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Acute stroke intervention after transcatheter aortic valve replacement.

Mohanad Hamandi1, Adam J Farber2, James K Tatum3

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PubMed
Summary

Early stroke intervention after transcatheter aortic valve replacement (TAVR) may improve neurological outcomes. Prompt treatment with mechanical thrombectomy or systemic lytic therapy can reduce complications following TAVR.

Keywords:
Lytic therapymechanical thrombectomystroketranscatheter aortic valve replacement

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Area of Science:

  • Cardiology
  • Neurology
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve replacement (TAVR) is a critical procedure for aortic stenosis.
  • Stroke is a significant and devastating complication following TAVR procedures.

Observation:

  • Two patients developed immediate stroke post-TAVR.
  • One patient received mechanical thrombectomy and localized lytic therapy.
  • The other patient was treated with systemic lytic therapy.

Findings:

  • Both early stroke intervention methods were associated with positive neurological outcomes.
  • Limited experience suggests potential for reduced complications and improved recovery.

Implications:

  • Early detection and intervention for stroke after TAVR are crucial.
  • Mechanical thrombectomy and systemic lytic therapy are viable treatment options.
  • Further research is warranted to confirm these findings in larger cohorts.