Related Experiment Video

Updated: Oct 16, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

245

How to reduce uncommon but severe transcatheter aortic valve implantation complications: stroke, thrombosis,

Francesco Saia1, Mateusz Orzalkiewicz1

  • 1Cardiac Unit, Cardio-Thoracic-Vascular Department, IRCCS University Hospital of Bologna, Policlinico S. Orsola (Pav. 23), Via Massarenti, 9, 40138 Bologna, Italy.

European Heart Journal Supplements : Journal of the European Society of Cardiology
|October 15, 2021
PubMed

Insights

Transcatheter aortic valve implantation (TAVI) is a safe alternative for severe aortic stenosis. This review details uncommon TAVI complications like stroke and endocarditis, focusing on prevention.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve implantation (TAVI) is a primary treatment for severe symptomatic aortic stenosis.
  • TAVI offers a less invasive alternative to surgical aortic valve replacement, suitable for all surgical risk levels.
  • Improvements in technology and operator experience have reduced TAVI's periprocedural complication rates.

Purpose of the Study:

  • To review uncommon but severe complications following TAVI.
  • To discuss the incidence, risk factors, and prevention strategies for these delayed complications.

Main Methods:

  • Literature review focusing on post-TAVI complications.
  • Analysis of incidence, predictive factors, and preventive measures for stroke, infective endocarditis, valve thrombosis, and cognitive decline.

Main Results:

  • While periprocedural complications have decreased, uncommon events like stroke, endocarditis, valve thrombosis, and cognitive decline can occur post-TAVI.
  • These complications may manifest during follow-up but can also arise periprocedurally.
  • Identification of predictive factors and preventive strategies is crucial for patient management.

Conclusions:

  • TAVI is a well-established procedure with declining complication rates.
  • Awareness and proactive management of uncommon delayed complications are essential for optimizing long-term TAVI outcomes.
  • Further research into predictive factors and preventive strategies for these rare events is warranted.

Keywords:
Cognitive functionEndocarditisStrokeTranscatheter aortic valve replacementValve thrombosis

More Related Videos

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

10.7K
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.9K

Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
45
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
44
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
70
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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...
58
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
73
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
83