.08.024</identifier><identifier>PMID: 22078419</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Aortic Valve Stenosis - surgery ; Cardiac Catheterization - adverse effects ; Cardiology ; Feasibility studies ; Follow-Up Studies ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - methods ; Humans ; Incidence ; Medical imaging ; Mortality ; Risk Factors ; Stroke - epidemiology ; Stroke - etiology ; United States - epidemiology</subject><ispartof>Journal of the American College of Cardiology, 2011-11, Vol.58 (21), p.2143-2150</ispartof><rights>Copyright © 2011 American College of Cardiology Foundation. 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| identifier | ISSN: 0735-1097 |
| ispartof | Journal of the American College of Cardiology, 2011-11, Vol.58 (21), p.2143-2150 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aortic Valve Stenosis - surgery Cardiac Catheterization - adverse effects Cardiology Feasibility studies Follow-Up Studies Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Incidence Medical imaging Mortality Risk Factors Stroke - epidemiology Stroke - etiology United States - epidemiology |
| title | Stroke associated with surgical and transcatheter treatment of aortic stenosis: a comprehensive review |
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