Stroke risk after transcatheter aortic valve replacement in patients with carotid stenosis: A systematic review and

Fernando Garagoli1, Juan Guido Chiabrando2, Ignacio Miguel Seropian3

  • 1Department of Cardiology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Insights

Severe carotid artery stenosis (CAS ≥70%) increases stroke risk after transcatheter aortic valve replacement (TAVR). Mild CAS (CAS ≥50%) did not significantly raise stroke or mortality risks following TAVR procedures.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Neurology

Background:

  • Stroke is a significant complication associated with transcatheter aortic valve replacement (TAVR).
  • Patients undergoing TAVR often present with comorbidities, including carotid artery stenosis (CAS).

Conclusions:

  • Carotid artery stenosis of 70% or greater is associated with a higher risk of stroke or TIA post-TAVR.
  • No significant increase in mortality was found for patients with CAS undergoing TAVR.
Abstract

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