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Related Concept Videos

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Stroke Prevention: Let's Prepare for Generation X TAVR.

Laura J Davidson1, Charles J Davidson2

  • 1Division of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|October 21, 2016
PubMed
Summary
This summary is machine-generated.

Stroke after TAVR is a serious risk. Identifying patients with chronic kidney disease or prior stroke can help predict stroke risk. New strategies may reduce stroke and brain lesions after TAVR.

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Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Nephrology

Background:

  • Stroke is a major complication following Transcatheter Aortic Valve Replacement (TAVR), leading to significant patient morbidity, disability, and mortality.
  • Chronic kidney disease (CKD) and a history of prior stroke are identified as key risk factors that increase the likelihood of stroke in the TAVR population.

Purpose of the Study:

  • To highlight the importance of stratifying stroke risk in patients undergoing TAVR.
  • To discuss the potential of emerging strategies in mitigating stroke risk and reducing new brain lesions post-TAVR.

Main Methods:

  • Review of existing literature and risk factors associated with post-TAVR stroke.
  • Analysis of ongoing prospective randomized trials investigating novel preventative measures.

Main Results:

  • CKD and prior stroke are significant predictors of stroke after TAVR.
  • Emerging interventions show promise in reducing stroke incidence and subclinical brain injury.

Conclusions:

  • Accurate stroke risk stratification is crucial for improving TAVR outcomes.
  • Embolic protection devices and post-implant anticoagulation strategies represent promising avenues for future stroke prevention in TAVR patients.