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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Frequency of Stroke in Intermediate-Risk Patients in the Long-Term Undergoing TAVR vs SAVR: A Systematic Review and

Jordan Llerena-Velastegui1, Carolina Navarrete-Cadena1, Fabian Delgado-Quijano2

  • 1Pontifical Catholic University of Ecuador, Medical School, Quito, Ecuador.

Current Problems in Cardiology
|September 23, 2023
PubMed

Insights

Transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) show similar long-term stroke risks in intermediate-risk patients. Neither procedure offers a significant advantage in preventing stroke incidence post-operation.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Aortic stenosis management involves complex decisions regarding valve replacement.
  • Transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) are primary treatment options.
  • Understanding long-term stroke risk is crucial for patient selection and outcomes.

Conclusions:

  • TAVR and SAVR are associated with similar long-term stroke risks in intermediate-risk populations.
  • Current evidence suggests neither TAVR nor SAVR is inherently safer regarding stroke.
  • Shared decision-making, considering individual patient factors, is essential for managing aortic stenosis.

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